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© 1989 British Society for Rheumatology

research-article

OUTCOME FROM MULTIPLE JOINT REPLACEMENT SURGERY TO THE LOWER LIMBS

D. J. WALKER1, K. USHER, M. O'MORCHOE, L. SANDLES, I. D. GRIFFITHS and I. M. PINDER

Departments of Rheumatology and Orthopaedics. Freeman Hospital Newcastle on Tyne

Correspondence to: 1Correspondence to Dr. D. J. Walker, Department of Rheumatology. Royal Victoria Infirmary. Queen Victoria Road. Newcastle on Tyne.

All patients who had three or more major joints (hips or knees) replaced were identified from operation records at one hospital and reviewed to assess outcome. Forty-three were found to suffer from rheumatoid arthritis, four from osteoarthritis and three from psonatic arthritis.

Eight patients had died an average of 2.6 years (range 1–7 years) after their last operation and this was higher than expected, even for RA. Average follow-up in the 36 surviving RA sufferers was 1.8 years, with a minimum of 6 months since last operation. Range of joint movement, pain relief, satisfaction, mobility, disability and social outcomes were assessed and are reported. Patients were satisfied with outcome because of pain relief and functional improvement. No patient required permanent in-patient care, although they still represented a very disabled group with mean HAO score of 2.75.

KEY WORDS: Rheumatoid arthritis, Disability, Patient satisfaction, Social outcome, Mortality, HAQ


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