Background and purpose — Patient-reported outcomes (PROMs) after primary total hip arthroplasty (THA) and revision THA are important information in the preoperative shared decision-making process. We present 1-year results on pain, function, and quality of life following primary and revision THA. Patients and methods — From 2010 to 2018, 3,559 primary THA and 406 revision THAs were included in our institutional quality registry. PROMs were registered preoperatively, 3 months, and 1 year after surgery, numeric rating scale (0–10) for pain during mobilization and at rest, healthrelated quality of life (EQ-5D), and a hip-specific physical function score (HOOS-PS). 2 anchor questions were asked 1 year after surgery concerning joint function and willingness to go through surgery again. Results — There were statistically significant improvements in all PROMs at the 3-month follow-up in both groups. All PROMs improved more in the primary group relative to the revision group. 1 year after surgery, pain during mobilization was reduced with a mean change of 5.1 (SD 2.6) for primary THA and 2.9 (SD 3.0) for revision THA. 93% of primary THA patients reported both better function 1 year after surgery and that they would have gone through surgery again, compared with 78% and 79% in the revision THA group. Interpretation — Primary THA patients reported better function and more pain relief than the revision THA group 1 year after surgery. Pain during mobilization shows the most marked improvement in both groups, which is important preoperative information for patients.
Contributions in this thematic issue focus explicitly on citizens and their online engagement with European politics. For social media research in the European Union, citizens remain an understudied actor type in comparison with political elites or news organizations. The reason, we argue, is four key challenges facing social media research in the European Union: legal, ethical, technical, and cultural. To introduce this thematic issue, we outline these four challenges and illustrate how they relate to each contribution. Given that these challenges are unlikely to dissipate, we stress the need for open dialogue about them. A key part of that involves contextualizing research findings within the constraints in which they are produced. Despite these challenges, the contributions showcase that a theoretical and empirical focus on citizens’ social media activity can illuminate key insights into vitally important topics for contemporary Europe. These include civic participation, institutional communication, media consumption, gender inequality, and populism.
This article uses a memory studies lens to explore the inherent tension in discourses that defend empire in post-colonial Britain. It argues that many Britons try to reconcile their awareness of colonial violence, racism, and exploitation with their wish to view themselves in a positive light. This at a time when the memory of empire continues to be associated with British national identity in the present. It studies three phenomena that characterize much engagement with the imperial past: firstly, the acknowledgement of imperial wrongs within otherwise celebratory accounts; secondly, the idea that there is an empire-critical master narrative against which one must present a counter-memory in order to keep the balance; and thirdly, the defence of individual Britons that allows for a depoliticized endorsement of empire and liberates contemporary Britain of guilt. It uses the rhetoric of a number of authors, filmmakers, and politicians as the point of departure to study the politics of remembering empire in post-colonial Britain.
One of the most striking phenomena of Zimbabwean literature in the past few decades has been the boom in white memoirs. Often written from abroad, these texts respond to the hostile political climate of the land reforms by insisting upon their right to speak as national subjects. This article studies four memoirs by the two most famous exponents of the genre, Alexandra Fuller and Peter Godwin. It argues that their texts negotiate a contested sense of belonging, challenged by their own doubts and expatriate position as well as by government exclusion. Outweighing such concerns, however, are the authors' continued family connections to the continent they have left behind. Their parents and siblings are used to insist upon the right of Fuller and Godwin, and with them whites more generally, to call Africa home.
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