Impact of capsular preservation on patient-reported outcomes and complication rates in total hip arthroplasty using the direct anterior approach.

Aims: It is not known whether preservation of the capsule of the hip positively affects patient-reported outcome measures (PROMs) in total hip arthroplasty using the direct anterior approach (DAA-THA). A recent randomized controlled trial found no clinically significant difference at one year postoperatively. This study aimed to determine whether preservation of the anterolateral capsule and anatomical closure improve the outcome and revision rate, when compared with resection of the anterolateral capsule, at two years postoperatively.

The Association Between Comorbidity and the Risks and Early Benefits of Total Hip Arthroplasty for Hip Osteoarthritis.

Background: The changing demographics of our society will lead to an increasing number of patients presenting for orthopedic surgery with increasing comorbidity. We investigated the association between comorbidity and both the risks (complications) and benefits (improved function) of total hip arthroplasty (THA) for primary hip osteoarthritis, whilst controlling for potential confounders including age.

Methods: One thousand five hundred and eighty-four patients (67.

Could less be more when assessing patient-rated outcome in spinal stenosis?

Study Design: Longitudinal study of the measurement properties of a brief outcome instrument.

Objective: In patients undergoing surgery for lumbar spinal stenosis, we compared the responsiveness of the Core Outcome Measures Index (COMI) with that of the condition-specific Swiss Spinal Stenosis Measure (SSM), an instrument developed to assess patients with neurogenic claudication.

Summary Of Background Data: The COMI is a validated multidimensional questionnaire for assessing the key outcomes of importance to patients with back problems.