Clinical Profile and Outcomes of Total Hip Replacement in Qatar
-
Abdullah Murshid
,
Isam Sami Moghamis
,
Amgad M. Elshoeibi
,
Anas Albasha
,
Jawad Derbas
,
Ghalib Ahmed
Abstract
Background: Total hip replacement (THR) is a common surgical procedure that improves the functional outcomes and health- related quality of life (HRQOL) in patients with severe hip joint pathology, particularly those with osteoarthritis (OA) and avascular necrosis (AVN). This study evaluates the clinical profile and outcomes of THR in Qatar.
Methods: We conducted a retrospective cohort study of 123 patients who underwent primary THR at Hamad General Hospital, Qatar, between January 2011 and August 2021. Data on demographics, clinical characteristics, and preoperative and postoperative scores were collected and analyzed. Functional outcomes were measured using the Oxford Hip Score (OHS) and 12-Item Short-Form Health Survey (SF-12). Linear regression analysis was performed to identify factors influencing postoperative outcomes.
Results: The primary indications for THR were OA (37.4%) and AVN (25.2%). Significant improvements were observed in both OHS and SF-12 scores postoperatively. However, these scores tended to decrease over time. Age and alcohol consumption were found to affect functional outcomes negatively, as well as mental and physical health, postoperatively.
Conclusion: THR significantly improves functional outcomes and HRQOL in patients with severe hip joint pathology. However, age and alcohol consumption are associated with poorer long-term outcomes, highlighting the need for targeted preoperative counseling and postoperative management in these populations.
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2. Rissanen P, Aro S, Slätis P, Sintonen H, Paavolainen P. Health and quality of life before and after hip or knee arthroplasty.J Arthroplasty. 1995;10(2):169-75. doi: 10.1016/s0883-5403(05)80123-8. [PubMed: 7798097].
3. Pivec R, Johnson AJ, Mears SC, Mont MA. Hip arthroplasty. Lancet. 2012;380(9855):1768-77. doi: 10.1016/s0140-6736(12)60607-2. [PubMed: 23021846].
4. Mobasheri R, Gidwani S, Rosson JW. The effect of total hip replacement on the employment status of patients under the age of 60 years. Ann R Coll Surg Engl. 2006;88(2):131-3. doi: 10.1308/003588406x95129. [PubMed: 16551399]. [PubMed Central: PMC1964053].
5. Nantel J, Termoz N, Vendittoli PA, Lavigne M, Prince F. Gait patterns after total hip arthroplasty and surface replacement arthroplasty. Arch Phys Med Rehabil. 2009;90(3):463-9. doi: 10.1016/j.apmr.2008.08.215. [PubMed: 19254612].
6. Shamekh A, Alizadeh M, Nejadghaderi SA, Sullman MJM, Kaufman JS, Collins GS, et al. The burden of osteoarthritis in the Middle East and North Africa region from 1990 to 2019. Front Med (Lausanne). 2022;9:881391. doi: 10.3389/fmed.2022.881391. [PubMed: 35814760]. [PubMed Central: PMC9261477].
7. Berstock JR, Beswick AD, Lenguerrand E, Whitehouse MR, Blom AW. Mortality after total hip replacement surgery: A systematic review. Bone Joint Res. 2014;3(6):175-82. doi: 10.1302/2046-3758.36.2000239. [PubMed: 24894596]. [PubMed Central: PMC4054013].
8. Abbott KC, Bucci JR, Agodoa LY. Total hip arthroplasty in chronic dialysis patients in the United States. J Nephrol. 2003;16(1):34-9. [PubMed: 12649533].
9. Miller KA, Callaghan JJ, Goetz DD, Johnston RC. Early postoperative mortality following total hip arthroplasty in a community setting: A single surgeon experience. Iowa Orthop J. 2003;23:36-42. [PubMed: 14575247]. [PubMed Central: PMC1888387].
