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Convened under the auspicious of esteemed endorsers - ISTA

Convened under the auspicious of esteemed endorsers - ISTA

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DiscussionThis higher precision was probably due to <strong>the</strong> accurate analysis <strong>of</strong> <strong>the</strong> hip anatomy, <strong>the</strong>problems that may be encountered were detected before surgery. Clinical benefits for <strong>the</strong>patients were also proved. This technique is now our gold standard procedure.FiguresFigure 1 Figure 2Saturday, October 9, 2010, 7:45-8:50Session B16: Performance and Survivorship in ArthroplastyThe Demographic Influence on Oxford Knee Scoring: Fact or Fiction?Introduction:*Bassel El-Osta - Central Middelsex Hospital - London, UKAli Ghoz - Leeds Hospital - Leeds, United KingdomMark Andrews - Scarborough General Hospital - Scarborough, United Kingdom*Email: jahed74@gmail.comThe Oxford Knee Score is a well validated, commonly used scoring system. Previous studies have suggested that <strong>the</strong>score is influenced by demographic differences between patients in particular <strong>the</strong> functional component more than <strong>the</strong>pain and clinical components. The aim <strong>of</strong> this study was to fur<strong>the</strong>r assess this using a large number <strong>of</strong> patients.Methods:The pre, 3 months and 12 months post-surgical Oxford Knee Scores were collected from 1492 patients from fivedistinct demographic locations <strong>under</strong>going total knee arthroplasty over twelve years <strong>under</strong> <strong>the</strong> care <strong>of</strong> 8 differentconsultants. A total <strong>of</strong> 735 patients had complete data sets. The scores were than analysed to test whe<strong>the</strong>r age,postcode, sex or consultant in charge had any significant effects on <strong>the</strong> outcome.Results:No significant difference in outcome was found between <strong>the</strong> five locations used in <strong>the</strong> study. This was also <strong>the</strong> casewhen different consultants were compared however when <strong>the</strong> results are adjusted for age <strong>the</strong>re was a significantdifference (p=0.019). In this study female patients had higher scores at both 3 and 12 months (significance p=0.011and 0.044 respectively). Age <strong>of</strong> patient was also found to be <strong>of</strong> borderline significance when determining <strong>the</strong> postoperativescores.Conclusion:This large patient sample study shows that <strong>the</strong> Oxford Knee Score in post-operative patients is not as heavilyinfluenced by demography as previously suggested. The results show that patients who are older and/or male will havebetter outcomes from knee arthroplasty. Individual surgeons do not significantly affect <strong>the</strong> outcome although somesurgeons may have better results when age <strong>of</strong> patient is taken into account. Lastly, post code and life style has nosignificant influence on <strong>the</strong> outcome nei<strong>the</strong>r should be taken for any consideration for surgery.file:///E|/<strong>ISTA</strong>2010-Abstracts.htm[12/7/2011 3:15:47 PM]

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