Font Size: a A A

A new look at the cross-sectional relationship of self-reported pain, function and walking performance with radiographic wear and other early indicators of total hip replacement failure in patients with osteoarthritis

Posted on:2011-08-08Degree:M.ScType:Thesis
University:University of Toronto (Canada)Candidate:Charlesworth, Jennifer MichelleFull Text:PDF
GTID:2444390002961278Subject:Health Sciences
Abstract/Summary:
Background: Total hip replacement (THR) with post-operative surveillance is recommended for debilitating osteoarthritis (OA). Using self-reported pain, function or walking performance is one alternative to address increasing surveillance demands.;Participants: 110 patients, median 6 years after THR surgery for OA.;Methods: Questionnaires assessed demographics, co-morbidity, arthritis severity, pain, pain catastrophizing, and functional status. Performance was measured using the six minute walk test. THR outcome was assessed radiographically.;Results: Few patients had pain, functional impairment or radiographic markers of potential THR failure. A larger percentage of patients with some intermittent pain (10.7 versus 8.6%) and pain after walking performance (40.0 versus 27.6%) had higher wear, but these differences were not significant.;Objective: A cross-sectional cohort study to evaluate the associations of pain, function and performance with two radiographic markers of potential THR failure.;Conclusion: Measures of pain are potentially important for larger studies aiming to develop alternative methods of post-operative surveillance.
Keywords/Search Tags:THR, Pain, Walking performance, Function, Failure, Surveillance, Radiographic
Related items