Total hip and knee arthroplasty


Total hip and total knee thermoplastics are well accepted as reliable and  acceptable surgical plan of action to return patients to function. Health-related quality of-life instruments are wont to document outcomes so as to optimize the allocation of resources. the target of this study was to review the literature regarding the outcomes of total hip and knee thermoplastics as evaluated by health-related quail Çofiife instruments.of the seventy-four studies selected for the review, thirty-two investigated both total hip and total knee arthroplasties, twenty-six focused on total hip arthroplasty, and sixteen focused on total knee arthroplasty exclusively.


The most common diagnosis was osteoarthritis. The duration of follow-up ranged from seven days to seven years.with the bulk of studies describing results at six to 12 months. The Short Form-36 and therefore the Western Ontario and McMaster University Osteoarthritis Index, the foremost frequently used instruments, were employed in forty and twenty€eight studies, respectively. Seventeen studies used a utility index. Overall, total hip and total knee arthroplasties were found to be quite effective in terms of improvement in health-related quality-of life dimensions, with the occasional exception of the social dimension. Age wasn't found to be an obstacle to effective surgery, and men seemed to benefit more from the intervention than did women. When improvement was found to be modest, the role of comorbidity was highlighted. Total hip arthroplasty appears to return patients to function to a greater extent than do knee procedures, and first surgery offers greater improvement than does revision. Patients who had poorer preoperative health-related quality of life were more likely to experience greater improvement.Health-related quality-of-life data are valuable, can provide relevant health-status information to health professionals, and will be used as a rationale for the implementation of the foremost adequate standard of care. Additional knowledge and scientific dissemination of surgery outcomes should help to make sure better management of patients undergoing total hip or total knee arthroplasty and to optimize the utilization of those procedure

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