Improved Patient-Reported Quality of Life and Hip Function After Cementless 1-Stage Revision of Chronic Periprosthetic Hip Joint Infection

Limited information is available on health-related quality of life (HRQoL) and patient-reported hip function following treatment for a chronic periprosthetic hip joint infection. The purpose of this study is to evaluate changes in HRQoL and patient-reported hip function 2 years following a cementles...

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Bibliographic Details
Published in:The Journal of arthroplasty 2019-11, Vol.34 (11), p.2763-2769.e1
Main Authors: Poulsen, Ninna Rysholt, Mechlenburg, Inger, Søballe, Kjeld, Troelsen, Anders, Lange, Jeppe, Zawadski, Andre, Kjersgaard, Anne Grete, Heine, Christian, Riis, Jess, Otte, Kristian, Lamm, Martin, Dehghani, Mohammad Hossein, Krarup, Niels, Kjærsgaard-Andersen, Per, Nielsen, Poul Torben, Mikkelsen, Søren S., Solgaard, Søren, Prynø, Thomas, Vester, Thomas, Ørsnes, Thue
Format: Article
Language:English
Subjects:
1-stage revision
Arthroplasty
health-related quality of life
hip replacement
periprosthetic joint infection
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Summary:Limited information is available on health-related quality of life (HRQoL) and patient-reported hip function following treatment for a chronic periprosthetic hip joint infection. The purpose of this study is to evaluate changes in HRQoL and patient-reported hip function 2 years following a cementless 1-stage revision for chronic periprosthetic hip joint infection. Patients (n = 52) enrolled in a previously published clinical study on cementless 1-stage revision in chronic periprosthetic hip joint infection prospectively answered the EuroQol-5D, Short-Form Health Survey 36 (SF-36), and Oxford Hip Score preoperatively and at 3, 6, 12, and 24 months follow-up. Results were compared to age-matched and gender-matched population norm. A significant improvement in HRQoL and patient-reported hip function appeared in the first 3 months after surgery and reached a plateau after 6 months. The patients statistically reached age-matched and gender-matched population norm after 3 to 12 months follow-up on most items, except for Physical Functioning and Social Functioning on the SF-36. The largest effect sizes were found for Oxford Hip Score at 1.8 and for Role Limitation, Physical and Bodily Pain on the SF-36 at 1.5 and 1.6, respectively. Patients treated with a cementless 1-stage revision for chronic periprosthetic hip joint infection experienced a marked increase in HRQoL and patient-reported hip function, and matched population norms on many parameters.
ISSN:0883-5403
1532-8406
DOI:10.1016/j.arth.2019.06.010