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When is total hip arthroplasty a failure? The patients' perspective
E J Hellman1, J R Feinberg, W N Capello
1Indiana University, Department of Orthopaedic Surgery, Indianapolis 46202, USA.
The Iowa Orthopaedic Journal
|January 1, 1996
Summary
Most total hip arthroplasty (THA) patients are satisfied and would recommend the procedure. Patients generally accept implant longevity and view revision surgery positively, rarely considering the initial THA a failure.
Area of Science:
- Orthopedic Surgery
- Biomaterials Science
- Patient-Reported Outcomes
Background:
- Total hip arthroplasty (THA) is a common procedure to alleviate hip pain and restore function.
- Understanding patient satisfaction and expectations is crucial for improving THA outcomes.
- Assessing patient perspectives on implant longevity and revision surgery is vital for long-term care planning.
Purpose of the Study:
- To survey patients undergoing primary or revision total hip arthroplasty (THA).
- To evaluate patient satisfaction with THA, expectations of implant longevity, and views on revision surgery.
- To understand patient perspectives on the success or failure of THA in the context of revision.
Main Methods:
- Survey of 186 primary and 92 revision total hip arthroplasty (THA) patients.
- Data collection on patient satisfaction, longevity expectations, and perspectives on revision surgery.
- Analysis of patient responses regarding the perceived success of THA when revision is needed.
Main Results:
- The vast majority of THA patients expressed satisfaction and willingness to recommend the procedure.
- One-third of patients expected their current hip implants to last a lifetime.
- Common patient responses to implant failure included acceptance and disappointment, with few considering primary THA a failure if revision was necessary.
Conclusions:
- Total hip arthroplasty (THA) generally leads to high patient satisfaction and positive recommendations.
- Patient expectations regarding implant longevity vary, with a notable portion anticipating lifelong function.
- Patients exhibit a resilient perspective towards implant longevity and revision surgery, rarely labeling the initial THA as a failure post-revision.