Clinical Outcomes of Primary Total Joint Arthroplasty Among Nonagenarian Patients

2012 ◽  
Vol 27 (9) ◽  
pp. 1599-1603 ◽  
Author(s):  
Danielle Petruccelli ◽  
Wael A. Rahman ◽  
Justin de Beer ◽  
Mitch Winemaker
Keyword(s):  
Clinical Outcomes ◽  
Total Joint Arthroplasty ◽  
Joint Arthroplasty

La place du sport après la pose d’une prothèse totale de hanche ou de genou

2016 ◽  
Vol 64 (2) ◽  
Keyword(s):  
Clinical Outcomes ◽  
Knee Replacement ◽  
Total Joint Arthroplasty ◽  
Joint Arthroplasty ◽  
Activity Level ◽  
Athletic Activity ◽  
Sports Activity ◽  
Prothèse Totale De Hanche ◽  
Sporting Activity ◽  
The Impact

Arthroplasty is a common procedure in orthopedic surgery to address severe osteoarthritis (OA) in the hip joint. With the burgeoning “baby boomer” generation and older athletes who wish to return to competitive levels of sports, understanding how sporting activity affects arthroplasty outcomes is becoming exceptionally important. The demand for total joint arthroplasty is projected to increase in the first three decades of the twenty-first century. Patients who have had a hip or knee replacement are more and more expecting to participate in athletics after rehabilitation. In general, patients who have had a hip or knee replacement decrease their participation and intensity of athletic activity following the total joint arthroplasty. There is little prospective evidence regarding the likelihood of poor clinical outcomes with higher level of sporting activity. There is some evidence to suggest that wear may be related to activity level, but the impact on clinical outcomes is conflicting. When advising an athlete considering returning to sport after THA, it is mandatory to consider it preoperative activity level, current physical fitness, and specific history including bone quality, surgical approach and type of prosthesis. Expert opinion regarding appropriate athletic activity after total joint arthroplasty is available from the Hip Society and the Knee Society. When patients who have undergone joint replacements choose to participate in athletic activity, orthopaedic surgeons should provide information with which to evaluate the risk of sports activity and recommend the appropriate athletic activity.

scholarly journals Functional outcomes after total joint arthroplasty are related to the severity of Parkinson’s disease: a mid-term follow-up

2019 ◽  
Vol 14 (1) ◽  
Author(s):  
Xiao Rong ◽  
Suraj Dahal ◽  
Ze-yu Luo ◽  
Kai Zhou ◽  
Shun-Yu Yao ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Total Hip Arthroplasty ◽  
Clinical Outcomes ◽  
Knee Arthroplasty ◽  
Hip Arthroplasty ◽  
Total Joint Arthroplasty ◽  
Functional Outcomes ◽  
Joint Arthroplasty ◽  
Total Hip ◽  
Total Knee

Abstract Background Performing total joint arthroplasty (TJA) in Parkinson’s disease (PD) patients may encounter a higher complication rate or worse functional outcomes compared with common patients. The relationship between PD and clinical outcomes after TJA is not fully understood. Methods Retrospectively, we used manual charts to investigate the clinical outcomes in 41 patients including 24 total hip arthroplasty (THA) patients (28 hips) and 18 total knee arthroplasty (TKA) patients (22 knees) with a diagnosis of PD from 2009 to 2016. The stage of PD was confirmed by Hoehn and Yahr scale. Prosthesis survivorship was estimated with revision for any reason as the endpoint. Result All the clinical outcomes improved significantly (p < 0.05). Subgroup analysis revealed worse functional outcomes in mid- or end-stage PD patients. Sixteen short-term mild to moderate complications were noted. Two revisions were conducted for hip periprosthetic osteolysis and postoperative knee pain. The prosthesis survivorship at 60 months for TJA, total hip arthroplasty (THA), or total knee arthroplasty (TKA) was 91.6%, 94.1%, and 87.5%, respectively. Conclusion Patients with PD who underwent TJA would result in excellent pain relief and gain of function. However, patients at late-stage PD may suffer from functional loss. The effectiveness of TJA in patients with severe PD remains a concern. Physician should help delay the progression of PD which may optimize and stabilize the functional outcomes of TJA.

Resilience and Depression Influence Clinical Outcomes Following Primary Total Joint Arthroplasty

2020 ◽  
Author(s):  
Jonathan Q. Trinh ◽  
Christopher N. Carender ◽  
Qiang An ◽  
Nicolas O. Noiseux ◽  
Jesse E. Otero ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Total Joint Arthroplasty ◽  
Joint Arthroplasty

scholarly journals Preoperative sleep quality affects postoperative pain and function after total joint arthroplasty: a prospective cohort study

2019 ◽  
Vol 14 (1) ◽  
Author(s):  
Ze-Yu Luo ◽  
Ling-Li Li ◽  
Duan Wang ◽  
Hao-Yang Wang ◽  
Fu-Xing Pei ◽  
...  
Keyword(s):  
Cohort Study ◽  
Sleep Quality ◽  
Clinical Outcomes ◽  
Prospective Cohort Study ◽  
Total Joint Arthroplasty ◽  
Prospective Cohort ◽  
Joint Arthroplasty ◽  
Pain Scores ◽  
Sleep Parameters ◽  
Postoperative Length

Abstract Background The relationship between preoperative sleep quality and postoperative clinical outcomes after total joint arthroplasty (TJA) is unclear. We performed a prospective cohort study to determine whether preoperative sleep quality was correlated with postoperative outcomes after TJA. Methods In this prospective cohort study, 994 patients underwent TJA. Preoperative sleep measures included scores on the Pittsburgh Sleep Quality Index (PSQI), the Epworth Sleepiness Scale (ESS), and a ten-point sleep quality scale. The primary study outcome measured was the visual analog scale (VAS) pain score to 12 weeks postoperation. The consumption of analgesic rescue drugs (oxycodone and parecoxib) and postoperative length of stay (LOS) were recorded. We also measured functional parameters, including range of motion (ROM), Knee Society Score (KSS), and Harris hip score (HHS). Results The mean age for total knee and hip arthroplasties was 64.28 and 54.85 years, respectively. The PSQI scores were significantly correlated with nocturnal and active pain scores and ROM and functional scores from postoperative day 1 (POD1) to POD3. In addition, significant correlation was noted between the correlation between the active pain scores and ESS scores in the TKA group at postoperative 3 months. The consumption of analgesics after joint arthroplasty was significantly correlated with the PSQI scores. Moreover, significant correlations were noted between the sleep parameters and postoperative length of hospital stay (LOS). Conclusion Preoperative sleep parameters were correlated with clinical outcomes (i.e., pain, ROM, function, and LOS) after TJA. Clinicians should assess the sleep quality and improve it before TJA.

Sign in / Sign up

Export Citation Format

Share Document