Acta Scientific Nutritional Health (ASNH)(ISSN: 2582-1423)

Review Article Volume 7 Issue 4

Quality of Life After Total Hip Arthroplasty (THA) in Postoperative Patients- Systematic Review

Elham S Alzahrani*, Amna A Alhilali and Mostafa Kofi

Department of Family Medicine, Prince Sultan Military Medical City, Riyadh, Saudi Arabia

*Corresponding Author: Elham S Alzahrani, Department of Family Medicine, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.

Received: February 27, 2023; Published: March 20, 2023


Objectives: This systematic review studied current updates to the literature on patients with osteoarthritis (OA) who underwent total hip arthroplasty (THA) to improve their quality of life (QoL). We also looked into the reported interventions that could enhance postoperative recovery.

Methodology: PubMed, Web of Science, Science Direct, EBSCO, Wiley, and Cochrane Library were searched. Study articles were screened by title and abstract using Rayyan QCRI then a full-text assessment was implemented.

Results:A total of Twenty- nine studies with 74664 patients were included in this review. The follow-up duration ranged from 3 months to 96 months. All of the included studies reported improved QoL of OA patients following THA. One study reported that underweight, overweight, or obese (classes I to III) experienced more hip pain after THA. Two other studies reported that continuous nursing (CN) counted on the WeChat platform and IARA intervention significantly enhanced the QoL among patients.

Conclusion: enhancing patients' physical and mental health after THA is essential for improving recovery and patient QoL. Underweight, overweight, or obese experienced more hip pain after THA. Interventions such as CN counted on WeChat and IARA were found to greatly impact patients' recovery and well-being after discharge.

Keywords: Total Hip Arthroplasty; Quality of Life; Osteoarthritis; Systematic Review


