Analysis of factors influencing patient satisfaction after total hip arthroplasty in a Japanese cohort: the significant effect of postoperative physical activity

Tsutomu Fujita; Satoshi Hamai; Kyohei Shiomoto; Kazuya Okazawa; Yu-ki Nasu; Daisuke Hara; Satoru Harada; Goro Motomura; Satoshi Ikemura; Masanori Fujii; Shinya Kawahara; Ken-ichi Kawaguchi; Yasuharu Nakashima

doi:10.1589/jpts.34.76

Original Article

Analysis of factors influencing patient satisfaction after total hip arthroplasty in a Japanese cohort: the significant effect of postoperative physical activity

Tsutomu Fujita, Satoshi Hamai, Kyohei Shiomoto, Kazuya Okazawa, Yu-ki Nasu, Daisuke Hara, Satoru Harada, Goro Motomura, Satoshi Ikemura, Masanori Fujii, Shinya Kawahara, Ken-ichi Kawaguchi, Yasuharu Nakashima

Author information

Tsutomu Fujita
Department of Rehabilitation, Kyushu University Hospital, Japan
Satoshi Hamai
Department of Medical-Engineering Collaboration for Healthy Longevity, Faculty of Medical Sciences, Kyushu University: 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, Japan
Kyohei Shiomoto
Department of Orthopedic Surgery, Faculty of Medical Sciences, Kyushu University, Japan
Kazuya Okazawa
Department of Rehabilitation, Kyushu University Hospital, Japan
Yu-ki Nasu
Department of Rehabilitation, Kyushu University Hospital, Japan
Daisuke Hara
Department of Orthopedic Surgery, Faculty of Medical Sciences, Kyushu University, Japan
Satoru Harada
Department of Orthopedic Surgery, Faculty of Medical Sciences, Kyushu University, Japan
Goro Motomura
Department of Orthopedic Surgery, Faculty of Medical Sciences, Kyushu University, Japan
Satoshi Ikemura
Department of Orthopedic Surgery, Faculty of Medical Sciences, Kyushu University, Japan
Masanori Fujii
Department of Orthopedic Surgery, Faculty of Medical Sciences, Kyushu University, Japan
Shinya Kawahara
Department of Orthopedic Surgery, Faculty of Medical Sciences, Kyushu University, Japan
Ken-ichi Kawaguchi
Department of Orthopedic Surgery, Faculty of Medical Sciences, Kyushu University, Japan
Yasuharu Nakashima
Department of Orthopedic Surgery, Faculty of Medical Sciences, Kyushu University, Japan

Keywords: Total hip arthroplasty, Patient’s satisfaction, Activity monitor

JOURNAL OPEN ACCESS

2022 Volume 34 Issue 2 Pages 76-84

DOI https://doi.org/10.1589/jpts.34.76

Details

Abstract

[Purpose] To determine patient satisfaction after total hip arthroplasty in a Japanese cohort and to identify factors that significantly influence patient satisfaction. [Participants and Methods] This study included 285 patients who underwent primary total hip arthroplasty for osteoarthritis. Postoperative satisfaction, Oxford hip score, short form-12 mental component summary score, and University of California Los Angeles activity score were investigated. Muscle strength and daily step counts were determined using a hand-held dynamometer (μ-Tas F1) and activity monitor (ActivPAL) in 89 and 26 patients, respectively. Factors associated with postoperative satisfaction, Oxford hip score-activities of daily living, and University of California Los Angeles activity score were identified. The relationship between the Oxford hip score-activities of daily living and daily step counts was examined. [Results] Overall, 94.7% of the patients reported satisfaction with total hip arthroplasty. The Oxford hip score-activities of daily living and University of California Los Angeles activity score were significantly associated with patient satisfaction. Younger age and hip abductor strength were significantly associated with a higher Oxford hip score-activities of daily living and University of California Los Angeles activity score. The average daily step count was significantly correlated with the Oxford hip score-activities of daily living. [Conclusion] Self-reported physical activity levels significantly influenced patient satisfaction and were correlated with objective muscle strength and daily step count measurements. These findings can guide total hip arthroplasty patient counseling on the importance of muscle strength and activity levels.

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