HEALTH-RELATED QUALITY-OF-LIFE AFTER TOTAL HIP-REPLACEMENT

Total hip replacement (THR) is a commonly performed orthopedic procedu re with an increasing rate of utilization. It is performed to relieve symptoms of pain and help restore the loss of function that follows ad vanced hip diseases, including osteoarthritis, rheumatoid arthritis, a nd avascular necrosis. Although there are numerous studies evaluating patient outcomes after THR with respect to physical functioning and pa in relief, relatively few studies have specifically evaluated changes in health-related quality of life (QOL). We reviewed a total of 20 stu dies that evaluated changes in QOL after THR. Results of all studies w ere consistent in showing beneficial and often dramatic improvements i n QOL after elective THR. These improvements were most likely to occur within the first 3 to 6 months after THR, Future research should asse ss the impact of both patient-level predictors and the role of various surgical approaches in contributing to successful outcomes after THR. ( )Copyright (C) 1996 by W.B. Saunders Company