Category Ranking
98%
Total Visits
921
Avg Visit Duration
2 minutes
Citations
20
Article Abstract
Background: Despite the prevalence of total hip arthroplasty (THA) as a treatment for hip-related conditions, there is limited research directly comparing the patient-reported outcome measures between primary and revision total hip arthroplasty (rTHA). This study compared the time to achieve minimal clinically important difference (MCID) between primary and rTHA.
Methods: We conducted a retrospective analysis comparing 6,671 THAs (6,070 primary and 601 all-cause rTHAs) performed between 2016 and 2022. Patient-reported outcomes were evaluated using preoperative and postoperative scores of Patient-Reported Outcomes Measurement Information System (PROMIS) Global Physical, PROMIS Physical Function Short Form 10a (PF-10a), and Hip Injury and Osteoarthritis Outcome Score - Physical Function Short Form (HOOS-PS). The time to achieve MCID was assessed using survival curves with and without interval-censoring, and statistical comparisons were performed using log-rank and weighted log-rank tests.
Results: Comparing the time to achieve MCID without interval-censoring, primary total hip arthroplasty (pTHA) demonstrated significantly faster median times than rTHA for PROMIS Global Physical (3.3 versus 3.9 months, P < 0.001), PROMIS PF-10a (3.6 versus 6.2 months, P < 0.001), and HOOS-PS (3.1 versus 4.0 months, P < 0.001). Similarly, when using interval-censoring, pTHA continued to achieve MCID significantly faster than rTHA for PROMIS Global Physical (0.23 to 0.24 versus 0.50 to 0.51 months, P < 0.001), PROMIS PF-10a (1.43 to 1.44 versus 3.03 to 3.04 months, P < 0.001), and HOOS-PS (0.87 to 0.87 versus 1.20 to 1.21 months, P < 0.001).
Conclusions: Across all patient-reported outcome measures, pTHA achieved MCID significantly faster than rTHA, irrespective of interval-censoring. These findings underscore the importance of setting realistic postoperative recovery expectations during perioperative patient counseling. Future studies should investigate the factors influencing time to achieve MCID and explore how to enhance rTHA techniques and perioperative management for improved patient outcomes.
Level Of Evidence: III.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.arth.2024.10.002 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Significant differences in the rate of periprosthetic joint infections in revision hip and knee arthroplasty depending on the applied definition.
Arch Orthop Trauma Surg
September 2025
Adult Reconstruction and Joint Replacement Service, Hospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA.
Background: Differentiating periprosthetic joint infections (PJI) from aseptic failure is challenging in total joint arthroplasty. To date, there is no consensus about the most accurate criteria to diagnose PJI. The current study compares common diagnostic PJI criteria.
View Article and Find Full Text PDFEstimation of cup orientation on intraoperative fluoroscopy in total hip arthroplasty: how safe is the safe zone-an experimental study.
Arch Orthop Trauma Surg
September 2025
Division of Orthopaedics and Traumatology, Cantonal Hospital Winterthur, Winterthur, Switzerland.
Background: Accurate acetabular cup orientation in total hip arthroplasty (THA) is crucial for successful outcomes. Intraoperative fluoroscopy may be used to evaluate acetabular cup placement. This study aimed to evaluate the accuracy of purely visual estimation of cup inclination and anteversion using intraoperative fluoroscopy, considering different surgeon experience levels and cup designs.
View Article and Find Full Text PDFBilateral Osteonecrosis of the Femoral Head and Proximal Femur After Corticosteroid Injections: A Case Report.
J Am Acad Orthop Surg Glob Res Rev
September 2025
From the Mayo Clinic Alix School of Medicine, Scottsdale, AZ (Ms. Hiredesai and Mr. Holle), and the Department of Orthopedic Surgery, Mayo Clinic, Phoenix, AZ (Dr. Van Schuyver, Dr. Deckey, Dr. Probst, and Dr. Spangehl).
Atraumatic bilateral osteonecrosis of the femoral head (ONFH) is a rare phenomenon whose etiology is not fully understood. In this report, we describe the case of a 75-year-old female patient who developed rapidly onset bilateral ONFH after intra-articular corticosteroid injections. She was treated with staged bilateral total hip arthroplasty.
View Article and Find Full Text PDFSoft-Tissue Sources of Extra-articular Pain Following Total Hip Arthroplasty: A Comprehensive Review.
J Am Acad Orthop Surg Glob Res Rev
September 2025
From the American Hip Institute Research Foundation (Dr. Quesada-Jimenez, Dr. Kahana-Rojkind, and Dr. Domb), and the American Hip Institute, Chicago, IL (Dr. Domb).
Hip pain after a total hip arthroplasty is a prevalent condition. Once aseptic loosening and infection have been ruled out, the possible entities are vast. Accurate diagnosis in this patient population is challenging because they might present in different stages of their recovery process and the potential overlap of some conditions.
View Article and Find Full Text PDFLower baseline scores best predict achievement of the minimal clinically important difference after hip arthroscopy: A machine learning analysis from the Femoroacetabular Impingement RandomiSed Controlled Trial and embedded prospective cohort.
Knee Surg Sports Traumatol Arthrosc
September 2025
Department of Surgery, Division of Orthopaedic Surgery, McMaster University, Hamilton, Ontario, Canada.
Purpose: This analysis evaluated whether logistic regression and machine learning models could predict achievement of the minimal clinically important difference (MCID) for the International Hip Outcome Tool (iHOT-12) and Hip Outcome Score (HOS) at 6 and 12 months following hip arthroscopy.
Methods: Data from the multicenter Femoroacetabular Impingement RandomiSed controlled Trial and its embedded prospective cohort were used. A total of 309 patients (mean ± SD age 34.