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Quality of life after knee revision arthroplasty

Lookup NU author(s): Professor David Deehan, Ian Pinder

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Abstract

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.

Publication metadata

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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