Table of Contents
ISRN Orthopedics
Volume 2011 (2011), Article ID 910392, 6 pages
http://dx.doi.org/10.5402/2011/910392
Clinical Study

Patient-Perceived Quality of Life after Total Hip Arthroplasty: Elective versus Traumatological Surgery

1Orthopaedic and Traumatological Department, S. Luigi Gonzaga Hospital of Orbassano, University of Turin, 72 Corso Lanza, Torino, 10131 Turin, Italy
2Orthopaedic Department, Mauriziano Umberto I Hospital of Turin, University of Turin, 1 Via Magellano, 10128 Turin, Italy
3Pelvic Surgery Department, Orthopaedic and Traumatological Hospital of Turin, University of Turin, 10 Regione Gonzole, Orbassano, 10043 Turin, Italy
4Department of Radiology, Orthopaedic and Traumatological Hospital of Turin, University of Turin, 33 via Zuretti, 10100 Turin, Italy
5Boston Medical Center, 850 Harrison Avenue, Boston, MA 02118, USA

Received 31 March 2011; Accepted 25 April 2011

Academic Editors: J. Gallo and M. Hasegawa

Copyright © 2011 Alessandro Aprato et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.