scholarly journals Quality of life and health status after Girdlestone resection arthroplasty in patients with an infected total hip prosthesis

2019 ◽  
Vol 4 (1) ◽  
pp. 10-15 ◽  
Author(s):  
Cornelis M. Vincenten ◽  
Brenda L. Den ◽  
Pieter K. Bos ◽  
Stefan B.T. Bolder ◽  
Taco Gosens

Abstract. Introduction: The Girdlestone resection arthroplasty (GRA) is a salvage procedure for a recurrent or persistent prosthetic joint infection of the hip. This procedure negatively impacts the functional outcome and presumably also diminishes health status (HS) and quality of life (QOL). However, studies investigating the QOL after GRA are lacking. This cross-sectional study compares patients with a Girdlestone situation after an infected total hip prosthesis with a normative population with regard to HS and QOL.Methods: Patients with a permanent GRA were suitable to be enrolled in the study. Subjects completed the World Health Organization Quality of life (WHOQOL-BREF) and the EuroQol 5 dimension 3 level version (EQ-5D-3L). Scores were compared with data from the normal population, from patients with a lower limb amputations and data from patients with a myocardial infarction.Results: Sixty-three patients who underwent GRA between January 2000 and March 2017 completed the questionnaire. The median time between the GRA and competing the questionnaire was 48 months (4 -436). All WHOQOL-BREF domain scores were significantly lower in GRA patients compared to the normative data (p<0.001), patients with myocardial infarction or lower limb amputation. EQ-5D-3L results showed that HS was significantly impaired in GRA patients when compared to normative data (p<0.001) and also impaired when compared to data from lower limb amputations and myocardial infarctions.Conclusion: HS and QOL scores in patients with a permanent Girdlestone situation after an infected hip prosthesis are significantly lower than Dutch normative scores. Patients with a permanent Girdlestone situation scored even lower on HS than patients with a lower limb amputation or a myocardial infarction.

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Susan L. Eskridge ◽  
Amber L. Dougherty ◽  
Jessica R. Watrous ◽  
Cameron T. McCabe ◽  
Jill M. Cancio ◽  
...  

Psychiatry ◽  
2019 ◽  
Vol 83 (1) ◽  
pp. 47-57
Author(s):  
Susana Pedras ◽  
Estela Vilhena ◽  
Rui Carvalho ◽  
M. Graça Pereira

Spine ◽  
2020 ◽  
Vol 45 (19) ◽  
pp. 1368-1375
Author(s):  
Brittney Mazzone ◽  
Shawn Farrokhi ◽  
Brad D. Hendershot ◽  
Cameron T. McCabe ◽  
Jessica R. Watrous

2011 ◽  
Vol 35 (1) ◽  
pp. 97-105 ◽  
Author(s):  
Catharina Sjödahl Hammarlund ◽  
Maria Carlström ◽  
Rebecca Melchior ◽  
Björn M Persson

Background and Objectives: The prevalence of back pain and its effect on function and health-related quality of life across three levels of lower limb amputation secondary to trauma or tumour was studied. Study design: Cross-sectional survey. Methods: Forty-six lower limb amputees, aged 19–78 years, participated. The Roland Morris disability questionnaire (RMDQ) and the short form 36 health survey (SF-36) were used. Results: Participants reported more back pain after amputation than before ( p < 0.001). There was a significant association between back pain daily or several times/week and severe or moderate disability reporting on the RMDQ ( p = 0.003). On the SF-36, the group as a whole scored significantly lower in health-related quality of life with regard to physical functioning, role physical, bodily pain, general health, social functioning and the physical component summary (PCS), and significantly higher in the mental component summary (MCS) compared to normative Swedish data. When all three levels of amputation were compared, no statistically significant differences were found in the RMDQ or SF-36 results. Conclusions: There was a high prevalence of back pain after amputation. Almost all participants having back pain daily or several times per week reported severe or moderate disability on the RMDQ. The group as a whole scored significantly lower for health-related quality of life in the PCS and significantly higher in the MCS compared to normative Swedish data. Clinical relevance The high prevalence of back pain, and the significant association between back pain daily or several times per week and severe or moderate disability on the RMDQ, and the negative correlation between RMDQ and SF-36, may have clinical relevance with regard to rehabilitation and follow-up of lower limb amputation.


2021 ◽  
Vol 67 (7) ◽  
pp. 985-990
Author(s):  
Victor Hugo De Melo ◽  
Ricardo Augusto Leoni de Sousa ◽  
Alex Cleber Improta-Caria ◽  
Marco Antônio Prado Nunes

2021 ◽  
Vol 28 (3) ◽  
pp. 1-10
Author(s):  
Sofía Mosteiro-Losada ◽  
Silvia Varela ◽  
Oscar García-García ◽  
Iván Martínez-Lemos ◽  
Carlos Ayán

Background/aims Exercise can be a useful rehabilitation approach for people with lower-limb amputation. However, there is a lack of research in this regard. The aim of this study was to analyse functional mobility, walking speed, range of motion and quality of life changes experienced by people with lower-limb amputation after taking part in a comprehensive exercise programme that included core strengthening exercises. Methods This was a pilot study including six individuals who carried out a comprehensive exercise programme, which was performed once a week for 5 months. During the first 2 weeks, the participants attended 1-hour sessions that focused on the execution of diaphragmatic breathing and body scheme exercises. From the fourth week until the end of the intervention, the sessions were much longer, and included a warm-up phase, two circuit training workouts for core strength and balance, and a final stretching routine. Results Significant improvements were found in the participants' functional mobility (P=0.007) and walking speed (P=0.001). The exercise intervention did not have a significant impact on the participants' range of motion and quality of life. Conclusions In a group of people with lower-limb amputation, the performance of a comprehensive exercise programme that included core strengthening, was found to be beneficial for functional mobility and walking speed, although no significant effect was observed for range of motion and quality of life measures.


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