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Related Experiment Videos

Patient satisfaction and function after primary and revision total hip replacement

B Espehaug1, L I Havelin, L B Engesaeter

  • 1Department of Public Health and Primary Health Care, University of Bergen, Norway.

Clinical Orthopaedics and Related Research
|July 1, 1998
PubMed
Summary

Total hip replacement improves function and satisfaction, but revision surgery yields less benefit than primary surgery. Revision patients experienced declines in employment and exercise habits post-operation.

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Area of Science:

  • Orthopedic Surgery
  • Biomedical Engineering
  • Patient Outcomes Research

Background:

  • Total hip replacement (THR) is a common procedure for hip osteoarthritis.
  • Assessing patient satisfaction and functional outcomes is crucial for evaluating THR success.
  • Revision THR is performed when primary implants fail or cause issues.

Purpose of the Study:

  • To compare patient-reported satisfaction and function after primary THR versus revision THR.
  • To identify differences in outcomes between patients undergoing primary-only surgery and those requiring revision surgery.

Main Methods:

  • A cohort study design was used, analyzing data from the Norwegian Arthroplasty Register (1987-1993).
  • Patient-reported outcomes (satisfaction, pain, function, employment, exercise) were assessed pre- and post-surgery.

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  • Statistical adjustments were made for primary diagnosis, gender, age, bilaterality, and time since operation.

    • Main Results:

    • Overall satisfaction was high in both groups (84% primary, 61% revision).
    • Both groups showed significant improvements in pain, walking ability, and need for help after THR.
    • Improvement was less pronounced in the revision surgery group compared to the primary-only group.
    • Revision surgery was associated with a decline in employment status and exercise habits.

    Conclusions:

    • Total hip replacement provides substantial functional benefits for both primary and revision patients.
    • Revision total hip replacement offers less improvement and may negatively impact employment and exercise compared to primary surgery.
    • Patient-reported outcomes highlight the importance of considering revision-specific challenges.