What Is Important to the Younger Person (≤50 Years) When Having a Total Hip Arthroplasty: A Systematic Literature Review.
Louise Mew, Vanessa Heaslip, Tikki Immins and 1 others
PMID 37494902WHAT IT FOUND
No existing study has directly asked adults under 50 what outcomes matter most to them after hip replacement.
Current knowledge relies on data from mixed-age groups or older patients, so clinicians cannot yet confirm if younger patients' priorities differ from those measured by standard tests.
Key findings
01The review found no primary studies that specifically investigated the outcome priorities and goals of patients younger than 50 years undergoing total hip arthroplasty.
02Only 14 participants across all nine included studies were confirmed to be under 50 years old and had undergone a total hip arthroplasty.
03Most included studies failed to separate findings for hip replacement patients from knee replacement patients, making it impossible to attribute themes specifically to the hip group.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTsWhat it means for SLPsWhat it means for RNs
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What it does not show
The total number of relevant participants was extremely small (14 confirmed patients under 50). Most included studies did not separate hip from knee replacement data, so findings cannot be reliably applied to hip patients specifically. Seven of the nine studies were retrospective, relying on patient memory which may have altered the reported priorities. The review could not perform a meta-analysis due to the heterogeneity of the included studies.
Declared interests
No funding sources or conflicts of interest were reported in the provided text.
The easy way to misread this
Do not interpret the common themes of pain and mobility as evidence of what younger patients value most. These themes emerged from mixed-age and mixed-joint groups, and the review explicitly states that no study has yet asked younger adults about their specific priorities.