Does Gender Affect Satisfactions of Patients with Total Hip Arthroplasty?

Purpose: Patient satisfaction in orthopedic surgeries may differ according to age, gender, diagnosis, lifestyle, and cultural habits. The objective of this study was to investigate the satisfactions of patients with total hip arthroplasty THA in terms of gender. Methods: Primary THA patients who had undergone surgery at least 6 months before, aged 18 years or more, were enrolled in the study. All the patients were operated upon by the same surgeon. Patients with THA were evaluated by clinical status and satisfaction questionnaire, and differences were investigated between genders.Results: In total, 94 patients 35 male, 59 female were included, with a mean age of 57.1±14.6 years. The ability of the operation to reduce the medical need for pain was the most satisfactory parameter, while activity and work level for the last three months was the least satisfactory parameter for the patients. There was no significant difference between male and female satisfaction level.Conclusion: We found no significant difference between genders regarding clinical status and satisfaction. Thus, we concluded that gender is not important in determining the treatment goals of patients following THA

___

  • Unver B, Karatosun V, Gunal I, Angin S. Comparison of two different rehabilitation programmes for thrust plate prosthesis: a random- ized controlled study. Clin Rehabil 2004; 18:84-91. [CrossRef]
  • Unver B, Kahraman T, Kalkan S, Yuksel E, Karatosun V. Reliability of the six-minute walk test after total hip arthroplasty. Hip Int 2013; 23:541-545. [CrossRef]
  • Nguyen-Oghalai TU, Ottenbacher KJ, Granger CV, Goodwin JS. Impact of osteoarthritis on the rehabilitation of patients following a stroke. Arthritis Rheum 2005; 53:383-387. [CrossRef]
  • Mahomed NN, Liang MH, Cook EF, et al. The importance of patient expectations in predicting functional outcomes after total joint ar- throplasty. J Rheumatol 2002; 29:1273-1279.
  • Mancuso CA, Graziano S, Briskie LM, et al. Randomized trials to modify patients’ preoperative expectations of hip and knee arthro- plasties. Clin Orthop Relat Res 2008; 466:424-431. [CrossRef]
  • Mancuso CA, Salvati EA, Johanson NA, Peterson MG, Charlson ME. Patients’ expectations and satisfaction with total hip arthroplasty. J Arthroplasty 1997; 12:387-396. [CrossRef]
  • Eisler T, Svensson O, Tengstrçm A, Elmstedt E. Patient expectation of sat- isfaction in revision total hip arthroplasty. J Arthroplasty 2002; 17:457-462. [CrossRef]
  • Noble PC, Conditt MA, Cook KF, Mathis KB. Patient expectations af- fect satisfaction with total knee arthroplasty. Clin Orthop Relat Res 2006; 452:35-43. [CrossRef]
  • Jones CA, Beaupre LA, Johnston DW, Suarez-Almazor ME. Total joint arthroplasties: current concepts of patient outcomes after sur- gery. Clin Geriatr Med 2005; 21:527-541. [CrossRef]
  • Hamilton DF, Lane JV, Gaston P, et al. What determines patient sat- isfaction with surgery? A prospective cohort study of 4709 patients following total joint replacement. BMJ Open 2013; 3:pii: e002525. [CrossRef]
  • Elibol N, Unver B, Karatosun V. Investigation of expectations of pa- tients having undergone total hip arthroplasty in our society. J Or- thopaedics 2012; 9:e7.
  • Taper with Kinectiv Technology; Hip designed to fit the unique anat- omies of women and men. Available at: URL: www. zimmer. com/ Zimmer M/L
