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Indian Journal of Orthopaedics Surgery


“Evaluation of patient satisfaction after total hip arthroplasty”


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Author Details: Dev Krishan Sharma, Pramod P Neema

Volume : 2

Issue : 3

Online ISSN : 2395-1362

Print ISSN : 2395-1354

Article First Page : 209

Article End Page : 216


Abstract

Background: Nowadays Total Hip Arthroplasty is the final treatment option provided to patients with unsalvageable, severely arthritic, painful and deformed hips. Arthroplasty has evolved over a period of many years.(1-5) Total Hip Arthroplasty is a very successful and a low risk treatment option. It is a safe and cost effective treatment for alleviating pain and restoring physical function in patients unresponsive to non-surgical modalities of treatment. Though the success story of Total Hip Replacement Arthroplasty is well known to us question remain whether patient are satisfied or not.(6-8) However, 7 to 15% of patients are dissatisfied after surgery.(9-11) Till date important technical progresses have already been made in THA, so future progress in this field might not significantly impact patient satisfaction. An emerging area of research lies in the identification of determinants of patient satisfaction which may offer new improvement perspective in quality care and helps in increment in patient satisfaction level.(7) Therefore present study was conducted to evaluate patient satisfaction after THA with the help of HHS, JOA and SF-36 score.(12-18)
Material and Method: The study was conducted in Department of Orthopaedics and Traumatology at USSC, Indore from July 2015 to June 2016.The results of 51 consecutive Total Hip Replacement that was performed during above period was reviewed and studied. Informed consent was taken from all patients. Clearance of ethical committee of the institute was taken. Evaluation done pre operatively and post operatively at 1 month, 3 months and at 6 months with the help of Harris Hip Score, JOA score and SF-36 and evaluated various parameters and correlation between them for patient satisfaction.
Results:  In this study group, the analysis was undertaken to determine the relation or relatedness between the scoring systems. When comparing the post-operative six month follow-up of different scoring systems it was found that SF-36 was correlated with JOA with a Pearson’s correlation coefficient of 0.711, which was significant at the 0.01 level (two tailed), followed by HHS and SF-36 (r=0.672, at 0.01 level) and HHS and JOA (r = 0.431, at 0.05 level of significance).
Conclusion: The post-operative follow-up of different scoring systems revealed that SF-36 was correlated with JOA with a Pearson’s correlation coefficient of 0.711, followed by HHS and SF-36 (r=0.672) and HHS and JOA (r = 0.431). The moderate to low correlation between different scoring systems indicate the unique areas that these systems evaluate; hence any of the scoring systems used cannot be used to replace the other. However using them (at least two) in conjunction appears to be more useful.

Keywords:  THA, THR, Patient satisfaction score, Harris Hip Score, SF-36 score, JOA score, MOS study.