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Quality of Life Research

Erschienen in:

01.11.2009

Quality of life after dislocation of hip arthroplasty: a prospective cohort study on 319 patients with femoral neck fractures with a one-year follow-up

verfasst von: Anders Enocson, Hans Pettersson, Sari Ponzer, Hans Törnkvist, Nils Dalén, Jan Tidermark

Erschienen in: Quality of Life Research | Ausgabe 9/2009

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Abstract

Purpose

A primary arthroplasty constitutes a standard procedure in the treatment of patients with displaced fractures of the femoral neck. Although dislocation of the prosthesis remains a significant clinical problem, there are no previous reports on its influence on health-related quality of life (HRQoL). We analysed how a dislocation of the hip arthroplasty influenced the patients’ HRQoL.

Methods

In total 319 consecutive patients with a displaced fracture of the femoral neck treated with a primary arthroplasty were included in a prospective cohort study. We used a mixed-effects model regression analysis to evaluate factors of importance for HRQoL (EQ-5D_index score) during the first 12 months following surgery.

Results

A dislocation of the arthroplasty occurred in 21 of the 319 patients (7%), 8 of whom had a single dislocation and 13 recurrent dislocations. At 4 months, the EQ-5D_index score displayed a significantly worse outcome for patients with recurrent dislocations compared to patients with no dislocation (P = 0.001), and a trend towards a worse outcome for patients with a single dislocation (P = 0.08). At 12 months, the mean EQ-5D_index score of patients with recurrent dislocations was still substantially lower (P = 0.001), while the EQ-5D_index score for patients with a single dislocation had returned to a level similar to that of patients with no dislocation. Our analysis of the EQ-5D dimensions indicates that the difference was mainly due to perceived difficulties in self-care and usual activities and increased problems with anxiety/depression.

Conclusions

A recurrent dislocation of the hip arthroplasty in the treatment of patients with femoral neck fractures seems to result in a persisting deterioration in the HRQoL, while patients with a single dislocation seem to experience only a temporary deterioration.

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Titel: Quality of life after dislocation of hip arthroplasty: a prospective cohort study on 319 patients with femoral neck fractures with a one-year follow-up
verfasst von: Anders Enocson
Hans Pettersson
Sari Ponzer
Hans Törnkvist
Nils Dalén
Jan Tidermark
Publikationsdatum: 01.11.2009
Verlag: Springer Netherlands
Erschienen in: Quality of Life Research / Ausgabe 9/2009
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-009-9531-x

Die Highlights vom Kongress des American College of Cardiology 2024

Springer Medizin

Quality of life after dislocation of hip arthroplasty: a prospective cohort study on 319 patients with femoral neck fractures with a one-year follow-up

Abstract

Purpose

Methods

Results

Conclusions

Die Highlights vom Kongress des American College of Cardiology 2024

Springer Medizin

Abstract

Purpose

Methods

Results

Conclusions

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