Cargando…
Patient-reported outcomes following primary total hip arthroplasty in Crowe type III or IV developmental dysplasia are comparable to those in Crowe type I: a case-control study of 96 hips with intermediate-term follow-up
BACKGROUND: A few previous studies have investigated patient satisfaction after total hip arthroplasty (THA) according to the degree of pelvic deformity. This study compared patient-reported outcomes after primary THA for Crowe types III, IV and I dysplasia. METHODS: This retrospective, single-cente...
Autores principales: | , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7271540/ https://www.ncbi.nlm.nih.gov/pubmed/32493353 http://dx.doi.org/10.1186/s12891-020-03371-6 |
_version_ | 1783542110724554752 |
---|---|
author | Ueoka, Ken Kabata, Tamon Kajino, Yoshitomo Inoue, Daisuke Ohmori, Takaaki Ueno, Takuro Yoshitani, Junya Yamamuro, Yuki Tsuchiya, Hiroyuki |
author_facet | Ueoka, Ken Kabata, Tamon Kajino, Yoshitomo Inoue, Daisuke Ohmori, Takaaki Ueno, Takuro Yoshitani, Junya Yamamuro, Yuki Tsuchiya, Hiroyuki |
author_sort | Ueoka, Ken |
collection | PubMed |
description | BACKGROUND: A few previous studies have investigated patient satisfaction after total hip arthroplasty (THA) according to the degree of pelvic deformity. This study compared patient-reported outcomes after primary THA for Crowe types III, IV and I dysplasia. METHODS: This retrospective, single-center, single-surgeon case-control study included patients who underwent primary THA between 2008 and 2016. We sent postal questionnaires to 38 patients with Crowe type III and IV dysplasia. Among the questionnaire respondents, 23 patients, excluding those with a follow-up period of < 1 year, were enrolled as the H group. The control group included 46 patients with Crowe type I, matched for sex, age, body mass index and surgical approach. To investigate the influence of femoral shortening osteotomy, the H group was divided according to whether femoral shortening osteotomy was performed. Ten patients underwent THA with femoral shortening osteotomy (FO group), while 12 patients underwent THA without femoral shortening osteotomy (N-FO group). Patient demographics, mean follow-up period, surgical information, pre- and postoperative leg length discrepancy (LLD), and perioperative complications were investigated. Clinical evaluations were performed using the Japanese Orthopaedic Association (JOA) scores, 36-item short-form survey (SF-36), net promotor score (NPS), visual analogue scale (VAS), and questionnaires. The VAS and SF-36 scores were determined only at final follow-up. RESULTS: The H and control groups were not significantly different in the postoperative JOA scores and SF-36. In the H group, VAS at the final follow-up was significantly higher, and significantly more patients felt that postoperative rehabilitation was serious, expressing that they underwent THA for LLD correction. In addition, the VAS scores in the FO group was higher than those in the N-FO group. Postoperative LLD was significantly greater in the H group than in the control group. Each group had an NPS of > 50. CONCLUSION: The postoperative VAS score was higher in Crowe type III and IV dysplasia than in Crowe type I dysplasia, but no significant differences were detected in the postoperative satisfaction, JOA score, and SF-36 score. These findings may help explain the effects of THA preoperatively to patients with Crowe type III and IV dysplasia. LEVEL OF EVIDENCE: Therapeutic Level 3b. |
format | Online Article Text |
id | pubmed-7271540 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-72715402020-06-08 Patient-reported outcomes following primary total hip arthroplasty in Crowe type III or IV developmental dysplasia are comparable to those in Crowe type I: a case-control study of 96 hips with intermediate-term follow-up Ueoka, Ken Kabata, Tamon Kajino, Yoshitomo Inoue, Daisuke Ohmori, Takaaki Ueno, Takuro Yoshitani, Junya Yamamuro, Yuki Tsuchiya, Hiroyuki BMC Musculoskelet Disord Research Article BACKGROUND: A few previous studies have investigated patient satisfaction after total hip arthroplasty (THA) according to the degree of pelvic deformity. This study compared patient-reported outcomes after primary THA for Crowe types III, IV and I dysplasia. METHODS: This retrospective, single-center, single-surgeon case-control study included patients who underwent primary THA between 2008 and 2016. We sent postal questionnaires to 38 patients with Crowe type III and IV dysplasia. Among the questionnaire respondents, 23 patients, excluding those with a follow-up period of < 1 year, were enrolled as the H group. The control group included 46 patients with Crowe type I, matched for sex, age, body mass index and surgical approach. To investigate the influence of femoral shortening osteotomy, the H group was divided according to whether femoral shortening osteotomy was performed. Ten patients underwent THA with femoral shortening osteotomy (FO group), while 12 patients underwent THA without femoral shortening osteotomy (N-FO group). Patient demographics, mean follow-up period, surgical information, pre- and postoperative leg length