Our Summary

This research study looked at the cost-effectiveness of different types of prosthetic implants used in total hip replacements. Using data from UK and Swedish hip joint registries, the researchers found that traditional, less expensive hip implants are just as effective as newer, more expensive types, particularly for older patients. The study was funded by the NIHR Research for Patient Benefit Programme.

FAQs

  1. What was the purpose of the study conducted by Fawsitt C, Thom H, Hunt L?
  2. Who funded the research study on the choice of prosthetic implant combinations in total hip replacement?
  3. Where can the full NIHR Signal on the hip replacement study be accessed?

Doctor’s Tip

A doctor might tell a patient that choosing a traditional hip implant can be just as effective as more expensive newer types, especially for older individuals. It is important to discuss all options and consider cost-effectiveness when making decisions about hip replacement surgery.

Suitable For

Patients who are typically recommended for hip replacement surgery include those with severe hip pain and stiffness that limits daily activities, those with hip joint damage from arthritis, fractures, or other conditions, and those who have not had success with other treatments such as medication or physical therapy. Older individuals, particularly those over the age of 60, are often recommended for hip replacement surgery as they are more likely to have age-related hip joint damage.

Timeline

Before hip replacement:

  • Patient experiences chronic hip pain and stiffness, difficulty walking or performing daily activities, and reduced range of motion in the hip joint.
  • Patient consults with a healthcare provider who recommends hip replacement surgery as a treatment option.
  • Patient undergoes pre-operative evaluations, including medical history review, physical examination, imaging tests (X-rays, MRI), and blood tests.
  • Patient discusses surgical options, risks, benefits, and recovery process with their healthcare provider.

After hip replacement:

  • Patient undergoes hip replacement surgery, during which the damaged hip joint is replaced with a prosthetic implant.
  • Patient stays in the hospital for a few days for post-operative care and physical therapy.
  • Patient follows a rehabilitation program to regain strength, mobility, and function in the hip joint.
  • Patient attends follow-up appointments with their healthcare provider to monitor recovery progress and address any concerns.
  • Patient gradually resumes normal activities and experiences reduced hip pain, improved mobility, and enhanced quality of life.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with hip replacement surgery?

  2. How long is the recovery process after hip replacement surgery?

  3. Will I need physical therapy or rehabilitation after the surgery?

  4. What type of prosthetic implant will be used in my hip replacement surgery?

  5. Are there different options for prosthetic implants, and how do they differ in terms of cost and effectiveness?

  6. What is the expected lifespan of the prosthetic implant?

  7. How often will I need to follow up with my doctor after the surgery?

  8. Are there any restrictions or limitations on activities I should be aware of after the surgery?

  9. What are the success rates for hip replacement surgery, and what factors can affect the outcome?

  10. Are there any alternative treatments or approaches to managing hip pain that I should consider before opting for surgery?

Reference

Authors: Cook R, Lamont T, Martin R; NIHR Dissemination Centre. Journal: BMJ. 2019 Jul 2;366:l4230. doi: 10.1136/bmj.l4230. PMID: 31266745