Coxarthrosis etiology influences the patients’ quality of life in the preoperative and postoperative phase of total hip arthroplasty

Background. In orthopedics, the patients’ quality of life relative to the preoperative and postoperative phase is referred with a low impact compared to other branches of medicine. In this context, our interest focused on assessing the quality of life in patients with traumatic and non-traumatic cox...

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Main Authors: Madalin Bulzan, Simona Cavalu, Amir Mohamed Abdelhamid, Călin Tudor Hozan, Florica Voiţă-Mekeres
Format: Article
Language:English
Published: MDPI AG 2023-10-01
Series:Journal of Mind and Medical Sciences
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Online Access:https://scholar.valpo.edu/cgi/viewcontent.cgi?article=1412&context=jmms
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author Madalin Bulzan
Simona Cavalu
Amir Mohamed Abdelhamid
Călin Tudor Hozan
Florica Voiţă-Mekeres
author_facet Madalin Bulzan
Simona Cavalu
Amir Mohamed Abdelhamid
Călin Tudor Hozan
Florica Voiţă-Mekeres
author_sort Madalin Bulzan
collection DOAJ
description Background. In orthopedics, the patients’ quality of life relative to the preoperative and postoperative phase is referred with a low impact compared to other branches of medicine. In this context, our interest focused on assessing the quality of life in patients with traumatic and non-traumatic coxarthrosis by longitudinally following the evolution of the patients. Materials and Methods. The well-established instrument Short Form Survey SF-36 was applied in a retrospective study, conducted on a cohort of 203 participants who underwent THA (Total Hip Arthroplasty). Statistical analysis was generated using GraphPad Prism (version 9.5.1). Results. In the pre-operative phase, physical functioning was more affected in participants with traumatic coxarthrosis, while fatigue was specific to nontraumatic coxarthrosis. Emotional well-being and social functioning were high in patients with traumatic coxarthrosis. One month after surgery, we recorded an increased physical functioning and improvement in the perception of the ability to exercise roles in non-traumatic group. Energy/vitality and general health and wellbeing were at high level in traumatic group, 1st month post-surgery, although pain was still frequent. Age was the sole strong independent predictor of postoperative physical functioning in the traumatic group, while in the non-traumatic group, we identified gender, age, symptoms and type of prosthesis as strong predictors of postoperative physical functioning. The overall results related to daily living activities indicated that the traumatic group displayed more favorable post-surgery evolution and higher autonomy compared to the non-traumatic one. Conclusions. We conclude that SF-36 questionnaire is a specific, useful and inexpensive tool for evaluating the outcomes of orthopedic treatment and patients’ evolution after arthroplasty, especially in terms of functional outcome scores relative to coxarthrosis etiology.
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spelling doaj-art-0016f1a434c24ac8b2e9f51997d0e63b2025-08-20T03:55:23ZengMDPI AGJournal of Mind and Medical Sciences2392-76742023-10-0110228329410.22543/2392-7674.1412Coxarthrosis etiology influences the patients’ quality of life in the preoperative and postoperative phase of total hip arthroplastyMadalin Bulzan0Simona Cavalu1Amir Mohamed Abdelhamid2Călin Tudor Hozan3Florica Voiţă-Mekeres4University of Oradea, Faculty of Medicine and Pharmacy, Oradea, RomaniaUniversity of Oradea, Faculty of Medicine and Pharmacy, Oradea, RomaniaDelta University for Science and Technology, Faculty of Pharmacy, Department of Pharmacology, Gamasa, EgyptUniversity of Oradea, Faculty of Medicine and Pharmacy, Oradea, RomaniaUniversity of Oradea, Faculty of Medicine and Pharmacy, Oradea, RomaniaBackground. In orthopedics, the patients’ quality of life relative to the preoperative and postoperative phase is referred with a low impact compared to other branches of medicine. In this context, our interest focused on assessing the quality of life in patients with traumatic and non-traumatic coxarthrosis by longitudinally following the evolution of the patients. Materials and Methods. The well-established instrument Short Form Survey SF-36 was applied in a retrospective study, conducted on a cohort of 203 participants who underwent THA (Total Hip Arthroplasty). Statistical analysis was generated using GraphPad Prism (version 9.5.1). Results. In the pre-operative phase, physical functioning was more affected in participants with traumatic coxarthrosis, while fatigue was specific to nontraumatic coxarthrosis. Emotional well-being and social functioning were high in patients with traumatic coxarthrosis. One month after surgery, we recorded an increased physical functioning and improvement in the perception of the ability to exercise roles in non-traumatic group. Energy/vitality and general health and wellbeing were at high level in traumatic group, 1st month post-surgery, although pain was still frequent. Age was the sole strong independent predictor of postoperative physical functioning in the traumatic group, while in the non-traumatic group, we identified gender, age, symptoms and type of prosthesis as strong predictors of postoperative physical functioning. The overall results related to daily living activities indicated that the traumatic group displayed more favorable post-surgery evolution and higher autonomy compared to the non-traumatic one. Conclusions. We conclude that SF-36 questionnaire is a specific, useful and inexpensive tool for evaluating the outcomes of orthopedic treatment and patients’ evolution after arthroplasty, especially in terms of functional outcome scores relative to coxarthrosis etiology.https://scholar.valpo.edu/cgi/viewcontent.cgi?article=1412&context=jmmscoxarthrosislife qualitysf-36 formarthroplastyfunctional outcomesdaily living activities
spellingShingle Madalin Bulzan
Simona Cavalu
Amir Mohamed Abdelhamid
Călin Tudor Hozan
Florica Voiţă-Mekeres
Coxarthrosis etiology influences the patients’ quality of life in the preoperative and postoperative phase of total hip arthroplasty
Journal of Mind and Medical Sciences
coxarthrosis
life quality
sf-36 form
arthroplasty
functional outcomes
daily living activities
title Coxarthrosis etiology influences the patients’ quality of life in the preoperative and postoperative phase of total hip arthroplasty
title_full Coxarthrosis etiology influences the patients’ quality of life in the preoperative and postoperative phase of total hip arthroplasty
title_fullStr Coxarthrosis etiology influences the patients’ quality of life in the preoperative and postoperative phase of total hip arthroplasty
title_full_unstemmed Coxarthrosis etiology influences the patients’ quality of life in the preoperative and postoperative phase of total hip arthroplasty
title_short Coxarthrosis etiology influences the patients’ quality of life in the preoperative and postoperative phase of total hip arthroplasty
title_sort coxarthrosis etiology influences the patients quality of life in the preoperative and postoperative phase of total hip arthroplasty
topic coxarthrosis
life quality
sf-36 form
arthroplasty
functional outcomes
daily living activities
url https://scholar.valpo.edu/cgi/viewcontent.cgi?article=1412&context=jmms
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AT amirmohamedabdelhamid coxarthrosisetiologyinfluencesthepatientsqualityoflifeinthepreoperativeandpostoperativephaseoftotalhiparthroplasty
AT calintudorhozan coxarthrosisetiologyinfluencesthepatientsqualityoflifeinthepreoperativeandpostoperativephaseoftotalhiparthroplasty
AT floricavoitamekeres coxarthrosisetiologyinfluencesthepatientsqualityoflifeinthepreoperativeandpostoperativephaseoftotalhiparthroplasty