ArticleActa orthopaedica2022
Limping and patient satisfaction after primary total hip arthroplasty: a registry-based cohort study.
Article in Acta orthopaedica, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Robotic arm-assisted total hip arthroplasty in patients with hip dysplasia: a systematic review.Journal of robotic surgery · 2026Pooled it
- Cryotherapy combined with standard rehabilitation and early functional recovery after knee arthroplasty: a retrospective cohort study.BMC musculoskeletal disorders · 2026Article
- Monoblock dual-mobility cups in total hip arthroplasty for low-grade hip dysplasia: a retrospective series with a mean ten years follow-up.International orthopaedics · 2026Article
- [Analysis of kinematic changes of hip joint after total hip arthroplasty].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2024Article
- Reliability of the Harris Hip limping sub-score in patients undergoing total hip arthroplasty.International orthopaedics · 2024Article
- Global mapping of institutional and hospital-based (Level II-IV) arthroplasty registries: a scoping review.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
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6 authors.
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Abstract
background and purposeThe influence of postoperative limping on patient satisfaction and amount of limping reduction following THA are not well documented. We (1) assessed if postoperative limping is associated with satisfaction 5 years after THA performed via the lateral or anterior approach; (2) evaluated the influence of surgical approach on amount of limping reduction following THA. PATIENTS AND
methodsWe conducted a prospective cohort study of primary elective THAs performed in 2002-2013. Limping was assessed before and 5 years after surgery using the Harris Hip limping sub-score. Satisfaction was assessed at 5 years on a 5-point Likert scale. We compared proportions of satisfied patients among groups of limping. Evolution of limping before and after surgery was noted. Analyses were performed overall and stratified by pain and surgical approach. We used univariate and multivariate logbinomial regression models.
results1,257 patients were included (mean age 70 years). 81% had surgery via a lateral and 19% via an anterior approach. Before THA, 60% had moderate to severe limping and all reported pain. After THA, limping and pain improved; 9% of patients were dissatisfied. In multivariate analysis stratified on pain level, limping was associated with higher dissatisfaction. Similar results were obtained after lateral vs. anterior approach.
interpretationPostoperative limping impacts patient satisfaction after THA. The association varied by degree of limping and absence or presence of pain. It was independent of surgical approach. 5 years after THA occurrence of limping was largely reduced after both a lateral and an anterior approach, with low evidence of a greater reduction under an anterior approach.
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