Why Are Patients Dissatisfied after Revision THA?

    Total hip arthroplasty – whether primary or revision surgery – is generally a successful procedure that provides improved functioning and pain relief. Patients are usually satisfied with their outcomes.

    But as most joint replacement surgeons know, there will be a small percentage who aren’t satisfied and who may even feel they are worse off than before surgery. The question is, why do they feel that way?

    The literature on revision THA does not have a clear answer. Investigators from Mayo Clinic, therefore, sought to quantify the percentage of patients in their practice who were dissatisfied after their revision procedure and to determine why they were unhappy. This survey-based study was recently presented at the annual meeting of the Mid-America Orthopaedic Association.

    In their retrospective review of data from patients who underwent revision THA between 2000 and 2009, only 3% (85 patients) said they worse off than before the procedure. About half cited continued pain as the reason they were unhappy, with about one third indicating they still had difficulty walking.

    Interestingly, one third of these patients were still somewhat or very satisfied with the outcome, and nearly two third were satisfied with their surgeon.

    We sat down with George F. Bonadurer, III, BS, a medical student at Mayo College of Medicine who was the lead author on this study, to find out more about the research.

    Click the image above to hear his comments.

    Producer and Director: Michael Bugera; Post Production: Charles Maynard


    Bonadurer GF III, Wyles CC, Trousdale RT. Patient Reported Reasons for Dissatisfaction Following Revision Total Hip Arthroplasty (Paper 051). Presented at the Mid-America Orthopaedic Association Annual Meeting, April 22-25, 2015, Hilton Head Island, South Carolina.