Patient-Perceived Quality of Life after Total Hip Arthroplasty: Elective versus Traumatological Surgery

Abstract

Purpose. The aim was to evaluate and compare patient's health-related quality of life after THA for osteoarthritis and femoral neck fracture. The postoperative outcome was retrospectively evaluated in patients who underwent THA with an intracapsular femoral neck fracture (Group A) or with an hip osteoarthritis (Group B). Methods. Length discrepancy was measured on postoperative X-rays. Study groups were compared as to age, results of WOMAC and SF-36 tests, limb length discrepancy (LLD) by independent group t-test. Correlations between LLD and results obtained atWOMAC test were performed. 117 patients were enrolled. The 2 groups were similar as to age, type of implanted stem and sex. Mean follow up was 2,4 years for group A and 2,3 years for group B. Results. WOMAC score was found higher in group A in all items examinated. Correlation tests did not indicate a statistically significant linear relationship between LLD and WOMAC score in both groups. Conclusions. Patients who received THA for arthritis have better perception of quality of life than traumatologic patients. Although LLD should always be strongly considered by the surgeons performing a THA, LLD alone can't be considered as an indicator of patient dissatisfaction or clinical bad result after a 2-year followup.

Factors Affecting the Quality of Life of Patients after Total Hip Replacement

“…This validated tool was adopted from Aprato et al (10) , it was concerned with assessment of quality of life for patients after THR. It consisted of 36 questions categorized into seven subscales:…”

Predicting dissatisfaction following total hip arthroplasty using a Bayesian model averaging approach: Results from the Australian Arthroplasty Clinical Outcomes Registry National (ACORN)

“…For THA, previous studies have proposed that preoperative and postoperative functional scores, mental health status, patient resilience, arthritis affecting other major joints, elective versus traumatological, and patient expectation fulfillment are significant determinants of dissatisfaction 1,6,13–21 . However, most of these studies have limitations, including small sample sizes, 1,6,13,17 missing data, 1,6,13,14 retrospectively collected data, 13,15 and single‐center participation 1,6 …”

“…For THA, previous studies have proposed that preoperative and postoperative functional scores, mental health status, patient resilience, arthritis affecting other major joints, elective versus traumatological, and patient expectation fulfillment are significant determinants of dissatisfaction. 1,6,[13][14][15][16][17][18][19][20][21] However, most of these studies have limitations, including small sample sizes, 1,6,13,17 missing data, 1,6,13,14 retrospectively collected data, 13,15 and single-center participation. 1,6 The primary outcome of this study was to identify the rate of satisfaction following THA and to determine the preoperative and postoperative factors associated with dissatisfaction following THA using prospectively collected patient-reported data.…”

Neuraxial anaesthesia is associated with improved outcomes and reduced postoperative complications in patients undergoing aseptic revision total hip arthroplasty

“…Total hip arthroplasty (THA) is an established and successful intervention in addressing displaced femoral neck fracture and end-stage hip osteoarthritis, a condition affecting 2.5% of adults >40 years. 1,2 Despite the efficacy of THA, estimates show a failure rate of 1% per year, which usually requires revision total hip arthroplasty (rTHA). 3 In 2005, Kurtz et al 1 projected a 200% increase in the amount of rTHA procedures performed by 2030.…”