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Total hip arthroplasty for adult patients with hip arthritis in Jordan: clinical profiles and patient characteristics

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Abstract

Purpose

Total Hip Arthroplasty (THA) is one of the most commonly performed orthopaedic surgeries, with hip arthritis being the main indication. This procedure is usually performed when other non-surgical methods fail to relieve patients' hip pain and improve their quality of life. However, limited information exists to identify and compare the demographics and clinical characteristics of patients undergoing this procedure in Jordan. This study aims to identify these demographic and clinical characteristics and compare the findings in terms of gender differences.

Methodology

This is a retrospective study that analysed the hospital records of 650 patients undergoing THA in tertiary referral hospital in Jordan over a four-year period from January 2019 to December 2022. The collected data were classified into three categories: demographic characteristics, perioperative variables, and patients' related health profiles. IBM's Statistical Package for the Social Sciences (SPSS) version 23 software (IBM, USA) and descriptive analysis were used for data analysis.

Results

Two-thirds of the sample studied were female (63.4%). In terms of bleeding profiles, the mean intraoperative blood loss was 542 millilitres. The major indication for THA was degenerative hip arthritis (50.5%), followed by hip dysplasia (40.3%).. Comparing the findings of the two gender groups, females were more likely to have degenerative and dysplastic hip arthritis (221 and 157, p = 0.04 and p = 0.1, respectively) when compared to males. Although males were more likely to lose more blood during the surgery (557 ml vs. 533 ml, p = 0.33, females needed more blood transfusions both during (21 vs. 6 patients, p = 0.12) and after the surgery (57 vs. 16 patients, p = 0.006). Furthermore, females were more likely to have comorbidities such hypertension (293 vs. 179 patients, p = 0.20), and hypothyroidism (313 vs 187, p = 0.36), and diabetes (85 vs. 38 patients, p = 0.15), among many other health conditions. However, in the study sample, male smokers outnumbered female smokers (132 vs. 63).

Conclusion

Gender highly impacted the immediate surgical outcomes of patients who underwent THA. Females were more likely to need blood transfusions both during and after the surgery and had lower post-operative haemoglobin readings. In addition, females had more comorbidities and degenerative hip osteoarthritis. We believe that raising awareness about comorbidity management, preoperative smoking cessation, and perioperative blood transfusion management can improve medical and surgical outcomes.

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Availability of data and materials

The datasets generated during and/or analyzed during the current study are not publicly available but may be made available by the corresponding author on reasonable request.

Abbreviations

THA:

Total Hip Arthroplasty

DDH:

Developmental Dysplasia of the Hip

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Acknowledgements

The authors appreciate the technical support of all the radiology staff.

Funding

The authors declare that no funds, grants, or other support were received during the preparation of this manuscript.

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Authors and Affiliations

  1. Department of Orthopedic Surgery, Jordan University Hospital, P.O. Box: (13046), Amman, 11942, Jordan

    Mohammad N. Alswerki, Bassem I. Haddad & Jihad Alajlouni

  2. Jordan University Hospital, The University of Jordan, Amman, Jordan

    Lana A. AlRaie, Deema Aladwan, Yasmeen Alabed, Alia Ibrahim, Razan Aburumman, Moayad Shaf’ei, Mohammad Sharayah & Mohammed A. Al-Juboori

  3. School of Medicine, Jordan University Hospital, Amman, Jordan

    Mohammad A. Qaraqesh

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  1. Mohammad N. Alswerki
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Contributions

Mohammad Alswerki played a key role in conceptualizing the study, drafting the manuscript, and contributing to the writing process. Lana AlRaie, Deema Aladwan, Yasmeen Alabed, Alia Ibrahim, Razan Aburumman, Moayad Shaf’ei, Mohammad Sharayah, Mohammad Qaraqesh, and Mohammed Al-Juboori were responsible for the comprehensive data collection process, including data gathering, organization, and management. They also played a vital role in the detailed statistical analysis of the collected data. Bassem Haddad and Jihad Alajlouni provided critical input and oversight by reviewing and enhancing the manuscript.

Corresponding author

Correspondence to Mohammad N. Alswerki.

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Ethics approval

Appropriate Institutional Review Board (IRB) approval was obtained for this study from the Jordan University Hospital Clinical Research and Ethics Committee, IRB number (512023). The study was done in line with the Declaration of Helsinki, which is the code of ethics of the World Medical Association.

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Informed consent was obtained from all individual participants included in the study.

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Level of evidence: Level IV, descriptive analysis

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Alswerki, M.N., AlRaie, L.A., Aladwan, D. et al. Total hip arthroplasty for adult patients with hip arthritis in Jordan: clinical profiles and patient characteristics. International Orthopaedics (SICOT) 48, 71–78 (2024). https://doi.org/10.1007/s00264-023-06053-9

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