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Journals / Fiziksel Tıp ve Rehabilitasyon Bilimleri Dergisi / 2017 / Cilt: 20 - Sayı: 3

Are the Demographic Characteristics of Patients with Primary Hip Osteoarthritis Effective on Functional Improvements After Total Hip Replacement?

Primer Kalça Osteoartritli Hastaların Demografik Özellikleri: Total Kalça Replasmanı Sonrasında Fonksiyonel İyileşme Üzerinde Etkili midir?

Dilek KESKİN
Hatice BODUR
Yalçın ÇAKIR
Yalçın TABAK
Deniz ÇANKAYA
Fatma Gül YURDAKUL
Özlem YILMAZ TAŞDELEN
Pages
111–117
Publication Date
2022-10-18
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Male patients, patients with radiographicallyend stage osteoarthritis and educated patients may improve much more in comparisonwith their counterparts.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: The aim of this study was to investigate the influence of demographic featuressuch as age, gender, body mass index (BMI), educational and employment status, place of residenceand comorbidities of patients with primary hip osteoarthritis and radiographic severity onthe functional improvements of the patients after total hip arthroplasty.
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Key Findings & Data:Material and Methods:Fifty patients (41 females/9 males) with primary hip osteoarthritis were included.
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Conclusion & Impact:Male patients, patients with radiographicallyend stage osteoarthritis and educated patients may improve much more in comparisonwith their counterparts.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective: The aim of this study was to investigate the influence of demographic featuressuch as age, gender, body mass index (BMI), educational and employment status, place of residenceand comorbidities of patients with primary hip osteoarthritis and radiographic severity onthe functional improvements of the patients after total hip arthroplasty. Material and Methods:Fifty patients (41 females/9 males) with primary hip osteoarthritis were included. The radiographswere graded according to Kellgren-Lawrence system (KL). The operations were performed by thesame orthopedist with the same surgical technique. Functional level was determined with hip disabilityand Osteoarthritis Outcome Score-Physical function Short-form (HOOS-PS) before and sixmonths after the operation. Results: The functional levels of all the patients improved at the sixthmonth. Age, BMI, presence of a comorbidity, working in a job or not, place of residence (rural orcity) and obesity did not influence the functional improvement rates. The males, the patients withKL grade 4 osteoarthritis and the primary school graduates showed significantly much more improvements.Conclusion: The clinical relevance of this study is that age, gender, BMI, co-morbidities,education degree, place of residence and being an employee or not does not need to beconsidered by physicians when recommending total hip replacement surgery after failure of conservativetreatment in patients with primary hip osteoarthritis. Male patients, patients with radiographicallyend stage osteoarthritis and educated patients may improve much more in comparisonwith their counterparts.

Özet

Amaç: Primer koksartroz tanısı ile total kalça artroplastisi geçiren hastalarda; yaş, cinsiyet, beden kitle indeksi (BKİ), eğitim ve çalışma durumu, yerleşim alanı, komorbid hastalıklar ve osteoartritin radyografik düzeyinin fonksiyonel düzelme üzerindeki etkisini araştırmaktır. Gereç ve Yöntemler: Primer kalça osteoartriti tanısı olan 50 hasta (41 kadın/9 erkek) dahil edildi. Radyografiler Kellgren-Lawrence (KL) sınıflaması ile değerlendirildi. Operasyonlar aynı ortopedist tarafından aynı cerrahi teknik ile gerçekleştirildi. Fonksiyonel seviye Kalça Dizabilite ve Osteoartrit Sonuç Skoru-Fiziksel Fonksiyon Kısa formu (HOOS-PS) ile operasyon öncesi ve 6 ay sonrasında değerlendirilmiştir. Bulgular: Operasyon sonrası 6. ayda tüm hastalarda fonksiyonel olarak iyileşme kaydedilmiştir. İncelenen faktörlerden yaş, BKİ, çalışma durumu ve yerleşim bölgesinin (kırsal-kentsel) fonksiyonel iyileşme ile ilşkisi olmadığı görülmüştür. Bunu yanında erkek hastalarda, KL’ye göre Evre 4 osteoartriti olanlarda ve ilkokul mezunlarında fonksiyonel iyileşme oranının daha yüksek olduğu saptandı. Sonuç: Bu çalışmanın klinik önemi, konservatif tedavilerden fayda görmeyen kalça osteoartriti olan hastalara total kalça replasmanı önerilir iken; yaş, BKİ, çalışma durumu ve yerleşim bölgesinin cerrahi sonrasında fonksiyonel iyileşmeyi etkilemeceği; ancak erkek hastaların, radyolojik olarak son evre osteoartrit olan hastaların ve ilkokul mezunlarının daha fazla fonksiyonel düzelme göstereceğinin farkında olmaktır.

