Comparison of Total Hip and Knee Arthroplasty Cohorts and Short-Term Outcomes From a Single-Center Joint Registry

Comparison of Total Hip and Knee Arthroplasty Cohorts and Short-Term Outcomes From a Single-Center Joint Registry
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DOI:
10.1016/j.arth.2012.01.016
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发表时间:
2012-06-01
影响因子:
3.5
通讯作者:
Macaulay, William
Macaulay, William
中科院分区:
医学2区
文献类型:
--
作者:
Choi, Jung Keun;Geller, Jeffery A.;Macaulay, William

文献摘要

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本研究的目的是比较全髋关节置换术(THA)和全膝关节置换术(TKA)患者队列的短期临床结果,调整混杂变量,包括年龄、性别、体重指数、手术时间、住院时间、术前西安大略大学和麦克马斯特大学以及12项简明健康调查。共有349名符合纳入和排除标准的患者创建了2个队列:THA,194,和TKA,155,用于通过多元回归和协方差测量分析进行统计分析。结果测量包括安大略省西部大学和麦克马斯特大学和12项简式健康调查数据,这些数据是在基线和2年的随访中前瞻性收集的。目前的研究表明,与THA相比,TKA患者的基线特征对术后结果的负面影响因素更多。然而,尽管控制了这些变量可能的混杂效应,全髋关节置换术患者的功能结果明显好于全膝关节置换术患者。
The purpose of this study was to compare short-term clinical outcomes between total hip arthroplasty (THA) and total knee arthroplasty (TKA) patient cohorts, adjusting for confounding variables including age, sex, body mass index, operative time, length of stay, and preoperative Western Ontario and McMaster Universities and 12-Item Short-Form Health Survey. A total of 349 patients who met inclusion and exclusion criteria created 2 cohorts: THA, 194, and TKA, 155, for statistical analysis via multiple regression and analysis of covariance measures. Outcome measures included Western Ontario and McMaster Universities and 12-Item Short-Form Health Survey data, collected prospectively at baseline and 2 years of follow-up. The current study showed that baseline characteristics of TKA patients have more factors with negative effect on postoperative outcome than THA. However, despite controlling for the possible confounding effect of these variables, THA patients experienced a significantly better functional outcome than TKA patients.