ORCID Profile
0000-0002-1283-9669
Current Organisations
Kingston University
,
Royal College of Surgeons of England
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Publisher: Springer Science and Business Media LLC
Date: 25-07-2018
DOI: 10.1007/S00167-017-4639-Y
Abstract: Unicompartmental knee arthroplasty (UKA) provides significant benefits to patients with anteromedial osteoarthritis, with good long-term results. Morbidity and mortality rates are lower, and recovery is quicker. These benefits would be advantageous to the octogenarian population whom carry significant comorbidities. The primary aim was to compare the short-term functional outcome at 2 years of UKA in the octogenarian population against a stratified younger cohort of patients. We hypothesised that the octogenarian population would have equally significant improved patient-reported outcome measures. Prospective patient-reported outcome measures, including Oxford Knee Score (OKS), satisfaction rates and Euro-Quol (EQ-5D) scores at 1-year and 2-year post-operative data, were collected and analysed. Three hundred and ninety-five medial Oxford Phase 3 UKA implants were evaluated. Mean follow-up was 4.7 years (range 2.1-7.7). Secondary outcomes including revision rates, length of stay, complications and mortality were recorded. Our patient population was stratified into three cohort groups based on age: 60-69, 70-79 and 80-89 years. The OKS and EQ-5D score improved significantly in all three groups at all post-operative time periods and maintained at 2 years. The OKS at 2 years post-operatively by age was 39.5 (SD 18.6), 39.2 (SD 17.7) and 39.3 (SD 15.9), respectively. No significant difference of implant survival was found between the groups. The overall revision rate was 28/395 (7%). The 90-day mortality in the present series was one patient. The 2-year short-term functional outcome, revision rates and satisfaction of UKA in the octogenarian population did not differ statistically from other age groups. III.
Publisher: Springer Science and Business Media LLC
Date: 10-02-2020
Publisher: Springer Science and Business Media LLC
Date: 18-05-2020
Publisher: Jaypee Brothers Medical Publishing
Date: 06-10-2017
Publisher: SAGE Publications
Date: 23-10-2017
Abstract: One potential limitation of interpreting the Oxford Shoulder Score (OSS) in longitudinal studies is that the observed score may be influenced by age and other variables, which may change over time. The purpose of the present study was to investigate the influence of increasing age and unreported non-shoulder upper limb and neck symptoms on the OSS. We collected OSS data from a s le of our ethnically erse local population. All subjects indicated whether they suffered from any neck, shoulder, elbow or wrist symptoms for which they had not sought a medical opinion. Those reporting no symptoms formed the asymptomatic group. We found a significant decline in OSS with increasing age in the whole study population, as well as in both the asymptomatic and symptomatic groups with previously unreported symptoms: Spearman correlation coefficient = −0.27, −0.28 and −0.33 respectively (p 0.001). The median OSS in the asymptomatic group was 48 [interquartile range (IQR) 48 to 48]. This was significantly higher than the symptomatic group, with a median OSS of 46 (IQR 40 to 47) (p 0.001). We found the OSS to be affected by non-shoulder upper-limb and neck pathology as well as age. Within the limitations of the OSS, the differences we found do not exceed the minimal important change.
Location: United Kingdom of Great Britain and Northern Ireland
Location: United Kingdom of Great Britain and Northern Ireland
Location: United Kingdom of Great Britain and Northern Ireland
Location: United Kingdom of Great Britain and Northern Ireland
Location: United Kingdom of Great Britain and Northern Ireland
No related grants have been discovered for John Dabis.