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Cite This Article

KESKİN, D., BODUR, H., ÇAKIR, Y., TABAK, Y., ÇANKAYA, D., YURDAKUL, F. G., TAŞDELEN, Ö. Y. (2022). Are the Demographic Characteristics of Patients with Primary Hip Osteoarthritis Effective on Functional Improvements After Total Hip Replacement?. Fiziksel Tıp ve Rehabilitasyon Bilimleri Dergisi, Cilt: 20 - Sayı: 3, 111–117. https://ajindex.com/articles/516812

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References (10)

  1. Dowsey MM, Nikpour M, Choong PF. Outcomes following large joint arthroplasty: does socio-economic status matter? BMC Musculoskelet Disord 2014;6:148. Gandhi R, Razak F, Davey JR, Rampersaud YR, Mahomed NN. Effect of sex and living arrangement on the timing and outcome of joint replacement surgery. Can J Surg 2010; 53(1):37-41.
  2. Santaguida PL, Hawker GA, Hudak PL, Glazier R, Mahomed NN, Kreder HJ, et al. Patient characteristics affecting the prognosis of total hip and knee joint arthroplasty: a systematic review. Can J Surg 2008;51(6):428-36.
  3. Yeung E, Jackson M, Sexton S, Walter W, Zicat B, Walter W. The effect of obesity on the outcome of hip and knee arthroplasty. Int Orthop 2011;35(6):929-34.
  4. Dowsey MM, Gunn J, Choong PF. Selecting those to refer for joint replacement: who will likely benefit and who will not? Best Pract Res Clin Rheumatol 2014;28(1):157-71.
  5. Kellgren JH, Lawrence JS. Radiological assessment of osteo-arthrosis. Ann Rheum Dis 1957;16(4):494-502.
  6. Davis AM, Perruccio AV, Canizares M, Hawker GA, Roos EM, Maillefert JF, et al. Comparative, validity and responsiveness of the HOOS-PS and KOOS-PS to the WOMAC physical function subscale in total joint replacement for osteoarthritis. Osteoarthritis Cartilage 2009;17(7):843-7.
  7. Nilsdotter AK, Lohmander LS, Klässbo M, Roos EM. Hip disability and osteoarthritis outcome score (HOOS)--validity and responsiveness in total hip replacement. BMC Musculoskelet Disord 2003;30:10. Yilmaz O, Gul ED, Bodur H. Cross-cultural adaptation and validation of the Turkish version of the Hip disability and Osteoarthritis Outcome Score-Physical function Short-form (HOOS-PS). Rheumatol Int 2014;34(1):43-9.
  8. Kennedy DM, Hanna SE, Stratford PW, Wessel J, Gollish JD. Preoperative function and gender predict pattern of functional recovery after hip and knee arthroplasty. J Arthroplasty 2006;21(4):559-66.
  9. Kamimura A, Sakakima H, Tsutsumi F, Sunahara N. Preoperative predictors of ambulation ability at different time points after total hip arthroplasty in patients with osteoarthritis. Rehabil Res Pract 2014;2014:861268. Saucedo JM, Marecek GS, Wanke TR, Lee J, Stulberg SD, Puri L. Understanding readmission after primary total hip and knee arthroplasty: who’s at risk? J Atrhroplasty 2014; 29(2):256-60.
  10. Judge A, Javaid MK, Arden NK, Cushnaghan J, Reading I, Croft P, et al. Clinical tool to identify patients who are most likely to achieve long-term improvement in physical function after total hip arthroplasty. Arthritis Care Res (Hobok