Physical activity negatively impacted after Girdlestone resection arthroplasty
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Patients experienced a negative impact on physical health and moderate impact on mental health and social activity after Girdlestone resection arthroplasty, according to results presented here.
“We believe that these outcomes can be used to guide patient expectations as this procedure is necessary in certain clinical scenarios,” Colleen M. Wixted, MBA, of the department of orthopedic surgery at Duke University Medical Center, said in her presentation at the Musculoskeletal Infection Society Annual Meeting.
Wixted and colleagues performed a retrospective chart review of data for 35 patients who underwent Girdlestone resection arthroplasty and collected age, sex, gender, BMI, American Society of Anesthesiologists score and Charlson Comorbidity Index. Researchers surveyed patients using the prosthesis evaluation questionnaire, which collected scores on ambulation, frustration, procedure response and social burden, and the patient-reported outcome measurement information system (PROMIS) global-10 short form.
“We ran a brief multivariate regression to determine if there was any effect of age, comorbidity or time to survey completion from their Girdlestone procedure, [and] if that had an impact on their patient-reported outcomes,” Wixted said.
Patients noted they did not ambulate well after Girdlestone resection arthroplasty, according to Wixted. She added patients reported being moderately frustrated with their hip resection and that people responded well to their hip resection.
“Then for social burden and social hinderance, their scores fell between somewhat socially burdened and not at all socially burdened,” Wixted said.
For the PROMIS global-10 short form, she noted patients who underwent Girdlestone resection had physical health scores and mental health scores 11.3 points and about 4 points lower than that of the U.S. general population, respectively.
“The regression that we ran did not find any effect of age, comorbidities or time from survey completion to their procedure on their survey scores,” Wixted said.
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Wixted CM, et al. Paper 1013. Presented at: Musculoskeletal Infection Society Annual Meeting; Aug. 5-6, 2022; Pittsburgh (hybrid meeting).
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