Total Hip Replacement Study
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1
. Please state the age at which you received your implant.
Please state the age at which you received your implant.
2
. What was the deciding factor that made you decide to get an implant?
What was the deciding factor that made you decide to get an implant?
Joint Pain
Range of Motion
Mobility
Lifestyle
Other (please specify)
3
. How would you rank your pain before the surgery from 1 - 10? 10 being the most painful.
How would you rank your pain before the surgery from 1 - 10? 10 being the most painful.
4
. How would you rank your range of motion before the surgery from 1 - 10? 1 being the most restricted motion.
How would you rank your range of motion before the surgery from 1 - 10? 1 being the most restricted motion.
5
. What treatments (if any) did you attempt before receiving the implant?
What treatments (if any) did you attempt before receiving the implant?
Pain Medications
Physical Therapy
Holistic Medicine
No Treatment
Other (please specify)
6
. How long was your recovery post surgery?
How long was your recovery post surgery?
6 Months or Less
6 to 12 Months
12 to 18 Months
18 to 24 Months
Longer than 2 Years
7
. How would you rank your pain after the surgery from 1 - 10? 10 being the most painful.
How would you rank your pain after the surgery from 1 - 10? 10 being the most painful.
8
. How would you rank your range of motion after the surgery from 1 - 10? 1 being the most restricted.
How would you rank your range of motion after the surgery from 1 - 10? 1 being the most restricted.
9
. Did the news of implant recalls affect your decision to get one?
Did the news of implant recalls affect your decision to get one?
Yes
No
10
. In retrospect, if you had the option would you go the implant route for treating your symptoms again?
In retrospect, if you had the option would you go the implant route for treating your symptoms again?
Yes
No
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