Title

Long-term Follow-up Care Recommendations After Total Hip and Knee Arthroplasty: Results of the American Association of Hip and Knee Surgeons' Member Survey

Publication Date

12-1-2003

Document Type

Article

Abstract

Long-term follow-up care is needed to evaluate and manage hip and knee arthroplasty outcomes, because impending failure may be asymptomatic. All active American Association of Hip and Knee Surgeons' members (N = 682) were surveyed for recommendations for follow-up care type and frequency, radiograph interpretation, and clinical indicators related to follow-up frequency intervals; and to describe reimbursement experiences and practice demographics. The response rate (65.5%, n = 447) established a 95% (+/-3%) confidence interval for the survey results. We found that 80% of respondents recommended annual or biennial orthopaedic clinical and radiographic examinations, with more frequent follow-up times for clinical or radiologic signs of failure, previous revision arthroplasty, previous joint sepsis, and subnormal periprosthetic bone quality. Further research is needed to correlate follow-up care type and frequency with outcomes, complications, and costs.

Publication Title

Journal of Arthroplasty

Volume

18

Issue

8

First Page

954

Last Page

962

DOI

10.1016/j.arth.2003.09.001

Version

pre-print, post-print, no publisher's pdf

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