Recovery expectations of hip resurfacing compared to total hip arthroplasty: a matched pairs study.
Recovery expectations of hip resurfacing compared to total hip arthroplasty: a matched pairs study.
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DOI：
10.1002/acr.20626
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发表时间：
2011-12
影响因子：
4.7
通讯作者：
Alexiades, Michael M.
中科院分区：
文献类型：
--
作者：
Ghomrawi, Hassan M. K.;Dolan, Mark M.;Rutledge, John;Alexiades, Michael M.
与全髋关节置换术（THA）相比，对髋关节置换术（HRA）相关的较高活动量的预期可能会推动该组更好的结果。先前的研究在咨询外科医生之前评估了期望，尽管这些期望可能是不现实的，并且在咨询后会改变。在与外科医生协商后，我们比较了HRA和THA患者的期望。在前瞻性登记设置中，等待HRA的患者在年龄、性别和术前下肢活动量表评分（范围1 - 18,18最高活动水平）上与THA患者相匹配。患者术前完成了一项18项有效的期望调查。首先比较平均总体期望分数。然后进行探索性因素分析（EFA）以确定个体期望项目分组是否代表两组中有意义的不同潜在因素。我们配对了123对。平均期望评分相似（HRA: 85.2±15.5,THA: 87.3±13.9，p值=0.249）。EFA显示，HRA和THA患者有共同的期望：1)缓解疼痛和改善日常活动（9项）；2)消除止痛药、手杖需求和改善性活动（3项）。THA患者认为剩下的6个项目是参与更高水平活动的总体第三个期望。然而，HRA患者对正常活动范围（2项）的第四个期望独立于其他高水平活动（4项）。即使在咨询了外科医生后，HRA患者和THA患者对高水平活动的期望也有所不同。因此，需要对寻求髋关节置换术的患者进行更多的咨询。
Expectations of higher activity levels associated with hip resurfacing arthroplasty (HRA) may be driving better outcomes in this group compared to total hip arthroplasty (THA). Previous studies evaluated expectations before consulting with the surgeon, although these expectations are likely unrealistic and would change after the consultation. We compared HRA and THA patient expectation after consultation with the surgeon. In a prospective registry setting, patients awaiting HRA were matched to THA patients on age, sex, and preoperative Lower Extremity Activity Scale score (range 1–18, 18 highest activity level). Patients completed a validated 18-item expectations survey preoperatively. Mean overall expectations scores were first compared. Exploratory factor analysis (EFA) was then performed to determine if grouping of individual expectations items represented meaningfully different underlying factors in the 2 groups. We matched 123 pairs. Mean expectation scores were similar (HRA: 85.2±15.5, THA: 87.3±13.9; p-value=0.249). EFA showed that HRA and THA patients shared in common expectations of 1) pain relief and improvement in daily activities (9 items) and 2) eliminating pain medications, the need for cane and improving sexual activity (3 items). THA patients perceived the remaining 6 items as an overall third expectation of participation in higher-level activities. However, HRA patients perceived a fourth expectation of normal range of motion (2 items) independent of the other higher-level activities (4 items). Even after consulting with a surgeon, patients’ expectations differed between HRA and THA patients regarding higher-level activities. More counseling of patients seeking hip arthroplasty is thus needed.
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DOI：
10.1097/011.blo.0000238825.63648.1e
发表时间：
2006-11-01
影响因子：
4.2
作者：
Noble, Philip C.;Conditt, Michael A.;Mathis, Kenneth B.
通讯作者：
Mathis, Kenneth B.
影响因子：
2.6
作者：
Mulhall KJ;Ghomrawi HM;Bershadsky B;Saleh KJ
通讯作者：
Saleh KJ
影响因子：
4.2
作者：
Nunley, Ryan M.;Della Valle, Craig J.;Barrack, Robert L.
通讯作者：
Barrack, Robert L.
影响因子：
3.5
作者：
Mancuso, CA;Salvati, EA;Charlson, ME
通讯作者：
Charlson, ME
影响因子：
4.2
作者：
Mancuso, Carol A.;Graziano, Suzanne;Sculco, Thomas P.
通讯作者：
Sculco, Thomas P.