An evaluation of patients’ quality of life before, 6 weeks and 6 months after total hip replacement surgery

Abstract

Annually, throughout the world, more than 800,000 primary total hip replacement surgery procedures are performed on patients suffering from hip joint arthrosis. Since 1991, approximately 11,000 of these procedures are performed annually in Sweden. This study aimed to investigate any changes in the patients' life quality 6 weeks and 6 months after their total hip replacement surgery had been performed, compared to that immediately prior to the operation. It also aimed to examine the reason for surgery, the types of prostheses used, postoperative pain, complications and the actual usage of ambulation support. The Sickness Impact Profile self-appraisal instrument, together with personal patient interviews have been used as the basis of the research. A total of 51 patients responded to the quality of life instrument prior to their operation, 47 of these participated 6 weeks after the operation, and 40 patients 6 months after the operation. Significant differences in patients' total, physical and psychosocial quality of life 6 months postoperatively compared to the situation prior to the operation were found, but not between the situation before and 6 weeks after the total hip replacement surgery. The majority of patients were of the opinion that it was more important that the pain had disappeared or decreased, than any overall increase in the quality of life. Postoperative complications occurred within 6 weeks, and even after 6 months some patients still suffered from these.

Obesity is a Major Risk Factor for Prosthetic Infection after Primary Hip Arthroplasty

“…Substantial improvements in function and quality of life for patients after joint arthroplasty have been reported but considerable risk for complications for patients who are obese also has been reported [8,17,19,23,24,26,36]. Few studies report specifically on the incidence of acute periprosthetic infection for obese patients after primary hip arthroplasty and even fewer have controlled for comorbidities [28][29][30].…”

“…Although much has been reported on the improvement in function and quality of life for patients after joint arthroplasty, considerable risks of postoperative complications for patients who are obese also have been reported [8,17,19,23,24,26,36]. However, few studies report the incidence of deep infection in patients who are obese after primary hip arthroplasty.…”

Comparing the Quality of Life Before and After Total Hip Arthroplasty Operation in Patients With Developmental Dysplasia of the Hip

“…Nikolaos T. Roidis studied the "quality of life" after THA operation and came into conclusion that THA in congenital hip dislocation (CHD) result in entirely longterm improvement in the "quality of life" [19]. Alessandra Tellini et al (2008) in the article entitled" Quality of life evaluation in patients affected by osteoarthritis secondary to congenital hip dysplasia after total hip replacement, reported the improvement in the "quality of life".…”

Minimally-invasive total hip arthroplasty will improve early postoperative outcomes: a prospective, randomized, controlled trial

“…Operation trauma and blood loss were more than MIS. And physical and mental conditions could be improved significantly 6 months after operation [10]. The percentages of wound hematoma, infection, and deep vein thrombosis, myocardial ischemia, and respiratory failure rate were significantly higher in transfusion patients [11].…”