Pre- and Post-Surgery Gait Self-Assessments and the Psychosocial Aspects of Female Hip Osteoarthritis Patients: Comparison of Total Hip Arthroplasty Patients and Spherical Periacetabular Osteotomy Patients

Abstract

キーワード：人工股関節全置換術(THA) ，低侵襲寛骨臼骨切り術(SPO) ，歩容，自己評価，心理社会的側面 AbstractPurpose: This study examined gait self-assessments and the psychosocial aspects of female patients with hip osteoarthritis pre-and post-surgery, comparing perspectives from patients with total hip arthroplasty (THA) and patients with Spherical Periacetabular Osteotomy (SPO).Method: An anonymous self-response questionnaire survey was conducted with female THA patients and female SPO patients 6 to 12 months post-surgery and the self-assessment and psychosocial aspects of the patients' gaits pre-and post-surgery were compared.Results: Responses were received from 70 THA patients and 10 SPO patients. For both THA and SPO patients, gait self-assessments were significantly higher post-surgery. The pre-surgery gait selfassessments were related to feelings of claudication, a feeling about walking with the aid of a stick, and depression in THA patients. The post-surgery gait self-assessments were related to self-esteem, depression, public self-consciousness, and general health perceptions (GH) in THA patients, and overall GH in SPO patients.Conclusion: This suggested that assessing the gait self-assessment of female patients with hip osteoarthritis would help to provide psychosocial supports. However, there were differences in the psychosocial factors that relate to gait self-assessment. This suggests that it is necessary for care to be adapted to the period of time in relation to surgery and the characteristics of each patient.