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Prior unilateral total hip arthroplasty does not influence the outcome of ipsilateral total knee arthroplasty

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Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

Purpose

To assess the influence of a prior well-functioning unilateral primary total hip arthroplasty (THA) on the functional outcome of a subsequent ipsilateral primary total knee arthroplasty (TKA).

Methods

A retrospective case–control study of 92 patients older than 60 years underwent unilateral primary TKA after a prior ipsilateral THA (THA-TKA group) and 92 matched patients underwent only TKA (TKA group). Clinical assessments were performed using the Knee Society Scores (KSS) and Harris Hip Score (HSS), quality of life by the Reduced Western Ontario and MacMaster Universities (WOMAC) and Short-Form 12 (SF-12) questionnaires. Radiological evaluation was also performed.

Results

Median follow-up after TKA was 7.2 (range 5–9) years. There were no significant differences between groups in baseline data at the TKA time. The mean gains in KSS were similar in both groups. At the last follow-up, there were no significant differences in WOMAC-pain or SF12-physical scores, but the WOMAC-function (p = 0.003) and SF12-mental (p = 0.018) scores were significantly better in the isolated TKA group. At the last follow-up, there were no significant differences in the radiological knee alignment or component positions. For aseptic reasons, the TKA survival at 8 years in the TKA group was 95.8 (95% CI 87.8–100%), and 96.6% (95% CI 91.8–100%) in the THA-TKA group (ns).

Conclusion

A well-functioning unilateral THA does not influence on the functional outcome of a subsequent ipsilateral TKA. This finding can help clinicians when counseling patients with hip and knee osteoarthritis.

Level of evidence

III.

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Funding

There was no funding for this study.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Elda University Hospital, Ctra Elda-Sax s/n, 03600, Elda, Alicante, Spain

    Alfredo Asensio-Pascual, Alejandro Lizaur-Utrilla & Fancisco A. Miralles-Muñoz

  2. Clinical Nursing Research Group, Faculty of Health Sciences, University of Alicante, Ctra San Vicente del Raspeig s/n, 03690, San Vicente del Raspeig, Alicante, Spain

    M. Flores Vizcaya-Moreno

  3. Department of Traumatology and Orthopaedics, Miguel Hernandez University, Avda Universidad s/n, 03202, San Juan de Alicante, Alicante, Spain

    Alejandro Lizaur-Utrilla & Fernando A. Lopez-Prats

Authors
  1. Alfredo Asensio-Pascual
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  2. Alejandro Lizaur-Utrilla
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  3. M. Flores Vizcaya-Moreno
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  4. Fancisco A. Miralles-Muñoz
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  5. Fernando A. Lopez-Prats
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Corresponding author

Correspondence to Alejandro Lizaur-Utrilla.

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Conflict of interest

All authors declare that they have no conflict of interest.

Ethical approval

The present study was approved by the Institutional Review Board of the Elda University Hospital (ID number: PI2018-019), and informed consent was required for additional patient evaluations.

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Asensio-Pascual, A., Lizaur-Utrilla, A., Vizcaya-Moreno, M.F. et al. Prior unilateral total hip arthroplasty does not influence the outcome of ipsilateral total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc 28, 1452–1457 (2020). https://doi.org/10.1007/s00167-019-05537-9

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  • DOI: https://doi.org/10.1007/s00167-019-05537-9

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