ArticleActa orthopaedica2016
Outcome of total hip arthroplasty, but not of total knee arthroplasty, is related to the preoperative radiographic severity of osteoarthritis. A prospective cohort study of 573 patients.
Article in Acta orthopaedica, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 4 of them syntheses that pooled it.
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Who cites it
30 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Surgery for early structural osteoarthritis of the hip and knee: the SCORE evidence synthesis and economic evaluation.Health technology assessment (Winchester, England) · 2026Pooled it
- Mild radiographic osteoarthritis is associated with increased pain and dissatisfaction following total knee arthroplasty when compared with severe osteoarthritis: a systematic review and meta-analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Pooled it
- Preoperative predictors of health-related quality of life changes (EQ-5D and EQ VAS) after total hip and knee replacement: a systematic review.BMC musculoskeletal disorders · 2022Pooled it
- The Effect of Total Hip Arthroplasty on Sports and Work Participation: A Systematic Review and Meta-Analysis.Sports medicine (Auckland, N.Z.) · 2018Pooled it
- The Mark Coventry Award: Patellofemoral Arthroplasty Results in Better Range of Movement and Early Patient-reported Outcomes Than TKA.Clinical orthopaedics and related research · 2018Trial
- Radiological pattern of hip osteoarthritis is associated with one-year patient-reported outcomes but not long-term mortality or revision after total hip arthroplasty : a retrospective case series.Bone & joint open · 2026Article
- Association between preoperative radiographic osteoarthritis severity and patient-reported outcomes after total hip arthroplasty: a systematic review and meta-analysis.International orthopaedics · 2026Review
- Predictive factors for forgotten joints after direct anterior approach total hip arthroplasty.BMC musculoskeletal disorders · 2026Article
- The predictive effect of Kellgren-Lawrence grade and joint space height on pain and functional outcome.BMC musculoskeletal disorders · 2026Article
- Evaluating a semiquantitative magnetic resonance imaging-based scoring system to predict hip preservation or arthroplasty in patients with an intact preoperative joint space.Journal of hip preservation surgery · 2025Article
- Complications, Conversion, and Secondary Procedures Following Minimally Invasive Periacetabular Osteotomy: A Single-Surgeon Case Series.Arthroplasty today · 2025Article
- Diagnostic injections are predictive of similar improvements following total hip arthroplasty in patients with radiologically mild osteoarthritis.Bone & joint open · 2025Article
- Factors predicting outcomes from chronic pain management interventions.BMJ medicine · 2025Review
- Article
- Intraoperative blood loss and haemoglobin drop in patients with developmental dysplasia of the hip in Jordan undergoing total hip arthroplasty.International orthopaedics · 2023Article
- Less improvement in knee function and higher rates of dissatisfaction in the short-term following total knee arthroplasty in people with mild radiographic arthritis.Archives of orthopaedic and trauma surgery · 2023Article
- Risk factors for pain after total hip arthroplasty: a systematic review.Arthroplasty (London, England) · 2023Review
- Medial unicondylar knee arthroplasty should be reserved for patients with complete joint space collapse.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- Overstretching Expectations May Endanger the Success of the "Millennium Surgery".Frontiers in bioengineering and biotechnology · 2022Article
- The impact of severity of patellofemoral osteoarthritis on the patient-reported outcomes of total knee arthroplasty with patellar retention: A retrospective comparative study.Acta orthopaedica et traumatologica turcica · 2021Article
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9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background and purposeThere is no consensus on the impact of radiographic severity of hip and knee osteoarthritis (OA) on the clinical outcome of total hip arthroplasty (THA) and total knee arthroplasty (TKA). We assessed whether preoperative radiographic severity of OA is related to improvements in functioning, pain, and health-related quality of life (HRQoL) 1 year after THA or TKA. PATIENTS AND
methodsThis prospective cohort study included 302 THA patients and 271 TKA patients with hip or knee OA. In the THA patients, preoperatively 26% had mild OA and 74% had severe OA; in the TKA patients, preoperatively 27% had mild OA and 73% had severe OA. Radiographic severity was determined according to the Kellgren and Lawrence (KL) classification. Clinical assessments preoperatively and 1 year postoperatively included: sociodemographic characteristics and patient-reported outcomes (PROMs): Oxford hip/knee score, hip/knee injury and osteoarthritis outcome score (HOOS/KOOS), SF36, and EQ5D. Change scores of PROMs were compared with mild OA (KL 0-2) and severe OA (KL 3-4) using a multivariate linear regression model.
resultsAdjusted for sex, age, preoperative scores, BMI, and Charnley score, radiographic severity of OA in THA was associated with improvement in HOOS "Activities of daily living", "Pain", and "Symptoms", and SF36 physical component summary ("PCS") scale. In TKA, we found no such associations.
interpretationThe decrease in pain and improvement in function in THA patients, but not in TKA patients, was positively associated with the preoperative radiographic severity of OA.
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