Hip Surgery Candidates: A Comparative Study of Hip Osteoarthritis and Prior Hip Fracture Patient Characteristics

Ray Marks

doi:10.2174/1874325000802010079

Abstract

Aim:To assess similarities and differences in patient-related characteristics before and after surgery for painful disabling hip osteoarthritis among elderly subgroups with and without a trauma history.Method:First, a cohort of 1000 hospitalized patients were assessed for trends in: perceived duration of the condition, pain intensity, functional performance ability, walking distance, body mass, and comorbidity characteristics among other factors. Then, the most salient of these patient-related characteristics were compared between 42 cases of hip osteoarthritis without a trauma history and 42 cases with a trauma history matched for age and gender, using medical records and standard data recording and analysis procedures.Results:Hip osteoarthritis cases with a prior hip fracture history had a longer duration of disability, and were more impaired functionally before surgery (p < 0.05) than those with no such history. They also had lower leg muscle strength and used more assistive devices.Conclusion:Patients undergoing hip replacement surgery for painful hip osteoarthritis who have a hip fracture history are likely to be more impaired and disabled than those with no such history.

Highlights

Hip osteoarthritis is a common disorder affecting about 1.5% of United States adults
The large cohort was constituted by 1000 cases diagnosed as having clinical and radiographic hip osteoarthritis requiring replacement surgery, ages 26-93, mean age 65+13.4 years
More patients were classified as having a nontraumatic disease associated history, and of the 13% of cases who had a hip fracture history, 9% reported a past hip fracture history

Summary

Introduction

Hip osteoarthritis is a common disorder affecting about 1.5% of United States adults It is associated with increasing age, and often causes functional, social, and psychological disability, as well as financial difficulties. While generally successful in achieving its goal, this therapeutic approach does not take into account the fact that variations in the disease prevail and evidence that variations in outcome exist [3]. These variations [3] may be due to patient-related, rather than technological factors [4] and amenable to examination and possible remediation. The literature suggests that the hip fracture patient who develops secondary hip osteoarthritis following

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