Abstract
We have treated 42 total hip arthroplasty (THA) revision on 40 hip joints since 1976. We supposed that not only the technical skill, implant, and individual frame as well as the patient's quality of life (QOL) influenced recovery after THA. Then we studied our revision cases on the aspect of their QOL.
Half of the patients were obese and tended to put on weight rather than reduce weight despite our advice. We advised them to avoid squatting positions. Only cases using western-style lavatories improved completely. Patients of stubborn, goodnatured or restless character were dominant. None of the male patients whose job were heavy lavor did not changed their job. Eleven percent of the female patients had the bedridden families who needed to be cared. Such patients tended to result in the revision.
On the other hand, some patients have escaped the revision by improving these factors. Furthermore, other patients have been controlled well by taking our advice, even though findings of their X-ray showed that they need further operations.
Therefore, we suggest that we have to consider the patient's QOL and their character when making decision of THA and THA revision, especially in young patients.
