The aim of this review was to assess (health-related) quality of life ([HR]Qol) after 1-stage or 2-stage revision for prosthetic joint infection of the hip (PJI). Additionally, we compared (HR)QoL scores with normative population scores to assess whether QoL is reduced after revision for PJI.
Methods
A systematic search was performed in Embase, Cochrane and Pubmed. We included articles that reported (HR)QoL questionnaires after staged revision for hip PJI with a minimum follow-up of 24 months. Methodological quality was assessed using the MINORS score.
Results
The search produced 11,195 results. We selected 12 papers describing 2-stage revisions. The mean MINORS score was 9.8. Average WOMAC scores of 185 patients with a mean follow-up of 69.8 months were 73.
Average Short Form 36 (SF-36) scores of 159 patients with a mean follow-up of 40.7 months were 40.4 for the physical component score (PCS) and 51.6 for the mental component score (MCS). Average Short Form 12 (SF-12) scores of 154 patients with a mean follow-up of 73.4 months were: a PCS of 35.4 and a MCS of 49.1. The WOMAC, SF-12 (PCS) and SF-36 (PCS) were respectively 12%, 26.7% and 14.8% lower, compared to normative values.
Discussions
Patients who underwent 2-stage revision for hip PJI had substantially lower (physical component) (HR)QoL scores, but mental scores were comparable to the general population.
MaricondaMGalassoOCostaGGRecanoPCerbasiSQuality of life and functionality after total hip arthroplasty: a long-term follow-up study.BMC Musculoskelet Disord2011;121:222
2.
WiklundIRomanusBA comparison of quality of life before and after arthroplasty in patients who had arthrosis of the hip joint.J B1 Joint Surg Am1991;73(5):765–769
3.
RissanenPAroSSlätisPSint1nHPaavolainenPHealth and quality of life before and after hip or knee arthroplasty.J Arthroplasty1995;10(2):169–175
4.
GuyattGHFeenyDHPatrickDLMeasuring health-related quality of life.Ann Intern Med1993;118(8):622–629
5.
OsmonDRBerbariEFBerendtARet al;Infectious Diseases Society of America. Executive summary: diagnosis and management of prosthetic joint infection: clinical practice guidelines by the Infectious Diseases Society of America.Clin Infect Dis2013;56(1):1–10
6.
KuiperJWWillinkRTMoojenDJFvan den BekeromMPColenSTreatment of acute periprosthetic infections with prosthesis retention: Review of current concepts.World J Orthod2014;5(5):667–676
7.
PatilSGarbuzDSGreidanusNVMasriBADuncanCPQuality of life outcomes in revision vs primary total hip arthroplasty: a prospective cohort study.J Arthroplasty2008;23(4):550–553
8.
ZampelisVOrnsteinEFranzénHAtroshiIA simple visual analog scale for pain is as responsive as the WOMAC, the SF-36, and the EQ-5D in measuring outcomes of revision hip arthroplasty.Acta Orthop2014;85(2):128–132
9.
MoherDLiberatiATetzlaffJAltmanDGPRISMA Group.Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med2009:6(7):e1000097
10.
SlimKNiniEForestierDKwiatkowskiFPanisYChipponiJMethodological index for non-randomized studies (minors): development and validation of a new instrument.ANZ J Surg2003;73(9):712–716
11.
HurstNPKindPRutaDHunterMStubbingsAMeasuring health-related quality of life in rheumatoid arthritis: validity, responsiveness and reliability of EuroQol (EQ-5D).Br J Rheumatol1997;36(5):551–559
12.
KlässboMLarssonEMannevikEHip disability and osteoarthritis outcome score.An extension of the Western Ontario and McMaster Universities Osteoarthritis Index. Scand J Rheumatol2003;32(1):46–51
13.
BellamyNThe WOMAC Knee and Hip Osteoarthritis Indices: development, validation, globalization and influence on the development of the AUSCAN Hand Osteoarthritis Indices.Clin Exp Rheumatol2005;23(5 Suppl 39):S148–S153
14.
AaronsonNKMullerMCohenPDet al.Translation, validation, and norming of the Dutch language version of the SF-36 Health Survey in community and chronic disease populations. J Clin Epidemiol1998;51(11):1055–1068
15.
BellamyNWilsonCHendrikzJPopulation-based normative values for the Western Ontario and McMaster (WOMAC) Osteoarthritis Index: part I.Semin Arthritis Rheum2011;41(2):139–148
16.
WareJESF-12: How to score the SF-12 Physical and Mental Health Summary Scales.Boston:The Health Institute, New England Medical Center 1995b.
WareJEJrGandekBOverview of the SF-36 Health Survey and the International Quality of Life Assessment (IQOLA) Project.J Clin Epidemiol1998;51(11):903–912
19.
