dc.date.accessioned | 2015-08-05T11:40:58Z | |
dc.date.available | 2015-08-05T11:40:58Z | |
dc.date.created | 2014-10-02T15:04:39Z | |
dc.date.issued | 2014 | |
dc.identifier.citation | Amlie, Einar Johan Braém Havelin, Leif Ivar Furnes, Ove Baste, Valborg Nordsletten, Lars Høvik, Øystein Dimmen, Sigbjørn . Worse patient-reported outcome after lateral approach than after anterior and posterolateral approach in primary hip arthroplasty. Acta Orthopaedica. 2014, 85(5), 463-469 | |
dc.identifier.uri | http://hdl.handle.net/10852/44675 | |
dc.description.abstract | Background — The surgical approach in total hip arthroplasty (THA) is often based on surgeon preference and local traditions. The anterior muscle-sparing approach has recently gained popularity in Europe. We tested the hypothesis that patient satisfaction, pain, function, and health-related quality of life (HRQoL) after THA is not related to the surgical approach.
Patients — 1,476 patients identified through the Norwegian Arthroplasty Register were sent questionnaires 1–3 years after undergoing THA in the period from January 2008 to June 2010. Patient-reported outcome measures (PROMs) included the hip disability osteoarthritis outcome score (HOOS), the Western Ontario and McMaster Universities osteoarthritis index (WOMAC), health-related quality of life (EQ-5D-3L), visual analog scales (VAS) addressing pain and satisfaction, and questions about complications. 1,273 patients completed the questionnaires and were included in the analysis.
Results — Adjusted HOOS scores for pain, other symptoms, activities of daily living (ADL), sport/recreation, and quality of life were significantly worse (p < 0.001 to p = 0.03) for the lateral approach than for the anterior approach and the posterolateral approach (mean differences: 3.2–5.0). These results were related to more patient-reported limping with the lateral approach than with the anterior and posterolateral approaches (25% vs. 12% and 13%, respectively; p < 0.001).
Interpretation — Patients operated with the lateral approach reported worse outcomes 1–3 years after THA surgery. Self-reported limping occurred twice as often in patients who underwent THA with a lateral approach than in those who underwent THA with an anterior or posterolateral approach. There were no significant differences in patient-reported outcomes after THA between those who underwent THA with a posterolateral approach and those who underwent THA with an anterior approach. | en_US |
dc.language | EN | |
dc.language.iso | en | en_US |
dc.publisher | Taylor & Francis | |
dc.rights | Attribution 3.0 Unported | |
dc.rights.uri | http://creativecommons.org/licenses/by/3.0/ | |
dc.title | Worse patient-reported outcome after lateral approach than after anterior and posterolateral approach in primary hip arthroplasty | en_US |
dc.type | Journal article | en_US |
dc.creator.author | Amlie, Einar Johan Braém | |
dc.creator.author | Havelin, Leif Ivar | |
dc.creator.author | Furnes, Ove | |
dc.creator.author | Baste, Valborg | |
dc.creator.author | Nordsletten, Lars | |
dc.creator.author | Høvik, Øystein | |
dc.creator.author | Dimmen, Sigbjørn | |
cristin.unitcode | 185,53,12,10 | |
cristin.unitname | Ortopedisk avdeling | |
cristin.ispublished | true | |
cristin.fulltext | original | |
cristin.qualitycode | 1 | |
dc.identifier.cristin | 1160909 | |
dc.identifier.bibliographiccitation | info:ofi/fmt:kev:mtx:ctx&ctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=Acta Orthopaedica&rft.volume=85&rft.spage=463&rft.date=2014 | |
dc.identifier.jtitle | Acta Orthopaedica | |
dc.identifier.volume | 85 | |
dc.identifier.issue | 5 | |
dc.identifier.startpage | 463 | |
dc.identifier.endpage | 469 | |
dc.identifier.doi | http://dx.doi.org/10.3109/17453674.2014.934183 | |
dc.identifier.urn | URN:NBN:no-48956 | |
dc.subject.nvi | VDP::Ortopedisk kirurgi: 784 | |
dc.type.document | Tidsskriftartikkel | en_US |
dc.type.peerreviewed | Peer reviewed | |
dc.source.issn | 1745-3674 | |
dc.identifier.fulltext | Fulltext https://www.duo.uio.no/bitstream/handle/10852/44675/2/85-5-463-469.pdf | |
dc.type.version | PublishedVersion | |