Patient-reported outcome after primary and aseptic revision hip arthroplasty: 1-year follow-up of 3,559 primary and 406 revision THAs in an institutional registry

Authors

  • Tina S Wik Department of Orthopaedic Surgery, St Olavs hospital, Trondheim; Department of Neuromedicine and Movement Science, Faculty of Medicine and Health Science, Norwegian University of Science and Technology NTNU, Trondheim
  • Jomar Klaksvik Department of Orthopaedic Surgery, St Olavs hospital, Trondheim
  • Otto S Husby Department of Orthopaedic Surgery, St Olavs hospital, Trondheim; Department of Neuromedicine and Movement Science, Faculty of Medicine and Health Science, Norwegian University of Science and Technology NTNU, Trondheim
  • Astrid Rasch Department of Clinical Services, St Olavs Hospital, Trondheim, Norway
  • Siri B Winther Department of Orthopaedic Surgery, St Olavs hospital, Trondheim

DOI:

https://doi.org/10.2340/17453674.2021.852

Keywords:

Arthroplasty, Fast track, Hip, patient reported outcome

Abstract

Background and purpose — Patient-reported outcomes (PROMs) after primary total hip arthroplasty (THA) and revision THA are important information in the preoperative shared decision-making process. We present 1-year results on pain, function, and quality of life following primary and revision THA.

Patients and methods — From 2010 to 2018, 3,559 primary THA and 406 revision THAs were included in our institutional quality registry. PROMs were registered preoperatively, 3 months, and 1 year after surgery, numeric rating scale (0–10) for pain during mobilization and at rest, healthrelated quality of life (EQ-5D), and a hip-specific physical function score (HOOS-PS). 2 anchor questions were asked 1 year after surgery concerning joint function and willingness to go through surgery again.

Results — There were statistically significant improvements in all PROMs at the 3-month follow-up in both groups. All PROMs improved more in the primary group relative to the revision group. 1 year after surgery, pain during mobilization was reduced with a mean change of 5.1 (SD 2.6) for primary THA and 2.9 (SD 3.0) for revision THA. 93% of primary THA patients reported both better function 1 year after surgery and that they would have gone through surgery again, compared with 78% and 79% in the revision THA group.

Interpretation — Primary THA patients reported better function and more pain relief than the revision THA group 1 year after surgery. Pain during mobilization shows the most marked improvement in both groups, which is important preoperative information for patients.

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Published

2022-01-03

How to Cite

Wik, T. S., Klaksvik, J., Husby, O. S., Rasch, A., & Winther, S. B. (2022). Patient-reported outcome after primary and aseptic revision hip arthroplasty: 1-year follow-up of 3,559 primary and 406 revision THAs in an institutional registry. Acta Orthopaedica, 93, 132–137. https://doi.org/10.2340/17453674.2021.852

Issue

Section

Clinical observational study

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