title: Quality of life after staged revision for infected total hip arthroplasty: a systematic review.
abstract: BACKGROUND
  The aim of this review was to assess (health-related) quality of life ([HR]Qol) after 1-stage or 2-stage revision for prosthetic joint infection of the hip (PJI). Additionally, we compared (HR)QoL scores with normative population scores to assess whether QoL is reduced after revision for PJI.
  
  
  METHODS
  A systematic search was performed in Embase, Cochrane and Pubmed. We included articles that reported (HR)QoL questionnaires after staged revision for hip PJI with a minimum follow-up of 24 months. Methodological quality was assessed using the MINORS score.
  
  
  RESULTS
  The search produced 11,195 results. We selected 12 papers describing 2-stage revisions. The mean MINORS score was 9.8. Average WOMAC scores of 185 patients with a mean follow-up of 69.8 months were 73.Average Short Form 36 (SF-36) scores of 159 patients with a mean follow-up of 40.7 months were 40.4 for the physical component score (PCS) and 51.6 for the mental component score (MCS). Average Short Form 12 (SF-12) scores of 154 patients with a mean follow-up of 73.4 months were: a PCS of 35.4 and a MCS of 49.1. The WOMAC, SF-12 (PCS) and SF-36 (PCS) were respectively 12%, 26.7% and 14.8% lower, compared to normative values.
  
  
  CONCLUSIONS
  Patients who underwent 2-stage revision for hip PJI had substantially lower (physical component) (HR)QoL scores, but mental scores were comparable to the general population.
authors.affiliation: Department of Orthopaedic Surgery, Centre for Orthopaedic Research Alkmaar (CORAL), Alkmaar - The Netherlands.
authors.forename: Luuk
authors.initials: L
authors.lastname: Rietbergen
authors.affiliation: Department of Orthopaedic Surgery, Centre for Orthopaedic Research Alkmaar (CORAL), Alkmaar - The Netherlands.
authors.forename: Jesse W P
authors.initials: JW
authors.lastname: Kuiper
authors.affiliation: University Hospitals Leuven, Pellenberg site, Department of Orthopaedic Surgery, Pellenberg - Belgium.
authors.forename: Simon
authors.initials: S
authors.lastname: Walgrave
authors.affiliation: Department of Orthopaedic Surgery, Centre for Orthopaedic Research Alkmaar (CORAL), Alkmaar - The Netherlands.|Research Institute MOVE, Department of Human Movement Sciences, VU University Amsterdam, Amsterdam - The Netherlands.
authors.forename: Laura
authors.initials: L
authors.lastname: Hak
authors.affiliation: University Hospitals Leuven, Pellenberg site, Department of Orthopaedic Surgery, Pellenberg - Belgium.|Helios Klinikum Duisburg, Department of Orthopaedic Surgery and Traumatology, Duisburg - Germany.
authors.forename: Sascha
authors.initials: S
authors.lastname: Colen
mesh_terms: D019644:Arthroplasty, Replacement, Hip; D006304:Health Status; D006622:Hip Prosthesis / Q000009:adverse effects*; D006801:Humans; D016459:Prosthesis-Related Infections / Q000209:etiology / Q000628:therapy*; D011788:Quality of Life; D012086:Reoperation; D016896:Treatment Outcome