title: Clinical and patient-reported outcomes of patients with four major lower extremity arthroplasties.
abstract: Few studies report the outcomes of patients treated with total joint arthroplasty of both hips and both knees. We present the outcomes of 14 patients with total joint arthroplasty of both hips and both knees using validated outcome measures. Eleven patients (79%) were satisfied at final review. Ten patients (71%) required revision surgery of at least one joint. Clinical, functional, radiographic, and patient-reported outcomes were consistent with previously reported outcomes in the literature. Mean Timed Up and Go test was 32 seconds (6-158). Mean Berg Balance Scale was 38.5 (4-55). Good outcomes can be achieved in this group of patients with high levels of satisfaction despite the frequent need for revision surgery. Importantly, it was recognized that these patients have a high risk of falls and must be educated in measures for fall prevention.
authors.affiliation: Division of Orthopaedic Surgery, Mount Sinai Hospital, University of Toronto, Toronto, Ontario, Canada.
authors.forename: Catherine
authors.initials: C
authors.lastname: Hui
authors.forename: Oren
authors.initials: O
authors.lastname: Ben-Lulu
authors.forename: Juan Sebastian
authors.initials: JS
authors.lastname: Rendon
authors.forename: Leslie
authors.initials: L
authors.lastname: Soever
authors.forename: Allan E
authors.initials: AE
authors.lastname: Gross
authors.forename: David
authors.initials: D
authors.lastname: Backstein
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001172:Arthritis, Rheumatoid / Q000601:surgery*; D019644:Arthroplasty, Replacement, Hip; D019645:Arthroplasty, Replacement, Knee; D005260:Female; D006621:Hip Joint / Q000502:physiology / Q000601:surgery; D006801:Humans; D015994:Incidence; D007407:Interviews as Topic; D007719:Knee Joint / Q000502:physiology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D015207:Osteoarthritis, Hip / Q000601:surgery*; D020370:Osteoarthritis, Knee / Q000601:surgery*; D017063:Outcome Assessment, Health Care; D017060:Patient Satisfaction; D011446:Prospective Studies; D016059:Range of Motion, Articular / Q000502:physiology; D012086:Reoperation; D015203:Reproducibility of Results; D012189:Retrospective Studies; D057566:Self Report; D055815:Young Adult