Mew Louise E, Heaslip Vanessa, Immins Tikki, Wainwright Thomas W
Milton Keynes University Hospital, Milton Keynes, UK.
Orthopaedic Research Institute, Bournemouth University, Poole, UK.
Bone Jt Open. 2025 Jul 14;6(7):807-815. doi: 10.1302/2633-1462.67.BJO-2025-0013.R1.
Total hip arthroplasties (THAs) are common operations performed in orthopaedics. Though initially developed to address hip conditions in older patients, demand in younger patients is increasing. Research in older populations informs current practice, and it is unclear if outcome priorities are the same in younger patients. The study's aim was to explore the expectations and priorities of younger patients' (aged < 50 years) undergoing THA.
Using interpretive phenomenological analysis (IPA) methodology, ten patients were recruited from one UK hospital. Semistructured interviews occurred at three timepoints (pre-surgery, six weeks, and six months post-surgery). This study has been reported using the COnsolidated criteria for REporting Qualitative research (COREQ).
Six themes were identified: 'I'm just constantly in pain', 'Giving up hope', 'Living a process that does not reflect me', 'This is not who I'm meant to be', 'My family didn't sign up for this', and 'I can't do anything'. Some themes were independent of patient age, such as pain, and experiences of healthcare. However, other findings may be more imperative to the younger patient than the older patient.
The Young Hip study highlighted aspects currently overlooked in younger THA patients. Participants were aware that they were not the accepted patient profile for THA, and expressed having to fight to be heard. Function was considered in terms of responsibilities and roles in society, rather than traditional clinical perceptions of mobility. The findings demonstrated that current care pathways are not fully addressing the needs of younger THA patients. Further development of a personalized THA pathway, allowing for more focus on person-centred care, could address issues raised by this study, more effectively supporting younger patients.
全髋关节置换术（THA）是骨科常见的手术。虽然该手术最初是为解决老年患者的髋关节问题而开展的，但年轻患者的需求正在增加。针对老年人群的研究为当前的临床实践提供了依据，而对于年轻患者而言预后重点是否相同尚不清楚。本研究的目的是探讨接受THA手术的年轻患者（年龄＜50岁）的期望和重点。
采用解释性现象学分析（IPA）方法，从一家英国医院招募了10名患者。在三个时间点（术前、术后六周和术后六个月）进行了半结构化访谈。本研究已按照报告定性研究的统一标准（COREQ）进行了报告。
确定了六个主题：“我一直疼痛不止”“放弃希望”“生活的过程与我不符”“这不是真实的我”“我的家人没有预料到会这样”以及“我什么都做不了”。有些主题与患者年龄无关，如疼痛和医疗经历。然而，其他一些发现对于年轻患者可能比老年患者更为重要。
“年轻髋关节”研究突出了目前在年轻THA患者中被忽视的方面。参与者意识到他们并非THA手术所接受的典型患者群体，并表示必须努力让自己被倾听。功能是根据在社会中的责任和角色来考量的，而非传统临床对活动能力的认知。研究结果表明，目前的护理路径并未充分满足年轻THA患者的需求。进一步开发个性化的THA路径，更加注重以患者为中心的护理，可以解决本研究提出的问题，更有效地支持年轻患者。
