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Journal of Bone and Joint Surgery - British Volume, Vol 84-B, Issue 7, 994-999.
doi: 10.1302/0301-620X.84B7.12607  
Copyright © 2002 by British Editorial Society of Bone and Joint Surgery
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Early patient outcomes after primary and revision total knee arthroplasty

A PROSPECTIVE STUDY

R. C. Hartley, FRCS Ed, Specialist Registrar1; N. G. Barton-Hanson, FRCS Orth, Consultant Orthopaedic Surgeon2; R. Finley, MSc, Advanced Nurse Practitioner1; and R. W. Parkinson, FRCS Orth, Consultant Orthopaedic Surgeon1

1 Department of Orthopaedics, Arrowe Park Hospital, Arrowe Park Road, Upton, Wirral CH49 5PE, UK.
2 University Hospital Aintree, Lower Lane, Liverpool L9 7AL, UK.

Correspondence should be sent to Mr R. C. Hartley at Beach View, 36 Seabank Road, Lower Heswall, Wirral CH60 4SW, UK.

There has been speculation as to how the outcome of revision total knee arthroplasty (TKA) compares with that of primary TKA. We have collected data prospectively from patients operated on by one surgeon using one prosthesis in each group. One hundred patients underwent primary TKA and 60 revision TKA. They completed SF-12 and WOMAC questionnaires before and at six and 12 months after operation.

The improvements in the SF-12 physical scores and WOMAC pain, stiffness and function scores in both primary and revision TKA patients were highly statistically significant at six months. There was no statistically significant difference in the size of the improvement in the SF-12 physical and WOMAC pain, stiffness and function scores between the primary and revision patients at six months after surgery. The SF-12 mental scores of patients in both groups showed no statistically significant difference after surgery at the six- and 12-month assessments.

Our findings show that primary and revision TKA lead to a comparable improvement in patient-perceived outcomes of physical variables in both generic and disease-specific health measures at follow-up at one year.






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Registered charity no: 209299     Print ISSN: 0301-620X
Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General