PMID: 9174453Apr 1, 1997Paper

Quality of life after knee arthroplasty. A randomized study of 3 designs in 42 patients, compared after 4 years

Acta Orthopaedica Scandinavica
M B HildingL Ryd

Abstract

We assessed different yardsticks for outcome 4 (3-5) years after surgery in a prospective, randomized study of 42 patients, where 3 designs of cemmentless knee prostheses were used. The prognosis with regard to loosening, previously obtained by radiostereometry after 2 years of follow-up, was utilized. Patients with a prognosis of stable implant fixation (two thirds) were compared with those where loosening was predicted (one third). Hospital for Special Surgery score and Visual Analogue Scales regarding pain at rest, "first step" pain, pain during activity and global function, showed consistent postoperative improvements, but no differences between the design and prognosis groups were found. Radiolucent lines were registered both as yes/no and number of zones. Lines and prognosis were associated, but not lines and design groups. Quality of life assessment by the Nottingham Health Profile questionnaire showed that the poor prognosis group had increased pain and significant disturbances of sleep and emotions, as well as difficulty in enjoying hobbies and holiday activities. No differences were found between the design groups. Altogether, the patients showed profiles comparable to a healthy reference group. We conclude that the N...Continue Reading

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Citations

Jun 4, 2004·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Susanne FuchsDieter Rosenbaum
Sep 5, 2009·Archives of Orthopaedic and Trauma Surgery·Tajeshwar S AulakhJames B Richardson
Feb 19, 2003·Journal of Clinical Epidemiology·Samuel WiebeCasey Sidwell
May 25, 2005·Clinics in Geriatric Medicine·C Allyson JonesMaria E Suarez-Almazor
Oct 28, 2006·Acta Orthopaedica·David J DeehanIan M Pinder
Nov 24, 1999·Acta Orthopaedica Scandinavica·L P JornS Toksvig-Larsen
Jul 27, 2005·Acta Orthopaedica. Supplementum·Gunnar Flivik
Apr 24, 2010·The Journal of Arthroplasty·Brandon N DeversBrian S Parsley
Jun 7, 2008·The Journal of Arthroplasty·David John DeehanIan M Pinder
Mar 21, 2007·Rheumatic Diseases Clinics of North America·C Allyson JonesMaria E Suarez-Almazor
Aug 4, 2001·Acta Orthopaedica Scandinavica. Supplementum·M J Dunbar
Feb 14, 2006·The Knee·James R D MurrayDavid J Deehan
Jul 11, 2006·Clinical Orthopaedics and Related Research·Gunnar FlivikLeif Ryd
Sep 27, 2013·Revista Brasileira De Ortopedia·Hugo Alexandre de Araújo Barros CobraAlan de Paula Mozella
Nov 8, 2007·Physical Therapy·Deborah M KennedyJeffrey D Gollish
Nov 20, 2002·Clinical Orthopaedics and Related Research·Jennifer M WeissKenneth B Mathis
Feb 3, 2005·Clinical Orthopaedics and Related Research·Philip C NobleKenneth B Mathis

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