American Hip Institute

2014 - Domb et al. Hip Arthroplasty or Medical Management: A Challenging Treatment Decision for Younger Patients. Journal of Arthroplasty

Christine E. Stake, DHA a,b, Patricia Y. Talbert, Ph.D., MPH, CPHA, CHES b,William J. Hopkinson, M.D. c, Robert J. Daley, M.D. a, Kris J. Alden, M.D., Ph.D. a, Benjamin G. Domb, M.D. a,c


The two main treatment options for total hip arthroplasty (THA),medicalmanagement 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 totalWOMAC scoreswere statistically significant (P b .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 restrictionswere also influential variables as thesewere highly correlatedwith pain.

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