10. Nunley RM, Lachiewicz PF. Mortality after total hip and knee arthroplasty in a medium-volume university practice. J Arthroplasty. 2003;18(3):278-85. doi: 10.1054/arth.2003.50095. [PubMed: 12728418].
11. Williams O, Fitzpatrick R, Hajat S, Reeves BC, Stimpson A, Morris RW, et al. Mortality, morbidity, and 1-year outcomes of primary elective total hip arthroplasty. J Arthroplasty. 2002;17(2):165-71. doi: 10.1054/arth.2002.29389. [PubMed: 11847614].
12. Nikolajsen L, Brandsborg B, Lucht U, Jensen TS, Kehlet H. Chronic pain following total hip arthroplasty: a nationwide questionnaire study. Acta Anaesthesiol Scand. 2006;50(4): 495-500. doi: 10.1111/j.1399-6576.2006.00976.x. [PubMed: 16548863].
13. Anakwe RE, Jenkins PJ, Moran M. Predicting dissatisfaction after total hip arthroplasty: a study of 850 patients. J Arthroplasty. 2011;26(2):209-13. doi: 10.1016/j.arth.2010.03.013. [PubMed: 20462736].
14. Cushnaghan J, Coggon D, Reading I, Croft P, Byng P, Cox K, et al. Long-term outcome following total hip arthroplasty: a controlled longitudinal study. Arthritis Rheum. 2007;57(8):1375-80. doi: 10.1002/art.23101. [PubMed: 18050176].
15. Judge A, Cooper C, Arden NK, Williams S, Hobbs N, Dixon D, et al. Pre-operative expectation predicts 12-month post-operative outcome among patients undergoing primary total hip replacement in European orthopaedic centres. Osteoarthritis Cartilage. 2011;19(6):659-67. doi: 10.1016/j.joca.2011.03.009. [PubMed: 21447395].
16. Judge A, Javaid MK, Arden NK, Cushnaghan J, Reading I, Croft P, et al. Clinical tool to identify patients who are most likely to achieve long-term improvement in physical function after total hip arthroplasty. Arthritis Care Res (Hoboken). 2012;64(6):881-9. doi: 10.1002/acr.21594. [PubMed: 22232080].
17. Fortin PR, Penrod JR, Clarke AE, St-Pierre Y, Joseph L, Bélisle P, et al. Timing of total joint replacement affects clinical outcomes among patients with osteoarthritis of the hip or knee. Arthritis Rheum. 2002;46(12):3327-30. doi: 10.1002/art.10631. [PubMed: 12483739].
18. Hofstede SN, Gademan MG, Vliet Vlieland TP, Nelissen RG, Marang-van de Mheen PJ. Preoperative predictors for outcomes after total hip replacement in patients with osteoarthritis: a systematic review. BMC Musculoskelet Disord. 2016;17:212. doi: 10.1186/s12891-016-1070-3. [PubMed: 27184266]. [PubMed Central: PMC4869370].
19. Ware J, Jr., Kosinski M, Keller SD. A 12-Item short-form health survey: Construction of scales and preliminary tests of reliability and validity. Med Care. 1996;34(3):220-33. doi: 10.1097/00005650-199603000-00003. [PubMed: 8628042].
20. Kiebzak GM, Campbell M, Mauerhan DR. The SF-36 general health status survey documents the burden of osteoarthritis and the benefits of total joint arthroplasty: but why should we use it? Am J Manag Care. 2002;8(5):463-74. [PubMed: 12019598].
21. Ng CY, Ballantyne JA, Brenkel IJ. Quality of life and functional outcome after primary total hip replacement. A five-year follow-up. J Bone Joint Surg Br. 2007;89(7):868-73. doi: 10.1302/0301-620x.89b7.18482. [PubMed: 17673577].
22. Regmi R, Shrestha D, Shrestha R, Raj Kayastha S, Thapa J, Sharma R. Functional outcome and quality of life following total hip replacement surgery. J Nepal Health Res Counc. 2022;20(1):213-7. doi: 10.33314/jnhrc.v20i01.4208. [PubMed: 35945878].
