CoxaPro
> Clinical Library > Welcome to the joint replacement clinical library > Increased Tender Point Counts Before and After Total Hip Arthroplasty Are Associated With Poorer Outcomes But Are Not Individually Predictive
The Journal of Arthroplasty, ISSN: 0883-5403, Vol: 25, Issue: 6, Page: 945-950
Hip
Link to article
Increased Tender Point Counts Before and After Total Hip Arthroplasty Are Associated With Poorer Outcomes But Are Not Individually Predictive
Bogoch, Earl R; Olschewski, Eli; Zangger, Philippe; Henke, Marjorie L; Smythe, Hugh AHip
In a prospective study, total hip arthroplasty (THA) patients were assessed preoperatively and postoperatively (n = 95) to determine if tender points (TPs) are associated with poor THA outcomes. Patients with high follow-up TP counts had higher visual analog scale (VAS) for pain and sleep, higher follow-up Western Ontario and McMaster Universities Arthritis Index (pain, stiffness, function), lower Health Assessment Questionnaire, Harris Hip, and Short Form 36 (physical functioning, bodily pain, physical component summary) scores. High follow-up TP were associated with increased pain, pain not relieved by surgery, poor function, and poor sleep. Visual analog scale pain and sleep, Short Form 36 (physical functioning, bodily pain), Western Ontario and McMaster Universities Arthritis Index, Health Assessment Questionnaire, and Harris hip scores improved significantly after THA; TP scores did not. Higher preoperative TP were predictive of higher follow-up TP but were poorly predictive of poor outcome measures after surgery in individual patients, suggesting that preoperative TPs are contraindicative for THA.
Link to article