Quality of life and functional recovery after hip replacement in osteonecrosis of the femoral head with HIV-infected and non-HIV-infected patients
DOI:
https://doi.org/10.14456/dcj.2020.37Keywords:
hip replacement, osteonecrosis of the femoral head, quality of life, function, HIVAbstract
This study aimed to compare quality of life and functional recovery after hip replacement in osteonecrosis of the femoral head (ONFH) between Human Immunodeficiency Virus (HIV) infected and non-HIV-infected groups. The study design was a descriptive and comparative study; the instrument used for data collection was WHOQOL-BREF-THAI and Q-5D-5L (Thai version) questionnaires. The functional recovery after hip replacement was assessed by using Harris Hip score and testing of the difference between two groups was performed using Analysis of Covariance (ANCOVA) and repeated measures ANOVA. The results found that the HIV-infected group and non-HIV-infected group had a satisfaction towards quality of life at good level and the level of satisfaction was not significantly different between both groups. The overall mean quality of life score was 105.17±15.88 vs 101±14.59; p=0.494. The mean EQ-5D-5L index value was 0.85 ± 0.30 vs 0.67 ± 0.50; p=0.173; and the mean (SD) of EQ-VAS was 84.38±19.80 vs 82.50±17.25; p=0.703, respectively. Mean (SD) of Harris Hip Score in functional recovery of 2 groups at preoperative period was 28.52±14.45 vs 21±13.15, at 3 months after surgery was 75.26±10.08 vs 75±7.62, at 6 months was 90.26±10.48 vs 93.33±7.29, and at 1 year was 98±5.33 vs 97.50±2.74. Harris Hip Score was significantly improved in every postoperative visit within group (p<0.001) and was not significantly different between two groups (p=0.672). In conclusion, this study shows that the outcome of hip replacement for ONFH in HIV-infected patients is associated with a good quality of life and improved functional recovery that were not different from those of non-HIV-infected patients and no surgical site infection was found.
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