OVERALL LONG-TERM IMPACT OF TOTAL HIP AND KNEE JOINT REPLACEMENT SURGERY ON PATIENTS WITH OSTEOARTHRITIS AND RHEUMATOID ARTHRITIS |
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| Authors: | KIRWAN J R; CURREY H L F; FREEMAN M A R; SNOW S; YOUNG P J |
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| Institution: | *Rheumatology Unit, University Department of Medicine, Bristol Royal Infirmary Bristol BS2 8HW
 Bone and Joint Research Unit, The London Hospital Medical College London E1 2AD |
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| Abstract: | All patients with OA or RA entering an orthopaedic waiting listfor total hip or knee replacement surgery over a period of 2.5yr were prospectively assessed for overall pain (Visual AnalogueScale) and disability (Health Assessment Questionnaire) priorto and following their operation at annual intervals for upto 5 yr. A total of 293 patients had 335 operations (OA, hip164; OA, knee 76; RA, hip 41; RA, knee 54). A few patients (14)showed a deterioration in pain and function 1 yr after surgery,but the remainder showed improvements which took 1 yr or moreto reach maximum and were maintained for at least 3 yr. Althoughgreater for OA hip patients, improvements occurred and weremaintained in all groups, in spite of the polyarticular natureof RA. KEY WORDS: Osteoarthritis, Rheumatoid arthritis, Surgery, Outcome, Operation |
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