Factors Influencing the Functional Outcome after                            Total Hip Replacement (THR) in Elderly Patients: A Literature Review

Mrs.Supattra Changsuphan; Lakkhana Chainok; Thanistha Samai

Authors

Mrs.Supattra Changsuphan School of Nursing, Sukhothai Thammathirat Open University, Thailand https://orcid.org/0000-0003-1279-4779
Lakkhana Chainok Instructor, Institute of Nursing, Suranaree University of Technology, Nakhon Ratchasima, Thailand.
Thanistha Samai Instructor, Faculty of Nursing, Mahidol University, Bangkok, Thailand.

Keywords:

hip fracture, exercise, total hip replacement, functional recovery, rehabilitation, multidisciplinary care, patient outcomes

Abstract

The prevalence of hip fractures among the elderly continues to present significant health challenges, impacting mobility, independence, and healthcare resources. Total hip replacement (THR) is a critical surgical intervention to alleviate pain and enhance functional mobility in elderly patients. This literature review aimed to identify factors influencing post-THR recovery, focusing on success determinants, limitations, and commonly used assessment tools. The findings highlight that early mobilization, structured rehabilitation, patient self-efficacy, and family involvement are essential to successful outcomes. Dual mobility prostheses were noted to reduce dislocation rates, enhancing recovery in high-risk patients. However, challenges such as comorbidities, psychological constraints, and limited access to comprehensive rehabilitation persist. Measurement tools such as the Oxford Hip Score (OHS) and the Timed Up and Go (TUG) test were commonly employed to assess patient progress. Addressing these challenges through multidisciplinary care, patient-specific strategies, and further research is essential for improving long-term recovery and functional outcomes. These insights provide healthcare professionals with practical guidance for supporting recovery and enhancing the quality of life in elderly patients post-THR.

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