Timing of Arthroplasty, What is the Influence of Nocturnal Pain and Pain at Rest on the Outcome?

Overview

Journal Knee Surg Sports Traumatol Arthrosc

Publisher Wiley

Specialties Emergency Medicine
General Surgery
Orthopedics

Date 2012 Jun 5

PMID 22660972

Citations 6

Authors

Daniel Haverkamp

Roy B G Brokelman

Corne J M van Loon

Albert Van Kampen

Affiliations

Soon will be listed here.

Abstract

Purpose: The purpose of this study was to investigate whether nocturnal pain and pain at rest preoperatively influence the satisfaction in patients after joint arthroplasty. The second research question is whether subjective outcome (VAS/WOMAC) after hip (THA) or knee arthroplasty (TKA) differs in patients with or without nocturnal pain and pain at rest preoperatively compared to those who do not.

Methods: A consecutive group of 189 TKAs and 189 THAs was evaluated. The influence of pain at rest and nocturnal pain preoperatively on the outcome was evaluated by means of a one-way ANOVA. Outcome measurements used were WOMAC, VAS pain and VAS Satisfaction.

Results: The results show that satisfaction at follow up was not influenced by the presence of nocturnal pain or pain at rest preoperatively. The presence of nocturnal pain and pain at rest preoperatively did result in a poorer WOMAC pain score WOMAC physical impairment score and a higher VAS pain at rest and activity after surgery for both THA and TKA.

Conclusion: The results show that the presence of pain at night and pain at rest in symptomatic osteoarthritic patients results in worse VAS and WOMAC scores, but with similar amounts of satisfaction at follow up.

Citing Articles

Evolution and characteristics of nocturnal knee pain after knee arthroplasty.

Daxhelet J, Delfosse G, Lavandhomme P, Fennema P, Thienpont E Arch Orthop Trauma Surg. 2024; 144(11):4715-4723.

PMID: 39271495 DOI: 10.1007/s00402-024-05559-0.

Phenotypes of osteoarthritis-related knee pain and their transition over time: data from the osteoarthritis initiative.

Ye J, Xie D, Li X, Lu N, Zeng C, Lei G BMC Musculoskelet Disord. 2024; 25(1):173.

PMID: 38402384 PMC: 10893610. DOI: 10.1186/s12891-024-07286-4.

Nocturnal pain and fatigue in middle-aged persons with hip symptoms suspected to be osteoarthritis, is there a link in 10-year follow-up of the CHECK study?.

van Berkel A, Schiphof D, Waarsing J, Runhaar J, van Ochten J, Bindels P Osteoarthr Cartil Open. 2023; 5(3):100363.

PMID: 37214788 PMC: 10192639. DOI: 10.1016/j.ocarto.2023.100363.

Risk factors for pain after total hip arthroplasty: a systematic review.

Zhang B, Rao S, Mekkawy K, Rahman R, Sarfraz A, Hollifield L Arthroplasty. 2023; 5(1):19.

PMID: 37009894 PMC: 10069042. DOI: 10.1186/s42836-023-00172-9.

Preoperative predictors for outcomes after total hip replacement in patients with osteoarthritis: a systematic review.

Hofstede S, Gademan M, Vliet Vlieland T, Nelissen R, Marang-van de Mheen P BMC Musculoskelet Disord. 2016; 17:212.

PMID: 27184266 PMC: 4869370. DOI: 10.1186/s12891-016-1070-3.

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