Excellent Functional Outcome and Quality of Life after Primary Cementless Total Hip Arthroplasty (THA) Using an Enhanced Recovery Setup

URN zum Zitieren dieses Dokuments:: urn:nbn:de:bvb:355-epub-444306
DOI zum Zitieren dieses Dokuments:: 10.5283/epub.44430

Greimel, Felix ; Leiss, Franziska ; Götz, Julia Sabrina ; Maderbacher, Günther ; Meyer, Matthias

; Reinhard, Jan ; Zeman, Florian ; Grifka, Joachim

Vorschau

Lizenz: Creative Commons Namensnennung 4.0 International
PDF - Veröffentlichte Version
(627kB)

Veröffentlichungsdatum dieses Volltextes: 01 Mrz 2021 10:51

Alternative Links zum Volltext:Verlag

Details

Dokumentenart:	Artikel
Open Access Art:	Gold (mit APC - bezahlt UR)
Titel eines Journals oder einer Zeitschrift:	JCM
Verlag:	MDPI
Band:	10
Nummer des Zeitschriftenheftes oder des Kapitels:	621
Seitenbereich:	S. 1-11
Datum:	6 Februar 2021
Institutionen:	Medizin > Lehrstuhl für Orthopädie
Projekte:	Open Access Publizieren (DFG)
Stichwörter / Keywords:	total hip arthroplasty; THA; ERAS; enhanced recovery; fast track; functional outcome; QoL
Dewey-Dezimal-Klassifikation:	600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin
Status:	Eingereicht
Begutachtet:	Ja, diese Version wurde begutachtet
An der Universität Regensburg entstanden:	Ja
Dokumenten-ID:	44430

Vorschau

Bibliographische Daten exportieren

Zusammenfassung

Zusammenfassung

Background: Total hip arthroplasty combined with the concept of enhanced recovery is of continued worldwide interest, as it is reported to improve early functional outcome and treatment quality without increasing complications. The aim of the study was to investigate functional outcome and quality of life 4 weeks and 12 months after cementless total hip arthroplasty in combination with an enhanced recovery concept. Methods: A total of 109 patients underwent primary cementless Total Hip Arthroplasty (THA) in an enhanced recovery concept and were retrospectively analyzed. After 4 weeks and 12 months, clinical examination was analyzed regarding function, pain and satisfaction; results were evaluated using Harris Hip score, Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), EQ-5D-5L, EQ-VAS and subjective patient-related outcome measures (PROMs). Preoperatively, HADS (Hospital Anxiety and Depression Scale) was collected. A correlation analysis of age, American Society of Anesthesiologists (ASA), HADS and comorbidities (diabetes mellitus, art. hypertension, cardiovascular disease) with WOMAC, Harris Hip score (HHS) and EQ-5D was performed. Results: Patients showed a significant improvement in Harris Hip score 4 weeks and 12 months postoperatively (p < 0.001). WOMAC total score, subscale pain, subscale stiffness and subscale function improved significantly from preoperative to 12 months postoperative (p < 0.001). EQ-5D showed a significant improvement preoperative to postoperative (p < 0.001). The influence of anxiety or depression (HADS-A or HADS-D) on functional outcome could not be determined. There was a high patient satisfaction postoperatively, and almost 100% of patients would choose enhanced recovery surgery again. Conclusion: Cementless THA with the concept of enhanced recovery improves early clinical function and quality of life. PROMs showed a continuous improvement over a follow-up of 12 months after surgery. PROMs can help patients and surgeons to modify expectations and improve patient satisfaction.

Nur für Besitzer und Autoren: Kontrollseite des Eintrags

Downloadstatistik

Weitere Literatur (mittels CORE)

Details

Vorschau

Bibliographische Daten exportieren

Zusammenfassung

Zusammenfassung

Downloadstatistik

Downloads

Weitere Literatur (mittels CORE)

Universitätsbibliothek