© 2003 by BMJ Publishing Group & European League Against Rheumatism
LEADER
Arthroplasty
Health status after hip or knee arthroplasty
Primary Care Sciences Research Centre, Keele University, Keele, Staffordshire ST5 5BG, UK
Correspondence to:
Correspondence to:
Dr C Jinks;
c.jinks@cphc.keele.ac.uk
After hip and knee arthroplasty pain and disability still remain higher than in the general population
Keywords: epidemiology; disability; arthroplasty; hip; knee
| The first 150 words of the full text of this article appear below. |
Hip and knee problems are a major cause of pain and disability. Although only a minority of sufferers—those with severe symptoms and disability in association with radiographic osteoarthritis—will be candidates for surgery, this still means that in America, for example, 400 000 primary hip and knee arthroplasties are performed each year,1 and the demand is increasing.2 Randomised controlled trials of arthroplasty versus other treatments have not generally been performed, but total hip arthroplasty and total knee arthroplasty procedures are perceived by the public and by health professionals to be largely successful. Follow up studies have confirmed that postoperative levels of pain and disability are consistently lower than preoperative levels.3–7 However a number of small studies have also shown that, despite significant postoperative improvements, levels of pain and disability are higher in those who have undergone arthroplasty than in controls in the general population.8–11 A large interview based study, carried
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This article has been cited by other articles:
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Linsell, L., Dawson, J., Zondervan, K., Rose, P., Carr, A., Randall, T., Fitzpatrick, R.
(2006). Pain and overall health status in older people with hip and knee replacement: a population perspective. J Public Health (Oxf)
28: 267-273
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