Abstract
Purpose. The aim was to evaluate and compare patient's health-related quality of life after THA for osteoarthritis and femoral neck fracture. The postoperative outcome was retrospectively evaluated in patients who underwent THA with an intracapsular femoral neck fracture (Group A) or with an hip osteoarthritis (Group B). Methods. Length discrepancy was measured on postoperative X-rays. Study groups were compared as to age, results of WOMAC and SF-36 tests, limb length discrepancy (LLD) by independent group t-test. Correlations between LLD and results obtained atWOMAC test were performed. 117 patients were enrolled. The 2 groups were similar as to age, type of implanted stem and sex. Mean follow up was 2,4 years for group A and 2,3 years for group B. Results. WOMAC score was found higher in group A in all items examinated. Correlation tests did not indicate a statistically significant linear relationship between LLD and WOMAC score in both groups. Conclusions. Patients who received THA for arthritis have better perception of quality of life than traumatologic patients. Although LLD should always be strongly considered by the surgeons performing a THA, LLD alone can't be considered as an indicator of patient dissatisfaction or clinical bad result after a 2-year followup.
Highlights
Total hip arthroplasty is a common treatment for osteoarthritis of the hip or for intracapsular femoral neck fractures
With over 30 years of follow-up data, many studies [1,2,3,4,5] have shown that total hip arthroplasty is an effective treatment for both conditions
Patients presenting with an intracapsular femoral neck fracture (Group A) or with a diagnosis of primary osteoarthritis (OA) (Group B) requiring primary total hip replacement (THA) were included in the study
Summary
Total hip arthroplasty is a common treatment for osteoarthritis of the hip or for intracapsular femoral neck fractures. With over 30 years of follow-up data, many studies [1,2,3,4,5] have shown that total hip arthroplasty is an effective treatment for both conditions. For this reason, total hip replacement (THA) has proven to be a reliable procedure and one author has defined it as the “the operation of the century” [6]. THA is considered a successful operation, the underlying condition requiring the patient to undergo THA may affect outcome
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