What did I do?

The overall aim of this PhD was to improve understanding of rehabilitation and opioid use following revision total hip replacement (THR). Specifically, the thesis examined: (1) how patients experience and engage with rehabilitation after revision THR, (2) whether a targeted hip-strengthening exercise programme improves functional performance and recovery compared with standard community-based rehabilitation and (3) how opioid use develops during the first 2 years after revision THR and which patient characteristics are associated with persistent use.

Why did I do it?

Primary THR is a highly effective intervention for end-stage hip osteoarthritis, yet a substantial and growing number of patients undergo revision THR due to implant failure, infection, dislocation or periprosthetic fracture.1 Revision procedures are associated with worse pain, poorer functional outcomes, higher complication rates and greater healthcare costs than primary THR.2 Despite this increased complexity, postoperative rehabilitation following revision THR remains poorly…