The Particulars: Previous investigations have suggested that osteoarthritis of the hip and knee affect sexual activity. The ability of total hip arthroplasty (THA) and total knee arthroplasty (TKA) to improve physical and psychological aspects of sexuality in patients with OA is not well known.

Data Breakdown: A survey of patients who had undergone THA or TKA found that 42% reported improved libido, 36% reported increased intercourse duration, and 41% reported increased intercourse frequency. In addition, 84% reported having improved general well-being and 55% had improved sexual self-image after their surgery. However, 16% reported that surgery adversely affected sexual function, with 10% fearing that it may damage the replaced joint.

Take Home Pearls: Following THA or TKA, most patients appear to experience improved overall sexual function when compared with the preoperative period. Sexual function should be considered in routine evaluations of this patient population.