  • Atilla B, Oznur A, Cağlar O, Tokgözoğlu M, Alpaslan M. Osteometry of the femora in Turkish individuals: a morphometric study in 114 ca- daveric femora as an anatomic basis of femoral component design. Acta Orthop Traumatol Turc 2007; 41:64-68.
  • Iyem C, Güvençer M, Karatosun V, Unver B. Morphometric evalua- tion of proximal femur in patients with unilateral total hip prosthesis. Clin Anat 2014; 27:478-488. [CrossRef]
  • Baumann C, Rat A, Osnowycz G, et al. Do clinical presentation and pre-operative quality of life predict satisfaction with care after to- tal hip or knee replacement. J Bone Joint Surg Br 2006; 88:366-373. [CrossRef]
  • Kostamo T, Bourne RB, Whittaker JP, McCalden RW, MacDonald SJ. No difference in gender-specific hip replacement outcomes. Clin Orthop Relat Res 2009; 467:135-140. [CrossRef]
  • Mancuso CA, Jout J, Salvati EA, Sculco TP. Fullfillment of patients’ expectations for total hip arthroplasty. J Bone Joint Surg Am 2009; 91:2073-2078. [CrossRef]
  • Barrack RL, McClure JT, Burak CF, Clohisy JC, Parvizi J, Hozack W. Revision total hip arthroplasty: the patient’s perspective. Clin Or- thop Relat Res 2006; 453: 173-177. [CrossRef]
  • Haddad FS, Garbuz DS, Chambers GK, Jagpal TJ, Masri BA, Dun- can CP. The expectations of patients undergoing revision hip ar- throplasty. J Arthroplasty 2001; 16:87-91. [CrossRef]
  • Amadio PC, editorial. Outcomes measurement: more questions; some answers. J Bone Joint Surg Am 1993; 75:1583-1584. [CrossRef]
  • Kennedy DM, Stratford PW, Riddle DL, Hanna SE, Gollish JD. As- sessing recovery and establishing prognosis following total knee arthroplasty. Phys Ther 2008; 88:22-32. [CrossRef]
  • Bullens PH, Van Loon CJ, De Waal Malefijt MC, Laan RF, Veth RP. Patient satisfaction after total knee arthroplasty: a comparison between subjective and objective outcomes assessment. J Arthro- plasty 2001; 16:740-747. [CrossRef]
  • Palazzo C, Jourdan C, Descamps S, et al. Determinants of satisfac- tion 1 year after total hip arthroplasty: the role of expectations fulfil- ment. BMC Musculoskelet Disord 2014; 15:53. [CrossRef]
  • Hossain M, Parfitt DJ, Beard DJ, et al. Does pre-operative psy- chological distress affect patient satisfaction after primary total hip arthroplasty? BMC Musculoskelet Disord 2011; 12:122. [CrossRef]
  • Altındağ Ö, Sırmatel Ö. Diz osteoartriti olan hastalarda demografik özellikler ve klinik parametrelerle ilişkisi. Harran Üniversitesi Tıp Fak Dergisi 2006; 3:62-66.
  • Toye FM, Barlow J, Wright C, Lamb SE. Personal meanings in the construction of need for total knee replacement surgery. Soc Sci Med 2006; 63:43-53. [CrossRef]
  • Hawker GA, Wright JG, Coyte PC, et al. Differences between men and women in the rate of use of hip and knee arthroplasty. N Engl J Med 2000; 342:1016-1022. [CrossRef]
  • Kennedy LG, Newman JH, Ackroyd CE, Dieppe PA. When should we do knee replacement. Knee 2003; 10:161-166. [CrossRef]
  • Merchant AC, Arendt EA, Dye SF, et al. The female knee: anatomic variations and the female-specific total knee design. Clin Orthop Relat Res 2008; 466:3059-3065. [CrossRef]
  • Walsh M, Woodhouse LJ, Thomas SG, Finch E. Physical impairments and functional limitations: A comparison of individuals 1 year after total knee arthroplasty with control subjects. Phys Ther 1998; 78:248- 258. [CrossRef]
  • Aktug BB. Total diz protezli hastaların fonksiyonel düzeyleri ile mem- nuniyet düzeyleri arasındaki ilişkinin incelenmesi. Yüksek Lisans Tezi. Izmir Dokuz Eylu Univ. 2009