Evidence map›Paper›PMID 41933348›Full record

ArticleJournal of orthopaedic surgery and research2026

Comparative analysis of postoperative outcomes in men and women following total hip replacement surgery.

Sandra Ruta, Til Leander Riedl, Patrick Orth, Christian Götze, Filippo Migliorini, Julian Koettnitz

Abstract readComparative Study
In one paragraph

Article in Journal of orthopaedic surgery and research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Sandra RutaRuhr University Bochum, Bochum, Germany.
Til Leander RiedlRuhr University Bochum, Bochum, Germany.
Patrick OrthRuhr-University Bochum (RUB), Medical Faculty,, University Hospital Auguste-Viktoria, Department of General Orthopedics, Bad Oeynhausen, Germany.
Christian GötzeRuhr University Bochum, Bochum, Germany.
Filippo MiglioriniDepartment of Orthopaedics and Trauma Surgery, RWTH Aachen University, Aachen, Germany.
Julian KoettnitzRuhr-University Bochum (RUB), Medical Faculty,, University Hospital Auguste-Viktoria, Department of General Orthopedics, Bad Oeynhausen, Germany. Julian.Koettnitz@ruhr-uni-bochum.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTotal hip arthroplasty (THA) is a widely performed procedure to alleviate pain and restore function in patients with advanced hip osteoarthritis. Despite extensive research, the question of sex disparities remains inconclusive, with studies showing comparable or different clinical outcomes.

methodsA prospective analysis was conducted on 167 patients who underwent total hip arthroplasty (THA) between 06/2022 and 06/2023 at a university hospital to analyses sex-specific outcomes. Demographic data, the mobility, the use of walking aids, pre- and postoperative range of motion, pain and the HHS (Harris Hip Score) after six months were collected and analysed. Data analyses were conducted with SPSS Version 29.0.

resultsThe mean age of the patients was 66.9 ± 10.5 with a percentage of women (w) of 60.5%. After six months the range of motion between the sexes was significantly different with more motion deficits for men (m). For example, women revealed a significantly greater total range of motion (ranks: 70.8 vs. 92.6; p = 0.001) with a higher degree (°) of hip flexion ((w) 103.0° ± 7.5° vs. (m) 98.2° ± 7.4°; p = 0.001) and internal rotation ((w)13.3° ± 6.8° vs. (m) 8.9° ± 6.6°, p = 0.001). The pain in both sides was significantly reduced six months after surgery (rest: 2.2 ± 0.9 vs. 0.6 ± 1.5; movement: 7.3 ± 1.1 vs. 1.6 ± 2.4; for both p = 0.001) but no sex difference could be found. The gait pattern and stair climbing ability were better in men (p = 0.008; p = 0.037), but no significant differences in postoperative satisfaction or quality of life could be detected (p = 0.671; p = 0.409). The combination of a stem with a low offset and cups larger than 55 mm showed better results in the Harris Hip Score (HHS) (mean: 86.9 ± 10.7 vs. 95.3 ± 4.0; p = 0.001), what can be considered an advantage for men.

conclusionsThis study shows sex differences in the range of motion and mobility in everyday life. Although the female sex showed better mobility, no differences in satisfaction or quality of life were found six months after surgery. However, the combination of stem and cup size seems to have a relevant influence on postoperative outcome, especially in men.

Indexed as

Arthroplasty, Replacement, HipOsteoarthritis, HipAgedFemaleHumansMaleMiddle AgedProspective StudiesRange of Motion, ArticularSex FactorsTreatment OutcomeHarris hip scoreQuality of lifeSatisfactionsexTotal hip arthroplasty

Identifiers

PMID41933348
PMCPMC13064225

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