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. 2006 Jun;21(4):559-66.
doi: 10.1016/j.arth.2005.07.010.

Preoperative function and gender predict pattern of functional recovery after hip and knee arthroplasty

Deborah M Kennedy  1 , Steven E Hanna, Paul W Stratford, Jean Wessel, Jeffrey D Gollish
Affiliations

Preoperative function and gender predict pattern of functional recovery after hip and knee arthroplasty

Deborah M Kennedy et al. J Arthroplasty. 2006 Jun.

Abstract

Gender, preoperative function, and other variables were explored as predictors of recovery after total hip and knee arthroplasty. One hundred fifty-two subjects (63.8 +/- 10.2 years) were repeatedly assessed in the first 4 postoperative months. Average recovery curves for the Western Ontario and McMaster Universities Osteoarthritis Index, 6-minute walk test, and timed up and go test were characterized using hierarchical linear modeling. Recovery predictors were sequentially modeled after validation of the basic developmental models. Gender was a significant predictor (P < or= .003) of physical performance measure scores 1 week after surgery. Thereafter, men and women had similar rates of improvement. Preoperative score was a significant predictor (P < or= .001) in all models. Patients' and surgeons' expectations of outcome need to take preoperative function into account.

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Figures

Fig. 1
Fig. 1
Predicted growth curves for the WOMAC pain subscale averaged across other predictors.
Fig. 2
Fig. 2
Predicted growth curves for the WOMAC pain subscale post-TKA illustrating the impact of preoperative WOMAC pain scores (percentiles).
Fig. 3
Fig. 3
Predicted growth curves for men post-THA illustrating the impact of preoperative 6MWT scores (percentiles).
Fig. 4
Fig. 4
Predicted growth curves for the 6MWT illustrating the impact of gender post-THA and TKA.
See this image and copyright information in PMC

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References

    1. Jones C.A., Voaklander D.C., Suarez-Almazor M.E. Determinants of function after total knee arthroplasty. Phys Ther. 2003;83:696. - PubMed
    1. Fortin P.R. Outcomes of total hip and knee replacement: preoperative functional status predicts outcomes at six months after surgery. Arthritis Rheum. 1999;42:1722. - PubMed
    1. Fortin P.R. Timing of total joint replacement affects clinical outcomes among patients with osteoarthritis of the hip or knee. Arthritis Rheum. 2002;46:3327. - PubMed
    1. Kennedy L.G. When should we do knee replacements? Knee. 2003;10:161. - PubMed
    1. Holtzman J., Saleh K., Kane R. Effect of baseline functional status and pain on outcomes of total hip arthroplasty. J Bone Joint Surg Am. 2002;84-A:1942. - PubMed

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