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Joint replacement in non-ambulatory patients
The Journal of Bone and Joint Surgery. American Volume
|September 1, 1979
Summary
Multiple joint replacements in non-ambulatory patients significantly improved mobility and function. Most patients achieved ambulation and pain relief, demonstrating the effectiveness of these complex orthopedic procedures.
Area of Science:
- Orthopedic Surgery
- Reconstructive Surgery
Background:
- Non-ambulatory status due to severe arthritis presents significant challenges.
- Total joint replacement aims to restore function and mobility in affected patients.
Purpose of the Study:
- To evaluate the outcomes of multiple total hip or knee replacements in non-ambulatory patients.
- To develop a functional classification and rating scale for these complex cases.
Main Methods:
- Retrospective analysis of eighteen non-ambulatory patients undergoing multiple hip/knee replacements.
- Follow-up averaging forty months with a devised functional classification and rating scale.
Main Results:
- Good to excellent results were observed in patients with two or three joints operated on.
- Fifteen patients regained ambulation, and seven could climb stairs.
- Seven patients reported being pain-free, with neural issues and low motivation impacting outcomes.
Conclusions:
- Multiple joint replacements can successfully restore ambulation and function in non-ambulatory patients.
- Functional outcomes are generally positive, even with severe upper-extremity involvement.
- Patient motivation and absence of neural complications are key to successful surgical outcomes.