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The effect of locomotion on the outcome following total hip arthroplasty
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Wall, Peter D. H., Hossain, Munier, Beard, David J., Murray, David W. and Andrew, John G. (2013) The effect of locomotion on the outcome following total hip arthroplasty. Hip international : the journal of clinical and experimental research on hip pathology and therapy, 23 (2). pp. 193-198. doi:10.5301/HIP.2013.10726 ISSN 1724-6067.
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Official URL: http://dx.doi.org/10.5301/HIP.2013.10726
Abstract
The relationship between contralateral hip arthritis and co-morbid medical conditions that affect a patient's ability to walk, and outcome following total hip arthroplasty (THA) is not fully understood. We investigated this relationship in a prospective, multi-centre study. 1497 hips (1428 patients) were recruited. At five years follow-up there was complete data for 1053 hips. We recorded Oxford Hip Score (OHS) and Charnley Class (CC) both preoperatively and at one and five years after surgery. Preoperatively there was a significant difference in OHS between CC categories and OHS deteriorated from CC-A to CC-C (p<0.001). The absolute OHS was significantly worse in CC-C compared to CC-A. Patients who remained in CC-A at five year follow-up had a larger change in OHS (mean 24) compared to those who had changed from CC-A to CC-C at five years (mean 21) p<0.001. The OHS an outcome measure frequently used for THA is influenced by several extraneous factors which may be present preoperatively but also change over time. These factors include the condition of the opposite hip as well as other disease processes that affect a patient's locomotion and therefore interpretation of OHS in isolation without additional information may not be appropriate.
| Item Type: | Journal Article | ||||||
|---|---|---|---|---|---|---|---|
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Journal or Publication Title: | Hip international : the journal of clinical and experimental research on hip pathology and therapy | ||||||
| Publisher: | Wichtig Editore Srl | ||||||
| ISSN: | 1724-6067 | ||||||
| Official Date: | March 2013 | ||||||
| Dates: |
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| Volume: | 23 | ||||||
| Number: | 2 | ||||||
| Page Range: | pp. 193-198 | ||||||
| DOI: | 10.5301/HIP.2013.10726 | ||||||
| Status: | Peer Reviewed | ||||||
| Publication Status: | Published | ||||||
| Access rights to Published version: | Restricted or Subscription Access |
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