PURPOSE: This study aims to compare PROM improvements and satisfaction rates between revision (rTHA) and primary total hip arthroplasty (pTHA). METHODS: 84 rTHAs were propensity-score matched to 168 pTHAs using patient demographics and preoperative PROMs. Multiple regression was used to evaluate differences in PROMs, minimal clinically important difference (MCID) attainment and patient satisfaction. RESULTS: Compared to pTHA patients, rTHA patients had poorer MCID attainment for OHS, WOMAC and SF-36 PCS and lower satisfaction rates at 2-years postoperatively (p < 0.05). CONCLUSION: Patients undergoing rTHA are likely to have poorer outcomes and should be appropriately counselled to better manage their preoperative expectations. LEVEL OF EVIDENCE: Level II.
PURPOSE: This study aims to compare PROM improvements and satisfaction rates between revision (rTHA) and primary total hip arthroplasty (pTHA). METHODS: 84 rTHAs were propensity-score matched to 168 pTHAs using patient demographics and preoperative PROMs. Multiple regression was used to evaluate differences in PROMs, minimal clinically important difference (MCID) attainment and patient satisfaction. RESULTS: Compared to pTHA patients, rTHA patients had poorer MCID attainment for OHS, WOMAC and SF-36 PCS and lower satisfaction rates at 2-years postoperatively (p < 0.05). CONCLUSION: Patients undergoing rTHA are likely to have poorer outcomes and should be appropriately counselled to better manage their preoperative expectations. LEVEL OF EVIDENCE: Level II.
Authors: Sameer Badarudeen; Albert C Shu; Kevin L Ong; Doruk Baykal; Edmund Lau; Arthur L Malkani Journal: J Arthroplasty Date: 2017-02-01 Impact factor: 4.757
Authors: Malcolm Guan Hin Yeo; Graham S Goh; Jerry Yongqiang Chen; Ngai-Nung Lo; Seng-Jin Yeo; Ming Han Lincoln Liow Journal: J Arthroplasty Date: 2020-04-20 Impact factor: 4.757