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SAS Journal of Surgery | Volume-12 | Issue-05
Impact of Patient Education and Lifestyle Adherence on Functional Outcomes after Total Hip Arthroplasty in Moroccan Context
Yassine YAHYAOUI, Mohamed NASSIRI, R. Chafik, M. Madhar, H. Elhaoury, A. Achkoun, G. Benjelloun
Published: May 7, 2026 | 24 19
Pages: 392-396
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Abstract
Background: The success of total hip arthroplasty (THA) relies on surgical precision and patient adherence to postoperative safety guidelines. In the Moroccan context, traditional habits (floor prayer, Turkish toilets) challenge standard protocols. This study evaluates the impact of patient education on lifestyle adherence and functional outcomes. Methods: A retrospective study (2021–2023) was conducted, including 67 patients (70 hips). Evaluations utilized the PMA, WOMAC, and Parker scores. A specific questionnaire analyzed the quality of information received and actual lifestyle habits at the final follow-up. Results: The mean age was 57.1 years. Functional improvement was significant, with the mean PMA score increasing from 6.28 to 14.4 (p < 0.001). Despite a 100% satisfaction rate, adherence was low: 79% used traditional toilets and 36% performed floor prayers. Illiteracy (68%) and low socioeconomic status (82%) were major barriers to adherence. Conclusion: THA restores excellent function despite low adherence to Western-style lifestyle precautions. Culturally adapted patient education is necessary to bridge the gap between medical advice and daily reality.