23. Hamdi A, Bakhsh D, Al-Sayyad M. Indications of total hiparthroplasty at a tertiary hospital in Jeddah. Saudi Surg J.
2017;5(3):106-9. doi: 10.4103/ssj.ssj_24_17.
24. Swiontkowski MF. Outcomes measurement in orthopaedic trauma surgery. Injury. 1995;26(10):653-7. doi:
10.1016/0020-1383(95)00127-1. [PubMed: 8745800].
25. What quality of life? the WHOQOL group. World Health Organization quality of life assessment. World Health Forum. 1996;17(4):354-6. [PubMed: 9060228].
26. Skyttä ET, Jarkko L, Antti E, Huhtala H, Ville R. Increasing incidence of hip arthroplasty for primary osteoarthritis in 30- to 59-year-old patients. Acta Orthop. 2011;82(1):1-5. doi: 10.3109/17453674.2010.548029. [PubMed: 21189098]. [PubMed Central: PMC3229990].
27. Singh JA. Epidemiology of knee and hip arthroplasty: A systematic review. Open Orthop J. 2011;5:80-5. doi: 10.2174/1874325001105010080. [PubMed: 21584277]. [PubMed Central: PMC3092498].
28. Shan L, Shan B, Graham D, Saxena A. Total hip replacement: A systematic review and meta-analysis on mid-term quality of life. Osteoarthritis Cartilage. 2014;22(3):389-406. doi: 10.1016/j.joca.2013.12.006. [PubMed: 24389057].
29. Bahardoust M, Hajializade M, Amiri R, Mousazadeh F, Pisoudeh K. Evaluation of health-related quality of life after total hip arthroplasty: A case-control study in the Iranian population. BMC Musculoskelet Disord. 2019;20(1):46. doi: 10.1186/s12891-019-2428-0. [PubMed: 30704434]. [PubMed Central: PMC6357390].
30. Mariconda M, Galasso O, Costa GG, Recano P, Cerbasi S. Quality of life and functionality after total hip arthroplasty: A long- term follow-up study. BMC Musculoskelet Disord. 2011;12:222. doi: 10.1186/1471-2474-12-222. [PubMed: 21978244]. [PubMed Central: PMC3204273].
31. Fitzgerald JD, Orav EJ, Lee TH, Marcantonio ER, Poss R, Goldman L, et al. Patient quality of life during the 12 months following joint replacement surgery. Arthritis Rheum. 2004;51(1):100-9. doi: 10.1002/art.20090. [PubMed: 14872462].
2. Rissanen P, Aro S, Slätis P, Sintonen H, Paavolainen P. Health and quality of life before and after hip or knee arthroplasty.J Arthroplasty. 1995;10(2):169-75. doi: 10.1016/s0883-5403(05)80123-8. [PubMed: 7798097].
3. Pivec R, Johnson AJ, Mears SC, Mont MA. Hip arthroplasty. Lancet. 2012;380(9855):1768-77. doi: 10.1016/s0140-6736(12)60607-2. [PubMed: 23021846].
4. Mobasheri R, Gidwani S, Rosson JW. The effect of total hip replacement on the employment status of patients under the age of 60 years. Ann R Coll Surg Engl. 2006;88(2):131-3. doi: 10.1308/003588406x95129. [PubMed: 16551399]. [PubMed Central: PMC1964053].
5. Nantel J, Termoz N, Vendittoli PA, Lavigne M, Prince F. Gait patterns after total hip arthroplasty and surface replacement arthroplasty. Arch Phys Med Rehabil. 2009;90(3):463-9. doi: 10.1016/j.apmr.2008.08.215. [PubMed: 19254612].
6. Shamekh A, Alizadeh M, Nejadghaderi SA, Sullman MJM, Kaufman JS, Collins GS, et al. The burden of osteoarthritis in the Middle East and North Africa region from 1990 to 2019. Front Med (Lausanne). 2022;9:881391. doi: 10.3389/fmed.2022.881391. [PubMed: 35814760]. [PubMed Central: PMC9261477].
