Young Hip: an exploration into young patients’ (aged > 50 years) expectations following primary total hip arthroplasty: a qualitative study
Aims: Total hip arthroplasties (THAs) are common operations performed in orthopaedics. Though initially developed to address hip conditions in older patients, demand in younger patients is increasing. Research in older populations informs current practice, and it is unclear if outcome priorities are...
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| Format: | Article |
| Language: | English |
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The British Editorial Society of Bone & Joint Surgery
2025-07-01
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| Series: | Bone & Joint Open |
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| Online Access: | https://online.boneandjoint.org.uk/doi/epdf/10.1302/2633-1462.67.BJO-2025-0013.R1 |
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| author | Louise E Mew Vanessa Heaslip Tikki Immins Thomas W Wainwright |
| author_facet | Louise E Mew Vanessa Heaslip Tikki Immins Thomas W Wainwright |
| author_sort | Louise E Mew |
| collection | DOAJ |
| description | Aims: Total hip arthroplasties (THAs) are common operations performed in orthopaedics. Though initially developed to address hip conditions in older patients, demand in younger patients is increasing. Research in older populations informs current practice, and it is unclear if outcome priorities are the same in younger patients. The study’s aim was to explore the expectations and priorities of younger patients’ (aged < 50 years) undergoing THA. Methods: Using interpretive phenomenological analysis (IPA) methodology, ten patients were recruited from one UK hospital. Semistructured interviews occurred at three timepoints (pre-surgery, six weeks, and six months post-surgery). This study has been reported using the COnsolidated criteria for REporting Qualitative research (COREQ). Results: Six themes were identified: ‘I’m just constantly in pain’, ‘Giving up hope’, ‘Living a process that does not reflect me’, ‘This is not who I’m meant to be’, ‘My family didn’t sign up for this’, and ‘I can’t do anything’. Some themes were independent of patient age, such as pain, and experiences of healthcare. However, other findings may be more imperative to the younger patient than the older patient. Conclusion: The Young Hip study highlighted aspects currently overlooked in younger THA patients. Participants were aware that they were not the accepted patient profile for THA, and expressed having to fight to be heard. Function was considered in terms of responsibilities and roles in society, rather than traditional clinical perceptions of mobility. The findings demonstrated that current care pathways are not fully addressing the needs of younger THA patients. Further development of a personalized THA pathway, allowing for more focus on person-centred care, could address issues raised by this study, more effectively supporting younger patients. Cite this article: Bone Jt Open 2025;6(7):807–815. |
| format | Article |
| id | doaj-art-4e67652b52f8461dac828ba8d178f357 |
| institution | DOAJ |
| issn | 2633-1462 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | The British Editorial Society of Bone & Joint Surgery |
| record_format | Article |
| series | Bone & Joint Open |
| spelling | doaj-art-4e67652b52f8461dac828ba8d178f3572025-08-20T03:09:31ZengThe British Editorial Society of Bone & Joint SurgeryBone & Joint Open2633-14622025-07-016780781510.1302/2633-1462.67.BJO-2025-0013.R1Young Hip: an exploration into young patients’ (aged > 50 years) expectations following primary total hip arthroplasty: a qualitative studyLouise E Mew0Vanessa Heaslip1Tikki Immins2Thomas W Wainwright3Milton Keynes University Hospital, Milton Keynes, UKEquity School of Nursing and Society, University of Salford, Salford, UKOrthopaedic Research Institute, Bournemouth University, Poole, UKOrthopaedic Research Institute, Bournemouth University, Poole, UKAims: Total hip arthroplasties (THAs) are common operations performed in orthopaedics. Though initially developed to address hip conditions in older patients, demand in younger patients is increasing. Research in older populations informs current practice, and it is unclear if outcome priorities are the same in younger patients. The study’s aim was to explore the expectations and priorities of younger patients’ (aged < 50 years) undergoing THA. Methods: Using interpretive phenomenological analysis (IPA) methodology, ten patients were recruited from one UK hospital. Semistructured interviews occurred at three timepoints (pre-surgery, six weeks, and six months post-surgery). This study has been reported using the COnsolidated criteria for REporting Qualitative research (COREQ). Results: Six themes were identified: ‘I’m just constantly in pain’, ‘Giving up hope’, ‘Living a process that does not reflect me’, ‘This is not who I’m meant to be’, ‘My family didn’t sign up for this’, and ‘I can’t do anything’. Some themes were independent of patient age, such as pain, and experiences of healthcare. However, other findings may be more imperative to the younger patient than the older patient. Conclusion: The Young Hip study highlighted aspects currently overlooked in younger THA patients. Participants were aware that they were not the accepted patient profile for THA, and expressed having to fight to be heard. Function was considered in terms of responsibilities and roles in society, rather than traditional clinical perceptions of mobility. The findings demonstrated that current care pathways are not fully addressing the needs of younger THA patients. Further development of a personalized THA pathway, allowing for more focus on person-centred care, could address issues raised by this study, more effectively supporting younger patients. Cite this article: Bone Jt Open 2025;6(7):807–815.https://online.boneandjoint.org.uk/doi/epdf/10.1302/2633-1462.67.BJO-2025-0013.R1total hip arthroplastyhip replacementqualitative researchperson-centred carehipprimary total hip arthroplastytotal hip arthroplasties (thas)hip arthroplastiesclinicianspatient-reported outcome measures (proms)healthcare professionalsrevision surgerieselective orthopaedic surgeriesosteoarthritis |
| spellingShingle | Louise E Mew Vanessa Heaslip Tikki Immins Thomas W Wainwright Young Hip: an exploration into young patients’ (aged > 50 years) expectations following primary total hip arthroplasty: a qualitative study Bone & Joint Open total hip arthroplasty hip replacement qualitative research person-centred care hip primary total hip arthroplasty total hip arthroplasties (thas) hip arthroplasties clinicians patient-reported outcome measures (proms) healthcare professionals revision surgeries elective orthopaedic surgeries osteoarthritis |
| title | Young Hip: an exploration into young patients’ (aged > 50 years) expectations following primary total hip arthroplasty: a qualitative study |
| title_full | Young Hip: an exploration into young patients’ (aged > 50 years) expectations following primary total hip arthroplasty: a qualitative study |
| title_fullStr | Young Hip: an exploration into young patients’ (aged > 50 years) expectations following primary total hip arthroplasty: a qualitative study |
| title_full_unstemmed | Young Hip: an exploration into young patients’ (aged > 50 years) expectations following primary total hip arthroplasty: a qualitative study |
| title_short | Young Hip: an exploration into young patients’ (aged > 50 years) expectations following primary total hip arthroplasty: a qualitative study |
| title_sort | young hip an exploration into young patients aged 50 years expectations following primary total hip arthroplasty a qualitative study |
| topic | total hip arthroplasty hip replacement qualitative research person-centred care hip primary total hip arthroplasty total hip arthroplasties (thas) hip arthroplasties clinicians patient-reported outcome measures (proms) healthcare professionals revision surgeries elective orthopaedic surgeries osteoarthritis |
| url | https://online.boneandjoint.org.uk/doi/epdf/10.1302/2633-1462.67.BJO-2025-0013.R1 |
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