Projects per year
Abstract
Background: Demand for revision total hip arthroplasty (RTHA) continues to grow worldwide and is expected to more than double within the next 1-2 decades. The primary aim of this study was to examine return to function following revision THA in a UK population.Patients & methods: We assessed 118 patients (132 RTHAs, mean age 65 years SD 13, range 23 to 88) at a mean follow-up of 7.9 years (SD 4.4) postoperatively. Preoperative age, gender, BMI, social deprivation, operative indication, comorbidities, activity level (UCLA score) and Oxford Hip Scores (OHS) were recorded. Postoperative UCLA score, OHS, EQ-5D, satisfaction levels and performance in activities of daily living (ADLs) were obtained and univariate and multivariate analysis performed.Results: Mean UCLA activity score improved following RTHA (p<0.001): UCLA activity score improved in 37% and was unchanged in 50%; 49% of patients engaged in at least moderate level activities (UCLA score ≥ 6). Patient BMI, gender, age and reason for revision did not influence levels of pain, stiffness or activity at follow up. Preoperative UCLA activity scores (p<0.001) independently predicted long-term UCLA scores. Independent predictors (p<0.05) of poor hip specific function (OHS) following revision included social deprivation, revision for peri-prosthetic fracture and lower preoperative OHS. Difficulties with ADLs were associated with increasing deprivation, ≥3 comorbidities, and revision for periprosthetic fracture or infection (p<0.05). Overall, 79% of patients remained satisfied or very satisfied following revision THA. Following RTHA, 10% suffered a dislocation and 13% required reoperation for complications.Conclusion: Revision THA facilitates long-term return to preoperative levels of physical activity in the majority of patients, though activity levels increase in one third only. Overall over three quarters are satisfied with their outcome, but revision for periprosthetic fracture or dislocation gives the worse overall outcomes and lower satisfaction levels.
Original language | English |
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Pages (from-to) | 411-421 |
Number of pages | 11 |
Journal | Archives of Orthopaedic and Trauma Surgery |
Early online date | 7 Dec 2018 |
DOIs | |
Publication status | Published - Mar 2019 |
Keywords / Materials (for Non-textual outputs)
- Revision Arthroplasty
Fingerprint
Dive into the research topics of 'Return to activity following revision total hip arthroplasty'. Together they form a unique fingerprint.Projects
- 2 Finished
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reSTARt - Edinburgh Royal Infirmary Arthroplasty Outcomes Database
Simpson, H. (Principal Investigator)
Non-EU industry, commerce and public corporations
1/01/15 → 31/03/20
Project: Research
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EORD: Edinburgh Orthopaedic Research Database Ethics Reference 16/SS/0026
MacDonald, D. (Co-investigator), Howie, C. (Principal Investigator) & Simpson, H. (Principal Investigator)
1/08/02 → 31/12/24
Project: Research
Research output
- 1 Article
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Activity levels and return to work after revision total hip and knee arthroplasty in patients under 65 years of age
Scott, C. E. H., Turnbull, G. S., Powell-Bowns, M. F. R., MacDonald, D. J. & Breusch, S. J., 8 Aug 2018, In: The Bone & Joint Journal. 100B, 8, p. 1043-1053 11 p.Research output: Contribution to journal › Article › peer-review