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    Are the Demographic Characteristics of Patients with Primary Hip Osteoarthritis Effective on Functional Improvements After Total Hip Replacement?
    (2017) Taşdelen, Özlem Yılmaz; Çankaya, Deniz; Yurdakul, Fatma Gül; Çakır, Yalçın; Keskin, Esra Dilek; Tabak, Yalçın; Bodur, Hatice
    Objective: The aim of this study was to investigate the influence of demographic features such as age, gender, body mass index (BMI), educational and employment status, place of residence and comorbidities of patients with primary hip osteoarthritis and radiographic severity on the functional improvements of the patients after total hip arthroplasty. Material and Methods: Fifty patients (41 females/9 males) with primary hip osteoarthritis were included. The radiographs were graded according to Kellgren-Lawrence system (KL). The operations were performed by the same orthopedist with the same surgical technique. Functional level was determined with hip disability and Osteoarthritis Outcome Score-Physical function Short-form (HOOS-PS) before and six months after the operation. Results: The functional levels of all the patients improved at the sixth month. Age, BMI, presence of a comorbidity, working in a job or not, place of residence (rural or city) and obesity did not influence the functional improvement rates. The males, the patients with KL grade 4 osteoarthritis and the primary school graduates showed significantly much more improvements. Conclusion: The clinical relevance of this study is that age, gender, BMI, co-morbidities, education degree, place of residence and being an employee or not does not need to be considered by physicians when recommending total hip replacement surgery after failure of conservative treatment in patients with primary hip osteoarthritis. Male patients, patients with radiographically end stage osteoarthritis and educated patients may improve much more in comparison with their counterparts.