75.
Work, wellbeing, and sexual life in younger patients after hip
replacement
Jakob Klit, Steffen Jacobsen , Stig Sonne-Holm, Victoria Schmiegelow, Anders
Troelsen
Ortopædkirurgisk afdeling Hvidovre Hospital; Ortopædkirurgisk afdeling ,
Hvidovre Hospital; Ortopædkirurgisk afdeling , Hvidovre Hospital;
Ortopædkirurgisk afdeling, Frederiksberg Hospital; Ortopædkirurgisk afdeling
,
Hvidovre Hospital
Background:
The positive effects of total hip arthroplasty (THA) on joint
function and pain are well documented. In contemporary literature other
outcomes affecting the everyday life of patients have been neglected.
Purpose / Aim of Study:
To improve preoperative patient information we
wished to investigate the effect of THA in relation to work, income and sexual
activity in younger patients.
Materials and Methods:
In a prospective cohort study performed at 3
arthroplasty units during a 1 year period we included patients ¡Ü 60 years
scheduled for primary THA. Questionnaires including oxford hip score (OHS),
SF-36, questions regarding relation to work, income and sexual activity were
collected preop, and at 3, 6 and 12 months postop. The 12 month follow-up
questionnaire was returned by 106 of the 135 initially included patients.
Median age at surgery was 53 years (range: 31-60).
Findings / Results:
At 12 month follow-up the OHS and SF- 36 scores
showed significant improvements. Of 90 patients in work preop. 6 patients lost
their jobs, and 3 patients changed from part-time to full- time employment.
The income level for the cohort did not change, despite eight patients
expecting a decreased lifetime income. Increased frequency of intercourse or
better abilities in intercourse positions were experienced by 18 of 39 females
due to reduced pain and increased range of motion. Males did not experience
improvements. Erectile dysfunction was experienced by 3 males postop.
Patients sexually active before THA surgery remained active.
Conclusions:
There is little affection of relation to work and income following
THA surgery in patients ¡Ü 60 years. Patients remained sexually active, and
one third of females experience improved sexual activity. This study supplies
surgeons with patient information about factors crucial to the everyday life of
younger THA patients.