7. Berstock JR, Beswick AD, Lenguerrand E, Whitehouse MR, Blom AW. Mortality after total hip replacement surgery: A systematic review. Bone Joint Res. 2014;3(6):175-82. doi: 10.1302/2046-3758.36.2000239. [PubMed: 24894596]. [PubMed Central: PMC4054013].
8. Abbott KC, Bucci JR, Agodoa LY. Total hip arthroplasty in chronic dialysis patients in the United States. J Nephrol. 2003;16(1):34-9. [PubMed: 12649533].
9. Miller KA, Callaghan JJ, Goetz DD, Johnston RC. Early postoperative mortality following total hip arthroplasty in a community setting: A single surgeon experience. Iowa Orthop J. 2003;23:36-42. [PubMed: 14575247]. [PubMed Central: PMC1888387].
10. Nunley RM, Lachiewicz PF. Mortality after total hip and knee arthroplasty in a medium-volume university practice. J Arthroplasty. 2003;18(3):278-85. doi: 10.1054/arth.2003.50095. [PubMed: 12728418].
11. Williams O, Fitzpatrick R, Hajat S, Reeves BC, Stimpson A, Morris RW, et al. Mortality, morbidity, and 1-year outcomes of primary elective total hip arthroplasty. J Arthroplasty. 2002;17(2):165-71. doi: 10.1054/arth.2002.29389. [PubMed: 11847614].
12. Nikolajsen L, Brandsborg B, Lucht U, Jensen TS, Kehlet H. Chronic pain following total hip arthroplasty: a nationwide questionnaire study. Acta Anaesthesiol Scand. 2006;50(4): 495-500. doi: 10.1111/j.1399-6576.2006.00976.x. [PubMed: 16548863].
13. Anakwe RE, Jenkins PJ, Moran M. Predicting dissatisfaction after total hip arthroplasty: a study of 850 patients. J Arthroplasty. 2011;26(2):209-13. doi: 10.1016/j.arth.2010.03.013. [PubMed: 20462736].
14. Cushnaghan J, Coggon D, Reading I, Croft P, Byng P, Cox K, et al. Long-term outcome following total hip arthroplasty: a controlled longitudinal study. Arthritis Rheum. 2007;57(8):1375-80. doi: 10.1002/art.23101. [PubMed: 18050176].
15. Judge A, Cooper C, Arden NK, Williams S, Hobbs N, Dixon D, et al. Pre-operative expectation predicts 12-month post-operative outcome among patients undergoing primary total hip replacement in European orthopaedic centres. Osteoarthritis Cartilage. 2011;19(6):659-67. doi: 10.1016/j.joca.2011.03.009. [PubMed: 21447395].
16. Judge A, Javaid MK, Arden NK, Cushnaghan J, Reading I, Croft P, et al. Clinical tool to identify patients who are most likely to achieve long-term improvement in physical function after total hip arthroplasty. Arthritis Care Res (Hoboken). 2012;64(6):881-9. doi: 10.1002/acr.21594. [PubMed: 22232080].
17. Fortin PR, Penrod JR, Clarke AE, St-Pierre Y, Joseph L, Bélisle P, et al. Timing of total joint replacement affects clinical outcomes among patients with osteoarthritis of the hip or knee. Arthritis Rheum. 2002;46(12):3327-30. doi: 10.1002/art.10631. [PubMed: 12483739].
18. Hofstede SN, Gademan MG, Vliet Vlieland TP, Nelissen RG, Marang-van de Mheen PJ. Preoperative predictors for outcomes after total hip replacement in patients with osteoarthritis: a systematic review. BMC Musculoskelet Disord. 2016;17:212. doi: 10.1186/s12891-016-1070-3. [PubMed: 27184266]. [PubMed Central: PMC4869370].
19. Ware J, Jr., Kosinski M, Keller SD. A 12-Item short-form health survey: Construction of scales and preliminary tests of reliability and validity. Med Care. 1996;34(3):220-33. doi: 10.1097/00005650-199603000-00003. [PubMed: 8628042].
