title: Hip Arthroplasty or Medical Management: A Challenging Treatment Decision for Younger Patients.
abstract: The two main treatment options for total hip arthroplasty (THA), medical management and surgical intervention, have advantages and disadvantages, creating a challenging decision. Treatment decisions are further complicated in a younger population (≤50) as the potential need for revision surgery is probable. We examined the relationship of selected variables to the decision-making process for younger patients with symptomatic OA. Thirty-five participants chose surgical intervention and 36 selected medical management for their current treatment. Pain, activity restrictions, and total WOMAC scores were statistically significant (P < .05) for patients selecting surgical intervention. No difference in quality of life was shown between groups. Pain was the only predictor variable identified, however, activity restrictions were also influential variables as these were highly correlated with pain.
authors: Hinsdale Orthopaedics, American Hip Institute in Westmont, Westmont, Illinois; University of Phoenix, Phoenix, Arizona.
authors: Christine E
authors: CE
authors: Stake
authors: University of Phoenix, Phoenix, Arizona.
authors: Patricia Y
authors: PY
authors: Talbert
authors: Loyola University Chicago Stritch School of Medicine, Maywood, Illinois.
authors: William J
authors: WJ
authors: Hopkinson
authors: Hinsdale Orthopaedics, American Hip Institute in Westmont, Westmont, Illinois.
authors: Robert J
authors: RJ
authors: Daley
authors: Hinsdale Orthopaedics, American Hip Institute in Westmont, Westmont, Illinois.
authors: Kris J
authors: KJ
authors: Alden
authors: Hinsdale Orthopaedics, American Hip Institute in Westmont, Westmont, Illinois; Loyola University Chicago Stritch School of Medicine, Maywood, Illinois.
authors: Benjamin G
authors: BG
authors: Domb
mesh_terms: D000328:Adult; D000367:Age Factors; D018771:Arthralgia / Q000601:surgery / Q000628:therapy*; D019644:Arthroplasty, Replacement, Hip; D003657:Decision Making; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015207:Osteoarthritis, Hip / Q000601:surgery / Q000628:therapy*; D011788:Quality of Life; D016059:Range of Motion, Articular
keywords: decision-making; medical management; surgical intervention; total hip arthroplasty; younger population