End-stage ankle arthritis as debilitating as end-stage hip
arthritis, study finds
Link
http://www.orthosupersite.com/view.asp?rID=22767
End-stage ankle arthritis patients also
demonstrate significantly worse mental health.
By Tina DiMarcantonio (July 17,
2007)
TORONTO - Surgeons are calling for more
resources to treat patients with end-stage ankle arthritis after
a study presented here confirmed that these patients experience
mental and physical disability equal to those with end-stage hip
arthritis.
Mark A. Glazebrook, MD, MSc, PhD, and
colleagues compared Short Form-36 (SF-36) scores between 130
patients with end-stage ankle arthritis and a similar group of
130 patients with end-stage hip arthritis.
Glazebrook presented the results of the
prospective, multicenter study at the American Orthopaedic Foot
and Ankle Society (AOFAS) 23rd Annual Summer Meeting.
This is the first study to report prospective
data on the impact of end-stage ankle arthritis on pain,
health-related quality of life and function, he noted.
Patients in both groups scored at least two
standard deviations below normal population scores for all
symptoms and functional SF-36 subscale scores, according to the
study.
Both groups also had similar total SF-36
scores and similar scores for physical health.
Regarding mental health scores, however,
"[People] with end-stage ankle arthritis were significantly more
compromised than those with end-stage hip arthritis," Glazebrook
said.
He noted that patients with end-stage hip
arthritis showed worse physical function, but patients with
end-stage ankle arthritis had worse role-physical scores and
worse general health.
"We feel that this paper is ... a paper that
you may be able to take your local hospital and fight with the
big giants who are treating the total hip disease," Glazebrook
said.
The study received this year's Roger A. Mann, MD, award.
For more information:
-
Mark A. Glazebrook, MD, can be reached at Queen
Elizabeth Health Sciences Center, Halifax Infirmary
Suite 4867, Dalhousie University, 1796 Summer St.,
Halifax, NS B3H 3A7, Canada; 902-473-7137; e-mail:
markglazebr@ns.sympatico.ca. He receives research or
institutional support from DePuy.
-
Glazebrook MA, Daniels T, Younger AS, et al. Patients
with end-stage ankle and hip arthritis have similar poor
health-related quality of life. Presented at the
American Orthopaedic Foot and Ankle Society 23rd Annual
Summer Meeting. July 13-15, 2007. Toronto.
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