Patient Satisfaction and Quality of Life Post-Total Hip Replacement: A Comparative Study of Surgical Techniques

Abstract

Background: Total Hip Replacement (THR) significantly improves patient quality of life (QoL) and satisfaction. However, post-operative outcomes can vary depending on the surgical techniques employed. Objective: This study compares patient satisfaction and QoL post-THR between conventional and minimally invasive surgical techniques at Rajshahi Medical College Hospital, Bangladesh. Method: A prospective study was conducted from January 2021 to June 2023 at the Department of Orthopaedic Surgery, Rajshahi Medical College Hospital. A total of 48 patients who underwent THR (24 with conventional techniques, 24 with minimally invasive techniques) were assessed using validated patient satisfaction and QoL questionnaires. Post-operative pain, functional recovery, and complications were also evaluated. Results: Patients minimally invasive THR reported significantly higher satisfaction rates (92%) compared to those treated with conventional techniques (75%) (p = 0.02). QoL scores were also better in the minimally invasive group (85 vs. 72, p < 0.01). Functional recovery was faster, with 80% resuming daily activities within six weeks in the minimally invasive group, compared to 58% in the conventional group (p = 0.03). Post-operative pain was lower in the minimally invasive group (20% vs. 40%, p = 0.04). Complication rates were similar between both groups (8% vs. 10%, p = 0.74). Conclusion: Minimally invasive THR results in higher patient satisfaction, faster recovery, and improved QoL compared to conventional techniques, suggesting it as a preferable option for THR in Bangladesh.