Chinese Patients' Satisfaction With Total Hip Arthroplasty: What Is Important and Dissatisfactory?

Through validated self-administered questionnaires, we conducted a retrospective investigation in 818 patients (1009 hips) who underwent primary THA, to collect data on overall satisfaction plus satisfaction and importance rating for 16 specific functions and issues. Overall, 8.1% patients were dissatisfied with the surgery. The top 3 important items are pain relief, squatting, and walking. The top 3 dissatisfactory items are jogging, squatting, and rising after squatting. The strongest risk factors for dissatisfaction with walking were pain (6.1x), muscle weakness(3.7x), and LLD (3.3x). The strongest risk factors for dissatisfaction with squatting were low postoperative HHS ROM (3.7x) and muscle weakness (2.6x). For Chinese patients, ROM, muscle strength and LLD are very important. (C) 2014 Elsevier Inc. All rights reserved.