Hip Arthroplasty or Medical Management: A Challenging Treatment Decision for Younger Patients

Christine E. Stake; Patricia Y. Talbert; William J. Hopkinson; Robert J. Daley; Kris J. Alden; Benjamin G. Domb

doi:10.1016/j.arth.2015.01.032

Hip Arthroplasty or Medical Management: A Challenging Treatment Decision for Younger Patients

Christine E. Stake^*, Patricia Y. Talbert, William J. Hopkinson, Robert J. Daley, Kris J. Alden, Benjamin G. Domb

^*Corresponding author for this work

Surgery

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

The two main treatment options for total hip arthroplasty (THA), medical management and surgical intervention, have advantages and disadvantages, creating a challenging decision. Treatment decisions are further complicated in a younger population (≤50) as the potential need for revision surgery is probable. We examined the relationship of selected variables to the decision-making process for younger patients with symptomatic OA. Thirty-five participants chose surgical intervention and 36 selected medical management for their current treatment. Pain, activity restrictions, and total WOMAC scores were statistically significant (P < .05) for patients selecting surgical intervention. No difference in quality of life was shown between groups. Pain was the only predictor variable identified, however, activity restrictions were also influential variables as these were highly correlated with pain.

Original language	English (US)
Pages (from-to)	950-954
Number of pages	5
Journal	Journal of Arthroplasty
Volume	30
Issue number	6
DOIs	https://doi.org/10.1016/j.arth.2015.01.032
State	Published - Jun 1 2015

Keywords

Decision-making
Medical management
Surgical intervention
Total hip arthroplasty
Younger population

ASJC Scopus subject areas

Orthopedics and Sports Medicine

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10.1016/j.arth.2015.01.032

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abstract = "The two main treatment options for total hip arthroplasty (THA), medical management and surgical intervention, have advantages and disadvantages, creating a challenging decision. Treatment decisions are further complicated in a younger population (≤50) as the potential need for revision surgery is probable. We examined the relationship of selected variables to the decision-making process for younger patients with symptomatic OA. Thirty-five participants chose surgical intervention and 36 selected medical management for their current treatment. Pain, activity restrictions, and total WOMAC scores were statistically significant (P < .05) for patients selecting surgical intervention. No difference in quality of life was shown between groups. Pain was the only predictor variable identified, however, activity restrictions were also influential variables as these were highly correlated with pain.",

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