© 1994 British Society for Rheumatology
research-article |
OVERALL LONG-TERM IMPACT OF TOTAL HIP AND KNEE JOINT REPLACEMENT SURGERY ON PATIENTS WITH OSTEOARTHRITIS AND RHEUMATOID ARTHRITIS
*Rheumatology Unit, University Department of Medicine, Bristol Royal Infirmary Bristol BS2 8HW
Bone and Joint Research Unit, The London Hospital Medical College London E1 2AD
All patients with OA or RA entering an orthopaedic waiting list for total hip or knee replacement surgery over a period of 2.5 yr were prospectively assessed for overall pain (Visual Analogue Scale) and disability (Health Assessment Questionnaire) prior to and following their operation at annual intervals for up to 5 yr. A total of 293 patients had 335 operations (OA, hip 164; OA, knee 76; RA, hip 41; RA, knee 54). A few patients (14) showed a deterioration in pain and function 1 yr after surgery, but the remainder showed improvements which took 1 yr or more to reach maximum and were maintained for at least 3 yr. Although greater for OA hip patients, improvements occurred and were maintained in all groups, in spite of the polyarticular nature of RA.
KEY WORDS: Osteoarthritis, Rheumatoid arthritis, Surgery, Outcome, Operation
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