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Expect the best, prepare for the worst: surgeon and patient expectation of the outcome of primary total hip and knee replacement.

机译：期望最好，为最坏的情况做准备：外科医生和患者对一次全髋关节和膝关节置换手术的结果的期望。

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摘要

A cross-sectional study of 100 surgeons and 370 patients awaiting primary total hip or knee replacement was carried out. Oxford hip or knee score questionnaires were sent to the surgeons and patients. They were asked to predict the level of symptoms expected 6 months following surgery. The Oxford scores derive a value of 12-60, with a greater score indicating worsening symptoms. The mean pre-operative score was 45.12 for the hip patients and 42.96 for the knee patients, and the patients expected this to drop to 23.70 and 25.66, respectively, 6 months' postoperatively. This was a significant difference for both groups. The surgeons expected the patients to have a mean postoperative score of 20.91 for the hip group and 22.19 for the knee group. The surgeons' scores were significantly lower than those from the patients. There was a significant difference between the patients' and surgeons' expectations of the results of total knee and hip replacement surgery. The surgeons expected better results than the patients. We believe that this is the first study that directly compares surgeon and patient expectations of lower limb arthroplasty.
机译：进行了一项横断面研究，对100名外科医生和370名等待初次全髋关节或膝关节置换的患者进行了研究。将牛津大学的髋关节或膝关节评分问卷发送给外科医生和患者。他们被要求预测术后6个月的症状水平。牛津分数得出的值为12-60，分数越高表明症状越严重。髋关节患者的平均术前评分为45.12，膝关节患者的平均术前评分为42.96，患者预期术后6个月的平均评分分别降至23.70和25.66。这对两组而言都是显着的差异。外科医生预计患者髋关节组术后平均得分为20.91，膝关节组平均得分为22.19。外科医生的得分明显低于患者。患者和外科医生对全膝关节和髋关节置换手术结果的期望之间存在显着差异。外科医生期望比患者更好的结果。我们相信这是第一项直接比较外科医生和患者对下肢关节置换术的期望的研究。

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