Clinical Profile and Outcomes of Total Hip Replacement in Qatar

Background: Total hip replacement (THR) is a common surgical procedure that improves the functional outcomes and health- related quality of life (HRQOL) in patients with severe hip joint pathology, particularly those with osteoarthritis (OA) and avascular necrosis (AVN). This study evaluates the clinical profile and outcomes of THR in Qatar. Methods: We conducted a retrospective cohort study of 123 patients who underwent primary THR at Hamad General Hospital, Qatar, between January 2011 and August 2021. Data on demographics, clinical characteristics, and preoperative and postoperative scores were collected and analyzed. Functional outcomes were measured using the Oxford Hip Score (OHS) and 12-Item Short-Form Health Survey (SF-12). Linear regression analysis was performed to identify factors influencing postoperative outcomes. Results: The primary indications for THR were OA (37.4%) and AVN (25.2%). Significant improvements were observed in both OHS and SF-12 scores postoperatively. However, these scores tended to decrease over time. Age and alcohol consumption were found to affect functional outcomes negatively, as well as mental and physical health, postoperatively. Conclusion: THR significantly improves functional outcomes and HRQOL in patients with severe hip joint pathology. However, age and alcohol consumption are associated with poorer long-term outcomes, highlighting the need for targeted preoperative counseling and postoperative management in these populations.