Impact of preoperative factors on clinical outcomes after total hip arthroplasty  

作　　者：Toru Nishiwaki Hisatoshi Ishikura Yuji Masuyama Sho Fujita Rei Hirose 

机构地区：[1]Department of Orthopaedic Surgery,Shizuoka Red Cross Hospital,Shizuoka 420-0853,Japan [2]Department of Orthopaedic,Shizuoka Red Cross Hospital,Shizuoka 420-0853,Japan

出　　处：《World Journal of Orthopedics》2025年第4期30-35,共6页世界骨科杂志(英文)

摘　　要：BACKGROUND Although total hip arthroplasty(THA)is an established intervention for advanced hip disorders,not all patients achieve the anticipated functional improvements.AIM To investigate the impact of various preoperative factors on clinical outcomes after THA.METHODS Data of 411 patients who underwent unilateral THA were retrospectively analyzed.The associations between preoperative factors,such as age,body mass index,pain severity,functional impairment,psychological status,neuropathic pain,and central sensitization,and clinical outcomes assessed six months postoperatively using the Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC)and modified Harris Hip Score were evaluated.RESULTS Our results indicated that age and the WOMAC,Center for Epidemiologic Studies Depression Scale,and Central Sensitization Index(CSI)scores significantly predicted the modified Harris Hip Score outcomes,whereas age and preoperative WOMAC,EuroQol 5 dimensions,Center for Epidemiologic Studies Depression Scale,CSI,and Pain Detect Questionnaire scores were significant predictors of WOMAC outcomes.Age,WOMAC,and CSI were consistently significant factors.There were no significant differences in the operative time or blood loss across the outcome categories.CONCLUSION Our findings highlight the importance of preoperative assessment of central sensitization and psychological parameters.Patient-specific preoperative characteristics may play a greater role than intraoperative factors in determining recovery outcomes after THA.

关 键 词：Modified Harris Hip Score Western Ontario and McMaster Universities Osteoarthritis Index Central sensitization Neuropathic pain Total hip arthroplasty 

分 类 号：R687.4[医药卫生—骨科学]