Total Hip Replacement vs. Resistance Training for Severe Hip Osteoarthritis in older adults .
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Total Hip Replacement or Resistance Training for Severe Hip Osteoarthritis.
N Engl J Med. 2024 01-Oct;():. 10.1056/NEJMoa2400141One hundred nine patients with severe hip osteoarthritis were randomized to receive either total hip replacement (n=53) or supervised resistance training (n=56). The primary outcome of interest was the change in the Oxford Hip Score from baseline to six months, which evaluates pain and function. Secondary outcomes included various dimensions of quality of life, physical activity levels, and functional performance tests. Outcomes were assessed at baseline and six months. Overall, total hip replacement demonstrated significantly greater improvements in hip pain and function compared to resistance training. The findings suggest that total hip replacement is clinically superior for reducing pain and improving function in patients with severe hip osteoarthritis.
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