Cargando…
Short- and Long-Term Outcomes in Patients With Lower Extremity Amputations Undergoing Total Hip and Knee Arthroplasty
BACKGROUND: Joint replacement following amputation is scarcely reported. The primary aim of this study was to evaluate patient-reported outcomes (PROMS) and revision rates among lower extremity amputees undergoing total hip (THA) or knee arthroplasty (TKA). METHODS: This was a retrospective cohort a...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10019983/ https://www.ncbi.nlm.nih.gov/pubmed/36938352 http://dx.doi.org/10.1016/j.artd.2023.101117 |
_version_ | 1784908150223142912 |
---|---|
author | Galloway, Richard Madanipour, Suroosh Lemanu, Daniel Jayadev, Chethan McCulloch, Robert |
author_facet | Galloway, Richard Madanipour, Suroosh Lemanu, Daniel Jayadev, Chethan McCulloch, Robert |
author_sort | Galloway, Richard |
collection | PubMed |
description | BACKGROUND: Joint replacement following amputation is scarcely reported. The primary aim of this study was to evaluate patient-reported outcomes (PROMS) and revision rates among lower extremity amputees undergoing total hip (THA) or knee arthroplasty (TKA). METHODS: This was a retrospective cohort analysis of lower extremity amputees undergoing THA/TKA between August 2002 and August 2022 in a single tertiary center. Demographic and clinical data were collected from prospectively populated surgical databases and patient electronic records. PROMS included Oxford Knee Score, Oxford Hip Score, and 5-level EuroQol 5-dimension questionnaires. Twenty-three TKAs and 21 THAs were performed in 38 patients. The mean age at arthroplasty procedures was 59.8 (24-87) years. The mean clinical follow-up duration for THA and TKA was 9.1 and 4.5 years, respectively. Seven TKAs and 6 THAs were ipsilateral to the amputated side. RESULTS: The 10-year revision rates were 9.5% (2/21) and 5.9% (1/17) in the TKA and THA cohorts, respectively. TKA revisions occurred due to aseptic loosening. Six (26%) TKA cases experienced stump complications. Overall PROMS completion was 61.9% (13/21) and 64.7% (11/17) in TKA and THA patients, respectively. The average Oxford Hip Score/Oxford Knee Score of THA and TKA cohorts were 40.8 and 34.2, respectively. EuroQol 5-dimension questionnaire visual analog scores were higher in the THA cohort than those in the TKA cohort without statistical significance (59.1 vs 50.5, P = .214). The overall survival rate for the study was 94.7% at 5 years (36/38). CONCLUSIONS: TKA/THA in lower extremity amputees can be successful, with low revision rates and good prosthesis function. Potential pitfalls highlighted include prosthesis malalignment, postprocedural rehabilitation, and stump complications. |
format | Online Article Text |
id | pubmed-10019983 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-100199832023-03-17 Short- and Long-Term Outcomes in Patients With Lower Extremity Amputations Undergoing Total Hip and Knee Arthroplasty Galloway, Richard Madanipour, Suroosh Lemanu, Daniel Jayadev, Chethan McCulloch, Robert Arthroplast Today Original Research BACKGROUND: Joint replacement following amputation is scarcely reported. The primary aim of this study was to evaluate patient-reported outcomes (PROMS) and revision rates among lower extremity amputees undergoing total hip (THA) or knee arthroplasty (TKA). METHODS: This was a retrospective cohort analysis of lower extremity amputees undergoing THA/TKA between August 2002 and August 2022 in a single tertiary center. Demographic and clinical data were collected from prospectively populated surgical databases and patient electronic records. PROMS included Oxford Knee Score, Oxford Hip Score, and 5-level EuroQol 5-dimension questionnaires. Twenty-three TKAs and 21 THAs were performed in 38 patients. The mean age at arthroplasty procedures was 59.8 (24-87) years. The mean clinical follow-up duration for THA and TKA was 9.1 and 4.5 years, respectively. Seven TKAs and 6 THAs were ipsilateral to the amputated side. RESULTS: The 10-year revision rates were 9.5% (2/21) and 5.9% (1/17) in the TKA and THA cohorts, respectively. TKA revisions occurred due to aseptic loosening. Six (26%) TKA cases experienced stump complications. Overall PROMS completion was 61.9% (13/21) and 64.7% (11/17) in TKA and THA patients, respectively. The average Oxford Hip Score/Oxford Knee Score of THA and TKA cohorts were 40.8 and 34.2, respectively. EuroQol 5-dimension questionnaire visual analog scores were higher in the THA cohort than those in the TKA cohort without statistical significance (59.1 vs 50.5, P = .214). The overall survival rate for the study was 94.7% at 5 years (36/38). CONCLUSIONS: TKA/THA in lower extremity amputees can be successful, with low revision rates and good prosthesis function. Potential pitfalls highlighted include prosthesis malalignment, postprocedural rehabilitation, and stump complications. Elsevier 2023-03-09 /pmc/articles/PMC10019983/ /pubmed/36938352 http://dx.doi.org/10.1016/j.artd.2023.101117 Text en © 2023 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Original Research Galloway, Richard Madanipour, Suroosh Lemanu, Daniel Jayadev, Chethan McCulloch, Robert Short- and Long-Term Outcomes in Patients With Lower Extremity Amputations Undergoing Total Hip and Knee Arthroplasty |
title | Short- and Long-Term Outcomes in Patients With Lower Extremity Amputations Undergoing Total Hip and Knee Arthroplasty |
title_full | Short- and Long-Term Outcomes in Patients With Lower Extremity Amputations Undergoing Total Hip and Knee Arthroplasty |
title_fullStr | Short- and Long-Term Outcomes in Patients With Lower Extremity Amputations Undergoing Total Hip and Knee Arthroplasty |
title_full_unstemmed | Short- and Long-Term Outcomes in Patients With Lower Extremity Amputations Undergoing Total Hip and Knee Arthroplasty |
title_short | Short- and Long-Term Outcomes in Patients With Lower Extremity Amputations Undergoing Total Hip and Knee Arthroplasty |
title_sort | short- and long-term outcomes in patients with lower extremity amputations undergoing total hip and knee arthroplasty |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10019983/ https://www.ncbi.nlm.nih.gov/pubmed/36938352 http://dx.doi.org/10.1016/j.artd.2023.101117 |
work_keys_str_mv | AT gallowayrichard shortandlongtermoutcomesinpatientswithlowerextremityamputationsundergoingtotalhipandkneearthroplasty AT madanipoursuroosh shortandlongtermoutcomesinpatientswithlowerextremityamputationsundergoingtotalhipandkneearthroplasty AT lemanudaniel shortandlongtermoutcomesinpatientswithlowerextremityamputationsundergoingtotalhipandkneearthroplasty AT jayadevchethan shortandlongtermoutcomesinpatientswithlowerextremityamputationsundergoingtotalhipandkneearthroplasty AT mccullochrobert shortandlongtermoutcomesinpatientswithlowerextremityamputationsundergoingtotalhipandkneearthroplasty |