Cargando…

Pain and Function Recovery Trajectories following Revision Hip Arthroplasty: Short-Term Changes and Comparison with Primary Hip Arthroplasty in the ADAPT Cohort Study

BACKGROUND AND PURPOSE: Patients report similar or better pain and function before revision hip arthroplasty than before primary arthroplasty but worse results are reported after revision surgery than after primary surgery. The trajectory of post-operative recovery during the first months and any di...

Descripción completa

Detalles Bibliográficos
Autores principales: Lenguerrand, Erik, Whitehouse, Michael R., Wylde, Vikki, Gooberman-Hill, Rachael, Blom, Ashley W.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5065160/
https://www.ncbi.nlm.nih.gov/pubmed/27741321
http://dx.doi.org/10.1371/journal.pone.0164839
_version_ 1782460279310778368
author Lenguerrand, Erik
Whitehouse, Michael R.
Wylde, Vikki
Gooberman-Hill, Rachael
Blom, Ashley W.
author_facet Lenguerrand, Erik
Whitehouse, Michael R.
Wylde, Vikki
Gooberman-Hill, Rachael
Blom, Ashley W.
author_sort Lenguerrand, Erik
collection PubMed
description BACKGROUND AND PURPOSE: Patients report similar or better pain and function before revision hip arthroplasty than before primary arthroplasty but worse results are reported after revision surgery than after primary surgery. The trajectory of post-operative recovery during the first months and any differences by type of surgery have received little attention. We explored the trajectories of change in pain and function after revision hip arthroplasty to 12-months post-operatively and compare them with those observed after primary hip arthroplasty. METHODS: This study is a prospective cohort study of patients undergoing primary (n = 80 with 92% for an indication of osteoarthritis) and revision (n = 43) hip arthroplasties. WOMAC pain and function scores and walking speed were collected pre-operatively, at 3 and 12-months post-operatively. Multilevel regression models were used to chart and compare the trajectories of change (0–3 months and 3–12 months) between types of surgery. RESULTS: The improvements in pain and function following revision arthroplasty occurred within the first 3-months with no evidence of further change beyond this initial period. While the pattern of recovery was similar to the one observed after primary arthroplasty, improvements in the first 3-months were smaller after revision compared to primary arthroplasty. Patients listed for revision surgery reported lower pre-operative pain levels but similar post-operative levels compared to those undergoing primary surgery. At 12-months post-operation patients who underwent a revision arthroplasty had not reached the same level of function achieved by those who underwent primary arthroplasty. CONCLUSION: The post-operative improvements in pain and function are larger following primary hip arthroplasty than following revision hip arthroplasty. Irrespectively of surgery type, most of the improvements occur in the first three post-operative months. More research is required to identify whether the recovery following revision surgery could be improved with specific post-operative interventions.
format Online
Article
Text
id pubmed-5065160
institution National Center for Biotechnology Information
language English
publishDate 2016
publisher Public Library of Science
record_format MEDLINE/PubMed
spelling pubmed-50651602016-10-27 Pain and Function Recovery Trajectories following Revision Hip Arthroplasty: Short-Term Changes and Comparison with Primary Hip Arthroplasty in the ADAPT Cohort Study Lenguerrand, Erik Whitehouse, Michael R. Wylde, Vikki Gooberman-Hill, Rachael Blom, Ashley W. PLoS One Research Article BACKGROUND AND PURPOSE: Patients report similar or better pain and function before revision hip arthroplasty than before primary arthroplasty but worse results are reported after revision surgery than after primary surgery. The trajectory of post-operative recovery during the first months and any differences by type of surgery have received little attention. We explored the trajectories of change in pain and function after revision hip arthroplasty