  1. SC PRJAM and Mont MA. “Hip arthroplasty”. Lancet9855 (2012): 1768-1777.
  2. Singh JA., et al. “Rates of total joint replacement in the United States: future projections to 2020-2040 using the national inpatient sample”. The Journal of Rheumatology9 (2019): 1134-1140.
  3. Fang M., et al. “The effect of advancing age on total joint replacement outcomes”. Geriatric Orthopaedic Surgery and Rehabilitation3 (2015): 173-179.
  4. Pilz V., et al. “Projections of primary hip arthroplasty in Germany until 2040”. Acta Orthopaedical3 (2018): 308-313.
  5. Liu Z., et al. “Imageless navigation versus traditional method in total hip arthroplasty: a meta-analysis”. International Journal of Surgery 21 (2015): 122-127.
  6. Shan L., et al. “Total hip replacement: a systematic review and meta-analysis on mid-term quality of life”. Osteoarthritis and Cartilage3 (2014): 389-406.
  7. Mariconda M., et al. “Quality of life and functionality after total hip arthroplasty: a long-term follow-up study”. BMC Musculoskeletal Disorders1 (2011): 1-10.
  8. Jones CA., et al. “Total joint arthroplasties: current concepts of patient outcomes after surgery”. Rheumatic Disease Clinics of North America1 (2007): 71-86.
  9. Lan RH., et al. “Outcome measures in total hip arthroplasty: have our metrics changed over 15 years?” Archives of Orthopaedic and Trauma Surgery (2021): 1-10.
  10. Stewart AL. “Measuring functioning and well-being: the medical outcomes study approach”. duke university Press (1992).
  11. Culliford DJ., et al. “Temporal trends in hip and knee replacement in the United Kingdom: 1991 to 2006”. The Journal of Bone and Joint Surgery. British volume1 (2010): 130-135.
  12. Smith GH., et al. “Predictors of excellent early outcome after total hip arthroplasty”. Journal of Orthopaedic Surgery and Research1 (2012): 1-4.
  13. Jones CA., et al. “The effect of age on pain, function, and quality of life after total hip and knee arthroplasty”. Archives of Internal Medicine 3 (2001): 454-460.
  14. Hirsch HS. “Total joint replacement: a cost-effective procedure for the 1990s”. Medicine and Health, Rhode Island5 (1998): 162-164.
  15. Ouzzani M., et al. “Rayyan-a web and mobile app for systematic reviews”. Systematic Reviews1 (2016): 1-10.
  16. Jüni P., et al. “Risk of bias in non-randomized studies of interventions (ROBINS-I): detailed guidance”. British Medical Journal (2016).
  17. Matsunaga-Myoji Y., et al. “Three-year follow-up study of physical activity, physical function, and health-related quality of life after total hip arthroplasty”. The Journal of Arthroplasty1 (2020): 198-203.
  18. Liu J., et al. “Effects of continuous nursing based on WeChat platform on the functional recovery and quality of life in elderly patients after total hip arthroplasty”. American Journal of Translational Research5 (2021): 5623.
  19. Leiss F., et al. “Excellent functional outcome and quality of life after primary cementless total hip arthroplasty (THA) using an enhanced recovery setup”. Journal of Clinical Medicine4 (2021): 621.
  20. Moarrefzadeh A., et al. “Evaluation of health-related quality of life before and after total hip arthroplasty in the elderly in Iran: a prospective cohort study”. BMC Psychology1 (2022): 1-8.
  21. Mukka S., et al. “The effect of body mass index class on patient-reported health-related quality of life before and after total hip arthroplasty for osteoarthritis: registry-based cohort study of 64,055 patients”. JBJS Open Access4 (2020).
  22. Sasaki E., et al. “Central Sensitization and Postoperative Improvement of Quality of Life in Total Knee and Total Hip Arthroplasty: A Prospective Observational Study”. Progress in Rehabilitation Medicine 7 (2022):
  23. Clement ND., et al. “Increasing age does not influence hip-specific functional outcome or health-related quality of life following total hip arthroplasty: a five-year prospective cohort study”. Bone and Joint Open9 (2022): 692-700.
  24. Clement ND., et al. “Preoperative health-related quality of life is independently associated with postoperative mortality risk following total hip or knee arthroplasty: seven to eight years' follow-up”. Bone and Joint Open12 (2022): 933-940.
  25. Santos RN., et al. “Quality of Life and Associated Factors in Latin American Patients Undergoing Total Hip Arthroplasty”. Ortopedia, Traumatologia, Rehabilitacja2 (2021): 93-99.
  26. Kuroda Y., et al. “Predictors of Health-Related Quality of Life After Revision Total Hip Arthroplasty for Aseptic Loosening”. Indian Journal of Orthopaedics4 (2020): 463-468.
  27. Matsunaga-Myoji Y., et al. “Three-Year Follow-Up Study of Physical Activity, Physical Function, and Health-Related Quality of Life After Total Hip Arthroplasty”. Journal of Arthroplasty 1 (2020): 198-203.
  28. Koken M. “Effects on Health-Related Quality of Life, Sleep Quality and Daytime Sleepiness in Patients with Total Hip Arthroplasty in Developmental High Dislocation of the Hip”. Sabuncuoglu Serefeddin Health Sciences1 (2020): 1-12.
  29. Greimel F., et al. “Excellent Functional Outcome and Quality of Life after Primary Cementless Total Hip Arthroplasty (THA) Using an Enhanced Recovery Setup”. JCM621 (2021): 1-11.
  30. Al-Amiry B., et al. “Kinesiophobia and its association with functional outcome and quality of life 6-8 years after total hip arthroplasty”. Acta Orthopaedica et Traumatologica Turcica4 (2022): 252-255.
  31. Goh GS., et al. “Do patients with psychological distress have poorer patient-reported outcomes after total hip arthroplasty?” The Journal of Arthroplasty9 (2020): 2465-2471.
