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Lookup NU author(s): Professor David Deehan, Ian Pinder
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Background and purpose Radiographic and clinical survival analyses of revision total knee replacement (TKR) are considered acceptable outcome measures. However, the full influence of revision knee replacement on the overall health status of patients remains poorly defined. Methods We prospectively studied the health-related quality of life outcome in 94 patients who underwent revision knee replacement surgery over a 5-year period. Comparisons were drawn between the Nottingham health profile (NHP) scores and the Knee Society score pre-revision, and those obtained at 3 months, 1 year and 5 years after revision knee arthroplasty. Results We found a significant improvement in Knee Society score and NHP pain scores 3 and 12 months after revision TKR (p < 0.05). No other modalities of the NHP showed a significant change. 5 years after surgery, pain was less than before revision (p = 0.2), but energy level was considered worse (p = 0.07). Knee Society scores were found to be higher pre- and postoperatively for patients undergoing revision for reasons other than sepsis than for patients with sepsis. Patients requiring implantation of a hinged prosthesis also had lower Knee Society scores than those patients receiving a non-hinged implant. Repeated revision was associated with a downward trend in Knee Society score with each surgical intervention.
Author(s): Deehan DJ, Murray JD, Birdsall PD, Pinder IM
Publication type: Article
Publication status: Published
Journal: Acta Orthopaedica
Year: 2006
Volume: 77
Issue: 5
Pages: 761-766
ISSN (print): 1745-3674
ISSN (electronic): 1745-3682
Publisher: Taylor & Francis Ltd.
URL: http://dx.doi.org/10.1080/17453670610012953
DOI: 10.1080/17453670610012953
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