与初次全髋关节置换术相比，翻修全髋关节置换术在临床上有意义的改善和患者满意度方面较差。
Revision total hip arthroplasty is associated with poorer clinically meaningful improvements and patient satisfaction compared to primary total hip arthroplasty.
作者信息
Zhang Siyuan, Chen Jerry Yongqiang, Pang Hee Nee, Lo Ngai Nung, Yeo Seng Jin, Liow Ming Han Lincoln
机构信息
Department of Orthopaedic Surgery, Singapore General Hospital, 20 College Road, Academia, Level 4, Singapore, 169865, Singapore.
出版信息
J Orthop. 2021 Nov 27;28:96-100. doi: 10.1016/j.jor.2021.11.008. eCollection 2021 Nov-Dec.
Abstract
PURPOSE
This study aims to compare PROM improvements and satisfaction rates between revision (rTHA) and primary total hip arthroplasty (pTHA).
METHODS
84 rTHAs were propensity-score matched to 168 pTHAs using patient demographics and preoperative PROMs. Multiple regression was used to evaluate differences in PROMs, minimal clinically important difference (MCID) attainment and patient satisfaction.
RESULTS
Compared to pTHA patients, rTHA patients had poorer MCID attainment for OHS, WOMAC and SF-36 PCS and lower satisfaction rates at 2-years postoperatively (p < 0.05).
CONCLUSION
Patients undergoing rTHA are likely to have poorer outcomes and should be appropriately counselled to better manage their preoperative expectations.
LEVEL OF EVIDENCE
Level II.
摘要
目的
本研究旨在比较翻修全髋关节置换术（rTHA）和初次全髋关节置换术（pTHA）患者术后患者报告结局量表（PROM）的改善情况及满意度。
方法
采用患者人口统计学资料和术前PROM，将84例rTHA患者与168例pTHA患者进行倾向评分匹配。采用多元回归分析评估PROM、最小临床重要差异（MCID）达成情况及患者满意度的差异。
结果
与pTHA患者相比，rTHA患者在术后2年时，髋关节功能评分（OHS）、西安大略和麦克马斯特大学骨关节炎指数（WOMAC）及简明健康状况调查量表（SF-36）生理健康分量表（PCS）的MCID达成情况较差，满意度较低（p<0.05）。
结论
接受rTHA的患者可能预后较差，应给予适当的咨询，以更好地管理其术前预期。
证据等级
二级。
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