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April 23, 1997

A 76-Year-Old Woman Considering Total Hip Replacement, 1 Year Later

JAMA. 1997;277(16):1314. doi:10.1001/jama.1997.03540400064033

At Orthopedics Grand Rounds held approximately 1 year ago, Dr John Callaghan discussed the evaluation and management of a 76-year-old woman with osteoarthritis of the hip.1 The patient was reluctant to undergo hip replacement without a guarantee that her most troubling symptom, limitation of motion of the hip, would be improved after the surgery. Dr Callaghan discussed the natural history of osteoarthritis of the hip, evaluation and treatment, and indications for surgical management. We asked the patient and her doctor to comment on the year that has passed.

MRS W, THE PATIENT  I feel wonderful. I had my hip replaced in May. They gave me 1 radiation treatment and physical therapy. At first, I couldn't move my hip the way I wanted to, but I found a physical therapist who really helped me. I walk every day and ride an exercise bicycle when I remember. I can put on

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