Empirical support for radiographic review: A follow-up study of total hip arthroplasty

Lindsay K. Smith, F. Cramp, S. Palmer, N. Coghill, R.F. Spencer

Research output: Contribution to journalArticlepeer-review

5 Citations (Scopus)
26 Downloads (Pure)


Routine post surgery surveillance of total hip arthroplasty (THA) is widely recommended to identify asymptomatic failure but inclusion of an x-ray adds to service costs. Evidence is needed to support orthopaedic opinion in order to identify what should be included in surveillance. An investigation was conducted to establish whether an x-ray is needed in addition to patient reported outcome measures. One hundred and fifty-four THA had been assessed at 3 years and were reviewed again at 6 to 9 years (mid-term) when radiographic signs of deterioration commonly appear.Data were explored for associations between radiographic changes and changes in the participants' Oxford Hip Score, age, EuroQol 5-D score or comorbidities. Hierarchical multiple regression analysis showed that the number of radiographic changes could not be predicted by any of the other variables. This supports the inclusion of an x-ray in THA surveillance and suggests that the state of the THA cannot be determined by the use of patient reported outcome measures alone. This has implications for future arthroplasty surveillance.
Original languageEnglish
Pages (from-to)80-86
Number of pages7
JournalHIP International
Issue number1
Early online date20 Nov 2012
Publication statusPublished - 1 Jan 2013
Externally publishedYes

Bibliographical note

Copyright © and Moral Rights are retained by the author(s) and/ or other copyright owners. A copy can be downloaded for personal non-commercial research or study, without prior permission or charge. This item cannot be reproduced or quoted extensively from without first obtaining permission in writing from the copyright holder(s). The content must not be changed in any way or sold commercially in any format or medium without the formal permission of the copyright holders.


  • Total hip arthroplasty
  • Surveillance
  • X-Ray
  • Patient Reported Outcome Measures


Dive into the research topics of 'Empirical support for radiographic review: A follow-up study of total hip arthroplasty'. Together they form a unique fingerprint.

Cite this