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Health-related quality of life after total knee or hip replacement for osteoarthritis: a 7-year prospective study

  • Orthopaedic Outcome Assessment
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Objective

To assess health-related quality of life (HRQOL) in a prospective study with 7 years of follow-up in 49 consecutive patients who underwent a total joint replacement because of osteoarthritis.

Methods

Generic HRQOL was assessed with the short-form 36 (SF-36) and specific HRQOL with the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC).

Results

Out of the 39 subjects who have completed the 7 years of follow-up of this study, 22 (56.4 %) underwent a hip replacement surgery and the other 17 (43.6 %) a knee replacement. Six months after surgery, a significant improvement, compared to preoperative scores, was observed in two of the eight dimensions of the SF-36 (i.e. physical function and pain). The same dimensions, pain and physical function, at the same time, 6 months after surgery, measured by the WOMAC, showed a significant improvement as well, but there was no significant change in the stiffness score. From 6 months to the end of follow-up, changes in SF-36 scores showed a significant improvement in physical function (p = 0.008), role-physical (p = 0.004) and role-emotional (p = 0.01) while all scores of the WOMAC improved (p < 0.001 for pain, p < 0.001 for stiffness and p < 0.01 for physical function).

Conclusion

The improvements observed in HRQOL at short term after surgery, are at least maintained over a 7-year follow-up period.

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Acknowledgments

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Department of Epidemiology, Public Health and Health Economics, University of Liège, CHU Sart-Tilman, Bât B23, 4000, Liège, Belgium

    O. Bruyère, O. Ethgen, A. Neuprez, B. Zégels & J.-Y. Reginster

  2. Department of Orthopedic Surgery, University Hospital, University of Liege, Liège, Belgium

    Ph. Gillet & J.-P. Huskin

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  1. O. Bruyère
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  2. O. Ethgen
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  3. A. Neuprez
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  4. B. Zégels
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  5. Ph. Gillet
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  6. J.-P. Huskin
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  7. J.-Y. Reginster
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Correspondence to O. Bruyère.

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Bruyère, O., Ethgen, O., Neuprez, A. et al. Health-related quality of life after total knee or hip replacement for osteoarthritis: a 7-year prospective study. Arch Orthop Trauma Surg 132, 1583–1587 (2012). https://doi.org/10.1007/s00402-012-1583-7

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  • DOI: https://doi.org/10.1007/s00402-012-1583-7

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