AIMS The aim of this study was to explore the relationship between reason for revision total hip arthroplasty (rTHA) and outcomes in terms of patient-reported outcome measures (PROMs). METHODS We reviewed a prospective cohort of 647 patients undergoing full or partial rTHA at a single high-volume centre with a minimum of two years' follow-up. The reasons for revision were classified as: infection; aseptic loosening; dislocation; structural failure; and painful THA for other reasons. PROMs (modified Oxford Hip Score (mOHS), EuroQol five-dimension three-level health questionnaire (EQ-5D-3L) score, and visual analogue scales for pain during rest and activity), complication rates, and failure rates were compared among the groups. RESULTS The indication for revision influenced PROMs improvement over time. This finding mainly reflected preoperative differences between the groups, but diminished between the first and second postoperative years. Preoperatively, patients revised due to infection and aseptic loosening had a lower mOHS than patients with other indications for revision. Pain scores at baseline were highest in patients being revised for dislocation. Infection and aseptic loosening groups showed marked changes over time in both mOHS and EQ-5D-3L. Overall complications and re-revision rates were 35.4% and 9.7% respectively, with no differences between the groups (p = 0.351 and p = 0.470, respectively). CONCLUSION Good outcomes were generally obtained regardless of the reason for revision, with patients having the poorest preoperative scores exhibiting the greatest improvement in PROMs. Furthermore, overall complication and reoperation rates were in line with previous reports and did not differ between different indications for rTHA. Cite this article: Bone Joint J 2022;104-B(7):859-866.

中文翻译：

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患者报告的结果测量、并发症发生率和再翻修率与翻修全髋关节置换术的指征无关：对 647 名连续患者的前瞻性评估。

目的 本研究的目的是探讨翻修全髋关节置换术 (rTHA) 的原因与患者报告结果测量 (PROM) 方面的结果之间的关系。方法 我们回顾了一个前瞻性队列，该队列由 647 名在单个高容量中心接受全部或部分 rTHA 的患者组成，并至少进行了两年的随访。翻修原因分类为：感染；无菌松动；错位; 结构失效；以及其他原因导致疼痛的 THA。比较了 PROMs（改良牛津髋关节评分（mOHS）、EuroQol 五维三级健康问卷（EQ-5D-3L）评分以及休息和活动疼痛视觉模拟量表）、并发症发生率和失败率。团体。结果 随着时间的推移，修订指示影响了 PROM 的改进。这一发现主要反映了组间的术前差异，但在术后第一年和第二年之间有所减少。术前，因感染和无菌性松动而翻修的患者的 mOHS 低于有其他翻修指征的患者。因脱位而进行修正的患者的基线疼痛评分最高。随着时间的推移，感染组和无菌松动组的 mOHS 和 EQ-5D-3L 均有显着变化。总体并发症和再修订率分别为 35.4% 和 9.7%，两组之间没有差异（分别为 p = 0.351 和 p = 0.470）。结论 无论翻修的原因如何，通常都能获得良好的结果，术前评分最差的患者的 PROM 改善最大。此外，总体并发症和再手术率与之前的报告一致，并且在 rTHA 的不同适应症之间没有差异。引用这篇文章：骨关节 J 2022;104-B(7):859-866。