20. Kiebzak GM, Campbell M, Mauerhan DR. The SF-36 general health status survey documents the burden of osteoarthritis and the benefits of total joint arthroplasty: but why should we use it? Am J Manag Care. 2002;8(5):463-74. [PubMed: 12019598].
21. Ng CY, Ballantyne JA, Brenkel IJ. Quality of life and functional outcome after primary total hip replacement. A five-year follow-up. J Bone Joint Surg Br. 2007;89(7):868-73. doi: 10.1302/0301-620x.89b7.18482. [PubMed: 17673577].
22. Regmi R, Shrestha D, Shrestha R, Raj Kayastha S, Thapa J, Sharma R. Functional outcome and quality of life following total hip replacement surgery. J Nepal Health Res Counc. 2022;20(1):213-7. doi: 10.33314/jnhrc.v20i01.4208. [PubMed: 35945878].
23. Hamdi A, Bakhsh D, Al-Sayyad M. Indications of total hiparthroplasty at a tertiary hospital in Jeddah. Saudi Surg J.
2017;5(3):106-9. doi: 10.4103/ssj.ssj_24_17.
24. Swiontkowski MF. Outcomes measurement in orthopaedic trauma surgery. Injury. 1995;26(10):653-7. doi:
10.1016/0020-1383(95)00127-1. [PubMed: 8745800].
25. What quality of life? the WHOQOL group. World Health Organization quality of life assessment. World Health Forum. 1996;17(4):354-6. [PubMed: 9060228].
26. Skyttä ET, Jarkko L, Antti E, Huhtala H, Ville R. Increasing incidence of hip arthroplasty for primary osteoarthritis in 30- to 59-year-old patients. Acta Orthop. 2011;82(1):1-5. doi: 10.3109/17453674.2010.548029. [PubMed: 21189098]. [PubMed Central: PMC3229990].
27. Singh JA. Epidemiology of knee and hip arthroplasty: A systematic review. Open Orthop J. 2011;5:80-5. doi: 10.2174/1874325001105010080. [PubMed: 21584277]. [PubMed Central: PMC3092498].
28. Shan L, Shan B, Graham D, Saxena A. Total hip replacement: A systematic review and meta-analysis on mid-term quality of life. Osteoarthritis Cartilage. 2014;22(3):389-406. doi: 10.1016/j.joca.2013.12.006. [PubMed: 24389057].
29. Bahardoust M, Hajializade M, Amiri R, Mousazadeh F, Pisoudeh K. Evaluation of health-related quality of life after total hip arthroplasty: A case-control study in the Iranian population. BMC Musculoskelet Disord. 2019;20(1):46. doi: 10.1186/s12891-019-2428-0. [PubMed: 30704434]. [PubMed Central: PMC6357390].
30. Mariconda M, Galasso O, Costa GG, Recano P, Cerbasi S. Quality of life and functionality after total hip arthroplasty: A long- term follow-up study. BMC Musculoskelet Disord. 2011;12:222. doi: 10.1186/1471-2474-12-222. [PubMed: 21978244]. [PubMed Central: PMC3204273].
31. Fitzgerald JD, Orav EJ, Lee TH, Marcantonio ER, Poss R, Goldman L, et al. Patient quality of life during the 12 months following joint replacement surgery. Arthritis Rheum. 2004;51(1):100-9. doi: 10.1002/art.20090. [PubMed: 14872462].
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| Issue | Vol 12 No 1 (2026) | |
| Section | Research Articles | |
| Keywords | ||
| Arthritis Degenerative Health-Related Quality of Life Hip Replacement Arthroplasty | ||
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How to Cite
1.
Murshid A, Moghamis I, Elshoeibi A, Albasha A, Derbas J, Ahmed G. Clinical Profile and Outcomes of Total Hip Replacement in Qatar. J Orthop Spine Trauma. 2026;12(1):55-9.
