Key result
Patients with lower preoperative physical function undergoing total hip or knee replacement did not improve postoperatively to the level achieved by those with higher preoperative function.
Why the study?
Does worse preoperative physical function predict worse postoperative physical function and pain at 6 months after total hip or knee replacement in patients with osteoarthritis?
Population
379 consecutive patients with definite osteoarthritis without other inflammatory joint diseases undergoing…
Comparison
Total hip or knee replacement vs Patients with higher preoperative physical…
Design
Cohort
Follow-up
6 months
Authors
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Supports earlier referral for joint replacement before marked functional decline in osteoarthritis; leaves open whether randomized timing trials would alter outcomes.
Observational (n=379)
Yes
Does worse preoperative physical function predict worse postoperative physical function and pain at 6 months after total hip or knee replacement in patients with osteoarthritis?
Surgery performed later in the natural history of functional decline due to OA results in worse postoperative functional status.
Fortin et al. (1999) conducted an observational in Knee or hip osteoarthritis (OA) (n=379). Total hip or knee replacement vs. Higher preoperative physical function was evaluated on Physical function and pain due to OA. Patients with lower preoperative physical function undergoing total hip or knee replacement did not improve postoperatively to the level achieved by those with higher preoperative function.
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