to 12-months post-operatively and compare them with those observed after primary hip arthroplasty. METHODS: This study is a prospective cohort study of patients undergoing primary (n = 80 with 92% for an indication of osteoarthritis) and revision (n = 43) hip arthroplasties. WOMAC pain and function scores and walking speed were collected pre-operatively, at 3 and 12-months post-operatively. Multilevel regression models were used to chart and compare the trajectories of change (0–3 months and 3–12 months) between types of surgery. RESULTS: The improvements in pain and function following revision arthroplasty occurred within the first 3-months with no evidence of further change beyond this initial period. While the pattern of recovery was similar to the one observed after primary arthroplasty, improvements in the first 3-months were smaller after revision compared to primary arthroplasty. Patients listed for revision surgery reported lower pre-operative pain levels but similar post-operative levels compared to those undergoing primary surgery. At 12-months post-operation patients who underwent a revision arthroplasty had not reached the same level of function achieved by those who underwent primary arthroplasty. CONCLUSION: The post-operative improvements in pain and function are larger following primary hip arthroplasty than following revision hip arthroplasty. Irrespectively of surgery type, most of the improvements occur in the first three post-operative months. More research is required to identify whether the recovery following revision surgery could be improved with specific post-operative interventions. Public Library of Science 2016-10-14 /pmc/articles/PMC5065160/ /pubmed/27741321 http://dx.doi.org/10.1371/journal.pone.0164839 Text en © 2016 Lenguerrand et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Lenguerrand, Erik
Whitehouse, Michael R.
Wylde, Vikki
Gooberman-Hill, Rachael
Blom, Ashley W.
Pain and Function Recovery Trajectories following Revision Hip Arthroplasty: Short-Term Changes and Comparison with Primary Hip Arthroplasty in the ADAPT Cohort Study
title Pain and Function Recovery Trajectories following Revision Hip Arthroplasty: Short-Term Changes and Comparison with Primary Hip Arthroplasty in the ADAPT Cohort Study
title_full Pain and Function Recovery Trajectories following Revision Hip Arthroplasty: Short-Term Changes and Comparison with Primary Hip Arthroplasty in the ADAPT Cohort Study
title_fullStr Pain and Function Recovery Trajectories following Revision Hip Arthroplasty: Short-Term Changes and Comparison with Primary Hip Arthroplasty in the ADAPT Cohort Study
title_full_unstemmed Pain and Function Recovery Trajectories following Revision Hip Arthroplasty: Short-Term Changes and Comparison with Primary Hip Arthroplasty in the ADAPT Cohort Study
title_short Pain and Function Recovery Trajectories following Revision Hip Arthroplasty: Short-Term Changes and Comparison with Primary Hip Arthroplasty in the ADAPT Cohort Study
title_sort pain and function recovery trajectories following revision hip arthroplasty: short-term changes and comparison with primary hip arthroplasty in the adapt cohort study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5065160/
https://www.ncbi.nlm.nih.gov/pubmed/27741321
http://dx.doi.org/10.1371/journal.pone.0164839
work_keys_str_mv AT lenguerranderik painandfunctionrecoverytrajectoriesfollowingrevisionhiparthroplastyshorttermchangesandcomparisonwithprimaryhiparthroplastyintheadaptcohortstudy
AT whitehousemichaelr painandfunctionrecoverytrajectoriesfollowingrevisionhiparthroplastyshorttermchangesandcomparisonwithprimaryhiparthroplastyintheadaptcohortstudy
AT wyldevikki painandfunctionrecoverytrajectoriesfollowingrevisionhiparthroplastyshorttermchangesandcomparisonwithprimaryhiparthroplastyintheadaptcohortstudy
AT goobermanhillrachael painandfunctionrecoverytrajectoriesfollowingrevisionhiparthroplastyshorttermchangesandcomparisonwithprimaryhiparthroplastyintheadaptcohortstudy
AT blomashleyw painandfunctionrecoverytrajectoriesfollowingrevisionhiparthroplastyshorttermchangesandcomparisonwithprimaryhiparthroplastyintheadaptcohortstudy