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Does unilateral total hip arthroplasty improve pain and function in the non-operative hip joint?

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European Journal of Orthopaedic Surgery & Traumatology Aims and scope Submit manuscript

Abstract

Background

Some reports suggested that the status of the opposite-side hip affects clinical outcomes of unilateral total hip arthroplasty (THA) for hip osteoarthritis (HOA). This study aimed to determine whether unilateral THA could improve pain and movement of the non-operative hip.

Methods

The analysis included 195 patients divided into three groups according to contralateral hip status based on radiographic change assessed by Kellgren-Lawrence (KL) grade: normal hip (Group N: n = 124), HOA with KL grade > 2 (Group O: n = 39), and THA patients who already underwent THA in their opposite hip joint (Group T: n = 32). All patients were interviewed and examined preoperatively and at 1-year intervals after surgery. Hip function was evaluated with Harris Hip Score (HHS) and range of motion (ROM) preoperatively and at 1-year follow-up. We used the Japanese Orthopedic Association Hip-Disease Evaluation Questionnaire (JHEQ) and the Visual Analogue Scale (VAS) for separately evaluated right and left hip joints.

Results

The mJHEQ movement, which indicated the activity, and flexion of ROM in the non-operative hip improved in group N and group T. The VAS and JHEQ pain values did not differ between preoperative and 1-year follow-up in all groups. In the operative side, HHS function, JHEQ movement values in group O were significantly lower than those of groups N and T at 1-year follow-up.

Conclusion

Unilateral THA may improve non-operative hip movement and active daily life except when the non-operated hip shows osteoarthritis. It did not improve non-operative hip pain, regardless of the condition on the other side. Clinical outcomes of unilateral THA may be affected by opposite hip status each other.

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Data availability

The datasets during and/or analyzed during the current study available from the corresponding author on reasonable request.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-Cho, Showa-Ku, Nagoya, 466-8550, Japan

    Yasuhiko Takegami, Taisuke Seki, Yusuke Osawa, Taiki Kusano, Kazuya Makida & Naoki Ishiguro

Authors
  1. Yasuhiko Takegami
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  2. Taisuke Seki
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  3. Yusuke Osawa
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  4. Taiki Kusano
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  5. Kazuya Makida
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  6. Naoki Ishiguro
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Contributions

YT designed the study, and wrote the initial draft of the manuscript. TS contributed to analysis and interpretation of data, and assisted in the preparation of the manuscript. All other authors have contributed to data collection and interpretation, and critically reviewed the manuscript. All authors approved the final version of the manuscript, and agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

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Correspondence to Yasuhiko Takegami.

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The authors declare that they have no conflict of interest.

Ethical approval

The approval number in our institute is 2018–0285-14658.

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All patients provided written informed for their data to be used.

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Takegami, Y., Seki, T., Osawa, Y. et al. Does unilateral total hip arthroplasty improve pain and function in the non-operative hip joint?. Eur J Orthop Surg Traumatol 30, 1411–1416 (2020). https://doi.org/10.1007/s00590-020-02716-0

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  • DOI: https://doi.org/10.1007/s00590-020-02716-0

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