Total hip replacement or resistance training for severe hip osteoarthritis

Key Points

1. In patients with severe hip osteoarthritis and an indication for hip surgery, total hip replacement resulted in greater improvements in hip pain and function at six months than resistance training.

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BACKGROUND & OBJECTIVE

Hip OA affects 33 million people worldwide and is a substantial contributor to disability (1). Total hip replacement is a common treatment for hip osteoarthritis, with more than one million surgeries performed each year (2). In Europe and Australia, the lifetime likelihood of undergoing total hip replacement is approximately 10% (3). However, there is little research comparing the effectiveness of total hip replacement to nonsurgical treatments.

This study is a randomized controlled trial comparing the effectiveness of total hip replacement to resistance training for severe hip osteoarthritis.

There is little research comparing the effectiveness of total hip replacement to nonsurgical treatments.

Clinicians should be aware that total hip replacement is a good option to consider for patients with severe hip osteoarthritis.

METHODS

• The study recruited 109 people over the age of 50 with severe hip osteoarthritis (OA) and a recommendation to undergo total hip replacement (THR). Half were assigned to surgery, and the other half received individual, supervised resistance training (RT) with

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