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

Abstract

Purpose: Developmental dysplasia of the hip (DDH) increases the risk of secondary degenerative changes and subsequent total hip arthroplasty. The postoperative quality of life in patients with DDH who have been born and grown with this disability and adapted to it during the life, is one of the most challenging issues. This study aimed to compare the quality of life of patients with DDH before and after total hip arthroplasty (THA) operation. Methods:This research has a quasi-experimental/interventional design. A group of 20 patients with DDH, who underwent THA operation in Akhtar and Shafa yahyaiyan hospitals, were evaluated before operation and 6 months after it using SF36 quality of life questionnaire. Results:Findings showed significant improvement in all SF-36 subscales scores, including physical function, role physical, role emotional, vitality, mental health, social function, bodily pain, general function, and general health as well as total score (P=0.002). SF-36 mean(SD) scores before and after surgery was 27.41(22.75) and 79.12(28.03), respectively. Conclusion:THA operation improves the quality of life of patients with DDH.

Does THA Improve Social Status Among Turkish Women With Developmental Dysplasia of the Hip?

“…Although there was no difference between groups preoperatively, the THA group had substantial improvement in all SF-36 subsections postoperatively. Sanei et al [13] observed the highest improvement in the pain subsection, whereas we found the highest improvement was in the social role function closely followed by the mental health subsection. Cultural differences and social expectations may have contributed to this difference.…”

“…Tellini et al [15] reported that QOL was improved in patients who underwent hip replacement for DDH. Likewise, a study by Sanei et al [13] showed that the mean SF-36 scores of patients with DDH increased from 27.41 to 79.12 points after THA, an immense improvement in QOL. In the present study, the increase in the scores of SF-36 subsections ranged from 22.0 to 58.64 points in patients who underwent THA.…”

“…The degree to which THA can improve the lives of women in these specific ways in a patriarchal culture has not, to our knowledge, been studied. THA has been shown to improve QOL in patients with osteoarthritis secondary to DDH [5,13,15]. Our clinical experience led us to believe that these patients-especially women in traditional societies-may benefit from surgical intervention and improve their socioeconomic status even if functional gain is not expected.…”

Introductory Chapter: Five-Dimensional Approach to the Developmental Dysplasia of the Hip

“…Several studies demonstrated long-term improvement in QoL after THA in patients diagnosed with DDH [88,89]. Although very important for patient, QoL assessment should be primarily used to identify their expectation regarding the type of treatment and should not replace clinical examination and standard diagnostic methods [90,91].…”

Can Functional Assessment Tools Reflect Balance Abilities at 3 Months after Total hip Arthroplasty?

“…Many studies have shown that THA is effective at improving hip function (Sanei et al, 2016;Uhrbrand et al, 2014). However, in the case of balance ability, there have been conflicting reports depending on studies.…”