Kappenschneider, Tobias and Bammert, Philip and Maderbacher, Guenther and Greimel, Felix and Holzapfel, Dominik Emanuel and Schwarz, Timo and Goetz, Julia and Pagano, Stefano and Scharf, Markus and Michalk, Katrin and Grifka, Joachim and Meyer, Matthias (2023) The impact of elective total hip and knee arthroplasty on physical performance in orthogeriatric patients: a prospective intervention study. BMC GERIATRICS, 23 (1): 763. ISSN , 1471-2318
Full text not available from this repository. (Request a copy)Abstract
Background: Osteoarthritis is a prevalent condition in older adults that leads to reduced physical function in many patients and ultimately requires hip or knee replacement. The aim of the study was to determine the impact of hip and knee arthroplasty on the physical performance of orthogeriatric patients with osteoarthritis.Methods: In this prospective study, we used data from 135 participants of the ongoing Special Orthopaedic Geriatrics (SOG) trial, funded by the German Federal Joint Committee (GBA). Physical function, measured by the Short Physical Performance Battery (SPPB), was assessed preoperatively, 3 and 7 days postoperatively, 4-6 weeks and 3 months after hip and knee arthroplasty. For the statistical analysis, the Friedman test and post-hoc tests were used.Results: Of the 135 participants with a mean age of 78.5 +/- 4.6 years, 81 underwent total hip arthroplasty and 54 total knee arthroplasty. In the total population, SPPB improved by a median of 2 points 3 months after joint replacement (p < 0.001). In the hip replacement group, SPPB increased by a median of 2 points 3 months after surgery (p < 0.001). At 3 months postoperatively, the SPPB increased by a median of 1 point in the knee replacement group (p = 0.003).Conclusion: Elective total hip and knee arthroplasty leads to a clinically meaningful improvement in physical performance in orthogeriatric patients with osteoarthritis after only a few weeks.Trial registration: This study is part of the Special Orthopaedic Geriatrics (SOG) trial, German Clinical Trials Register DRKS00024102. Registered on 19 January 2021.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | LOWER-EXTREMITY FUNCTION; OSTEOARTHRITIS; SURGERY; FRAILTY; Orthogeriatric; SPPB; Hip arthroplasty; Knee arthroplasty; Older people |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Orthopädie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 13 Mar 2024 10:12 |
| Last Modified: | 13 Mar 2024 10:12 |
| URI: | https://pred.uni-regensburg.de/id/eprint/59904 |
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