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Year: 2010 Volume: 468 Issue: 1

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Year: 2008 Volume: 466

Comparing patient outcomes after THA and TKA: is there a difference?

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Bourne, Robert B. Chesworth, Bert Davis, Aileen Mahomed, Nizar Charron, Kory
Description	Country affiliation: Canada Author Affiliation: Bourne RB ( Division of Orthopaedic Surgery, University Hospital, London Health Sciences Centre, University of Western Ontario, 339 Windermere Road, London, ON, N6A 5A5, Canada. Robert.Bourne@lhsc.on.ca)
Abstract	UNLABELLED: Both primary total hip (THA) and knee (TKA) arthroplasty relieve pain, restore function, and increase mobility. Despite these successes, there is controversy as to whether THA or TKA provides greater or similar improvement. We therefore compared primary THA and TKA patient results in terms of (1) willingness to have surgery again; (2) WOMAC change score; (3) whether expectations were met; and (4) satisfaction. Patients undergoing primary THA were more willing to undergo their surgery again (THA 96%, TKA 89%), demonstrated greater WOMAC change scores, more frequently reported their expectations were met (THA 78%, TKA 70%), and expressed greater overall satisfaction (THA 89%, TKA 81%). In addition, patients undergoing THA expressed higher satisfaction with pain reduction while performing activities (ie, walking, stairs, and sitting/lying) and their ability to perform daily activities (ie, stairs, transportation, getting up, lying in bed, and light domestic duties) when compared with patients undergoing TKA. Our data suggest primary THA offers superior short-term outcomes when compared with primary TKA. LEVEL OF EVIDENCE: Level II, prognostic study. See Guidelines for Authors for a complete description of levels of evidence.
File Format	HTM / HTML
ISSN	0009921X
e-ISSN	15281132
DOI	10.1007/s11999-009-1046-9
Journal	Clinical Orthopaedics and Related Researchtextregistered
Issue Number	2
Volume Number	468
Language	English
Publisher	Springer
Publisher Date	2010-02-01
Publisher Place	United States
Access Restriction	Open
Subject Keyword	Discipline Orthopaedics Hip Joint Surgery Knee Joint Activities Of Daily Living Arthroplasty, Replacement, Hip Arthroplasty, Replacement, Knee Physiopathology Pain Etiology Prevention & Control Pain Measurement Patient Acceptance Of Health Care Patient Satisfaction Recovery Of Function Registries Reoperation Questionnaires Comparative Study Research Support, Non-u.s. Gov't
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine Surgery Sports Science

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