discrepancy (LLD), and perioperative complications were investigated. Clinical evaluations were performed using the Japanese Orthopaedic Association (JOA) scores, 36-item short-form survey (SF-36), net promotor score (NPS), visual analogue scale (VAS), and questionnaires. The VAS and SF-36 scores were determined only at final follow-up. RESULTS: The H and control groups were not significantly different in the postoperative JOA scores and SF-36. In the H group, VAS at the final follow-up was significantly higher, and significantly more patients felt that postoperative rehabilitation was serious, expressing that they underwent THA for LLD correction. In addition, the VAS scores in the FO group was higher than those in the N-FO group. Postoperative LLD was significantly greater in the H group than in the control group. Each group had an NPS of > 50. CONCLUSION: The postoperative VAS score was higher in Crowe type III and IV dysplasia than in Crowe type I dysplasia, but no significant differences were detected in the postoperative satisfaction, JOA score, and SF-36 score. These findings may help explain the effects of THA preoperatively to patients with Crowe type III and IV dysplasia. LEVEL OF EVIDENCE: Therapeutic Level 3b. BioMed Central 2020-06-03 /pmc/articles/PMC7271540/ /pubmed/32493353 http://dx.doi.org/10.1186/s12891-020-03371-6 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Ueoka, Ken Kabata, Tamon Kajino, Yoshitomo Inoue, Daisuke Ohmori, Takaaki Ueno, Takuro Yoshitani, Junya Yamamuro, Yuki Tsuchiya, Hiroyuki Patient-reported outcomes following primary total hip arthroplasty in Crowe type III or IV developmental dysplasia are comparable to those in Crowe type I: a case-control study of 96 hips with intermediate-term follow-up |
title | Patient-reported outcomes following primary total hip arthroplasty in Crowe type III or IV developmental dysplasia are comparable to those in Crowe type I: a case-control study of 96 hips with intermediate-term follow-up |
title_full | Patient-reported outcomes following primary total hip arthroplasty in Crowe type III or IV developmental dysplasia are comparable to those in Crowe type I: a case-control study of 96 hips with intermediate-term follow-up |
title_fullStr | Patient-reported outcomes following primary total hip arthroplasty in Crowe type III or IV developmental dysplasia are comparable to those in Crowe type I: a case-control study of 96 hips with intermediate-term follow-up |
title_full_unstemmed | Patient-reported outcomes following primary total hip arthroplasty in Crowe type III or IV developmental dysplasia are comparable to those in Crowe type I: a case-control study of 96 hips with intermediate-term follow-up |
title_short | Patient-reported outcomes following primary total hip arthroplasty in Crowe type III or IV developmental dysplasia are comparable to those in Crowe type I: a case-control study of 96 hips with intermediate-term follow-up |
title_sort | patient-reported outcomes following primary total hip arthroplasty in crowe type iii or iv developmental dysplasia are comparable to those in crowe type i: a case-control study of 96 hips with intermediate-term follow-up |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7271540/ https://www.ncbi.nlm.nih.gov/pubmed/32493353 http://dx.doi.org/10.1186/s12891-020-03371-6 |
work_keys_str_mv | AT ueokaken patientreportedoutcomesfollowingprimarytotalhiparthroplastyincrowetypeiiiorivdevelopmentaldysplasiaarecomparabletothoseincrowetypeiacasecontrolstudyof96hipswithintermediatetermfollowup AT kabatatamon patientreportedoutcomesfollowingprimarytotalhiparthroplastyincrowetypeiiiorivdevelopmentaldysplasiaarecomparabletothoseincrowetypeiacasecontrolstudyof96hipswithintermediatetermfollowup AT kajinoyoshitomo patientreportedoutcomesfollowingprimarytotalhiparthroplastyincrowetypeiiiorivdevelopmentaldysplasiaarecomparabletothoseincrowetypeiacasecontrolstudyof96hipswithintermediatetermfollowup AT inouedaisuke patientreportedoutcomesfollowingprimarytotalhiparthroplastyincrowetypeiiiorivdevelopmentaldysplasiaarecomparabletothoseincrowetypeiacasecontrolstudyof96hipswithintermediatetermfollowup AT ohmoritakaaki patientreportedoutcomesfollowingprimarytotalhiparthroplastyincrowetypeiiiorivdevelopmentaldysplasiaarecomparabletothoseincrowetypeiacasecontrolstudyof96hipswithintermediatetermfollowup AT uenotakuro patientreportedoutcomesfollowingprimarytotalhiparthroplastyincrowetypeiiiorivdevelopmentaldysplasiaarecomparabletothoseincrowetypeiacasecontrolstudyof96hipswithintermediatetermfollowup AT yoshitanijunya patientreportedoutcomesfollowingprimarytotalhiparthroplastyincrowetypeiiiorivdevelopmentaldysplasiaarecomparabletothoseincrowetypeiacasecontrolstudyof96hipswithintermediatetermfollowup AT yamamuroyuki patientreportedoutcomesfollowingprimarytotalhiparthroplastyincrowetypeiiiorivdevelopmentaldysplasiaarecomparabletothoseincrowetypeiacasecontrolstudyof96hipswithintermediatetermfollowup AT tsuchiyahiroyuki patientreportedoutcomesfollowingprimarytotalhiparthroplastyincrowetypeiiiorivdevelopmentaldysplasiaarecomparabletothoseincrowetypeiacasecontrolstudyof96hipswithintermediatetermfollowup |