ScharfenbergerAClarkMLavoieGO'ConnorGMassonEBeaupreLATreatment of an infected total hip replacement with the PROSTALAC system.Part 2: Health-related quality of life and function with the PROSTALAC implant in situ. Can J Surg2007;50(1):29–33
20.
PengK-THsuW-HHsuRW-WImproved antibiotic impregnated cement prosthesis for treating deep hip infection: a novel design using hip compression screw.J Arthroplasty2010;25(8):1304–1306
21.
ThabeHSchillS2-stage reimplantation with an application spacer and combined with delivery of antibiotics in the management of prosthetic joint infection.Oper Orthop Traumatol2007;19(1):78–100
22.
AboltinsCDowseyMMPeelTet al.Early prosthetic hip joint infection treated with debridement, prosthesis retention and biofilm-active antibiotics: functional outcomes, quality of life and complications. Intern Med J2013;43(7):810–815
23.
HelwigPMorlockJOberstMet al.Periprosthetic joint infection—effect on quality of life. Int Orthop2014;38(5):1077–1081
24.
YoungerASEDuncanCPMasriBAMcGrawRWThe outcome of 2-stage arthroplasty using a custom-made interval spacer to treat the infected hip.J Arthroplasty1997;12(6):615–623
25.
HsiehP-HChenL-HChenC-HLeeMSYangW-EShihC-H2-stage revision hip arthroplasty for infection with a custom-made, antibiotic-loaded, cement prosthesis as an interim spacer.J Trauma2004;56(6):1247–1252
26.
MasriBAPanagiotopoulosKPGreidanusNVGarbuzDSDuncanCPCementless 2-stage exchange arthroplasty for infection after total hip arthroplasty.J Arthroplasty2007;22(1):72–78
27.
ParviziJGhanemEAzzamKDavisEJaberiFHozackWPeriprosthetic infection: are current treatment strategies adequate?Acta Orthop Belg2008;74(6):793–800
28.
BiringGSKostamoTGarbuzDSMasriBADuncanCP2-stage revision arthroplasty of the hip for infection using an interim articulated Prostalac hip spacer: a 10- to 15-year follow-up study.J B1 Joint Surg Br2009;91(11):1431–1437
29.
RomanòCLRomanòDLogolusoNMeaniESeptic versus aseptic hip revision: how different?J Orthop Traumatol2010;11(3):167–174
30.
BoettnerFCrossMBNamDKlutheTSchulteMGoetzeCFunctional and Emotional Results Differ After Aseptic vs Septic Revision Hip Arthroplasty.HSS J2011;7(3):235–238
31.
LeungFRichardsCJGarbuzDSMasriBADuncanCP2-stage total hip arthroplasty: how often does it control methicillin-resistant infection?Clin Orthop Relat Res2011;469(4):1009–1015
32.
KapplerCAbdulazimAKemmererMWalterGHoffmannR[Deep infection after treatment of proximal femur fractures –results and assessment of life quality].[Article in German.] Z Orthop Unfall2012;150(1):67–74
33.
SabryFYSzubskiCRStefancinJJKlikaAKHigueraCABarsoumWKComparison of complications associated with commercially available and custom-made articulating spacers in 2-stage total hip arthroplasty revision.Curr Orthop Pract2013;24(4):406–413
34.
van DiemenMPColenSDalemansAAStuyckJMulierM2-stage revision of an infected total hip arthroplasty: a follow-up of 136 patients.Hip Int2013;23(5):445–450
35.
BarbarićKAljinovićADubravcićIDDelimarDBicanićGPatient satisfaction after revision hip arthroplasty or resection hip arthroplasty due to periprosthetic infection.Coll Antropol2014;38(2):605–610
36.
StevensMHoekstraTWagenmakersRBulstraSKvan den Akker-ScheekIPeople who undergo revision arthroplasty report more limitations but no decrease in physical activity compared with primary total hip arthroplasty: an observational study.Aust J Physiother2009;55(3):185–189
37.
BedairHTingNBozicKJDella ValleCJSporerSMTreatment of early postoperative infections after THA: a decision analysis.Clin Orthop Relat Res2011;469(12):3477–85 Accepted: May 6, 2016
38.
ZmistowskiBKaramJADurinkaJBCasperDSParviziJPeriprosthetic joint infection increases the risk of 1-year mortality.J B1 Joint Surg Am2013;95(24):2177–2184
39.
WoolacottNFCorbettMSRiceSJCThe use and reporting of WOMAC in the assessment of the benefit of physical therapies for the pain of osteoarthritis of the knee: findings from a systematic review of clinical trials.Rheumatology (Oxford)2012;51(8):1440–1446