  32. Świtoń A., et al. “Activity and Quality of Life after Total Hip Arthroplasty”. Ortopedia, Traumatologia, Rehabilitacja5 (2017): 441-450.
  33. Sharma M., et al. “Total hip arthroplasty for arthritis following acetabular fractures-evaluation of radiological, functional and quality of life parameters”. Journal of Clinical Orthopaedics and Trauma1 (2019): 131-137.
  34. Luo Y., et al. “Clinical outcomes and quality of life after total hip arthroplasty in adult patients with a history of infection of the hip in childhood: a mid-term follow-up study”. Journal of Orthopaedic Surgery and Research1 (2019): 1-7.
  35. Costa ML., et al. “Comparison of hip function and quality of life of total hip arthroplasty and resurfacing arthroplasty in the treatment of young patients with arthritis of the hip joint at 5 years”. BMJ Open3 (2018): e018849.
  36. Padovan AM., et al. “A new integrative approach to increase quality of life by reducing pain and fear of movement in patients undergoing total hip arthroplasty: the IARA model”. Psychology, Health and Medicine10 (2018): 1223-1230.
  37. Balik MS., et al. “Evaluation of the quality of life and psychiatric symptoms of patients with primary coxarthrosis after total hip arthroplasty”. Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca 6 (2017): 436-440.
  38. Aalund PK., et al. “The impact of age and preoperative health-related quality of life on patient-reported improvements after total hip arthroplasty”. Clinical Interventions in Aging (2017): 1951-1956.
  39. Elmallah RK., et al. “Determining health-related quality-of-life outcomes using the SF-6D following total hip arthroplasty”. JBJS6 (2017): 494-498.
  40. Bahardoust M., et al. “Evaluation of health-related quality of life after total hip arthroplasty: a case-control study in the Iranian population”. BMC Musculoskeletal Disorders 1 (2019): 1-7.
  41. Kim SC., et al. “Surgical accuracy, function, and quality of life of simultaneous versus staged bilateral Total hip Arthroplasty in patients with Osteonecrosis of the femoral head”. BMC Musculoskeletal Disorders 18 (2017): 1-9.
  42. Glassou EN., et al. “Is gain in health-related quality of life after a total hip arthroplasty depended on the comorbidity burden?” Acta Orthopaedica 4 (2018): 374-379.
  43. McLawhorn AS., et al. “Body mass index class is independently associated with health-related quality of life after primary total hip arthroplasty: an institutional registry-based study”. The Journal of Arthroplasty 1 (2017): 143-149.
  44. Umehara N., et al. “Factors Influencing Health-related Quality of Life after Total Hip Arthroplasty”. Acta Medica Okayama2 (2016): 89-95.
  45. Kumar P., et al. “Quality of life following total hip arthroplasty in patients with acetabular fractures, previously managed by open reduction and internal fixation”. Chinese Journal of Traumatology4 (2016): 206-208.
  46. De Araújo Loures E and Leite ICG. “Analysis on quality of life of patients with osteoarthrosis undergoing total hip arthroplasty”. Revista Brasileira de Ortopedia (English Edition)4 (2012): 498-504.
  47. Klug MOU. “Influence of Primary Total Hip Arthroplasty on Patient-Reported Quality of Life Within the First Postoperative Year” (2021).
  48. Nguyen USD., et al. “Improvement in mental health following total hip arthroplasty: the role of pain and function”. BMC Musculoskeletal Disorders1 (2019): 1-7.
  49. Lan RH., et al. “Outcome measures in total hip arthroplasty: have our metrics changed over 15 years?” Archives of Orthopaedic and Trauma Surgery (2021): 1-10.
  50. Siljander MP., et al. “Current trends in patient-reported outcome measures in total joint arthroplasty: a study of 4 major orthopaedic journals”. The Journal of Arthroplasty11 (2018): 3416-3421.
  51. Ul-Haq Z., et al. “Meta-analysis of the association between body mass index and health-related quality of life among adults, assessed by the SF-36”. Obesity 21 (2013): E322-E327.
  52. Kolotkin RL and Andersen JR. “A systematic review of reviews: exploring the relationship between obesity, weight loss and health‐related quality of life”. Clinical Obesity5 (2017): 273-289.
  53. Flanigan DC., et al. “Psychological factors affecting rehabilitation and outcomes following elective orthopaedic surgery”. JAAOS-Journal of the American Academy of Orthopaedic Surgeons 23.9 (2015): 563-570.
  54. Hørdam B., et al. “Nursing intervention by telephone interviews of patients aged over 65 years after total hip replacement improves health status: a randomised clinical trial”. Scandinavian Journal of Caring Sciences1 (2010): 94-100.
  55. Mayo AM., et al. “The advanced practice clinical nurse specialist”. Nursing Administration Quarterly1 (2017): 70-76.
  56. He RX., et al. “Position of the prosthesis and the incidence of dislocation following total hip replacement”. Chinese Medical Journal13 (2007): 1140-1144.


Citation: Elham S Alzahrani., et al. “Quality of Life After Total Hip Arthroplasty (THA) in Postoperative Patients- Systematic Review".Acta Scientific Nutritional Health 7.4 (2023): 37-45.


Copyright: © 2023 Elham S Alzahrani., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


Acceptance rate30%
Acceptance to publication20-30 days
Impact Factor1.316

Indexed In

News and Events

  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is July 10, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.

Contact US