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No representative data exist on the risks of adverse outcomes of total hip arthroplasty (THA) in the United Kingdom. A prospective observational study of unselected THA operations was carried out in 5 U.K. regions. Adverse outcomes were assessed from the hospital case notes and general practitioners of 1,100 randomly selected patients and from 7,151 patient-completed questionnaires 3 and 12 months after THA. Three-month mortality was 0.4% to 0.7%. Dislocation and thromboembolic complications were about 3% and 4%. Perioperative fracture, sciatic nerve palsy, aseptic loosening, and revision each had a risk of < or = 1%. At 1 year, 2.6% of patients had undergone another operation on the same hip, 11% reported moderate or severe pain in the operated hip, 23% had severe walking restriction, and 11% were dissatisfied with the operation. Patients and surgeons in the United Kingdom should have access to this information when making a decision about THA.

Original publication

DOI

10.1054/arth.2002.29389

Type

Journal article

Journal

The Journal of arthroplasty

Publication Date

02/2002

Volume

17

Pages

165 - 171

Addresses

Institute of Public Health, Cambridge, United Kingdom.

Keywords

National Total Hip Replacement Outcome Study Steering Committee, Humans, Postoperative Complications, Treatment Outcome, Arthroplasty, Replacement, Hip, Morbidity, Incidence, Follow-Up Studies, Prospective Studies