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Related Experiment Videos

Joint replacement in non-ambulatory patients.

R P Arafiles, R B Gustilo

    The Journal of Bone and Joint Surgery. American Volume
    |September 1, 1979
    PubMed
    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.

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    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.

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