scholarly journals Total Hip Arthroplasty and Postoperative Rehabilitation

1973 ◽  
Vol 53 (2) ◽  
pp. 132-140 ◽  
Author(s):  
David S. Burton ◽  
Susanna H. Imrie
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Postoperative Rehabilitation ◽  
Total Hip

scholarly journals One-Stage Bilateral Total Hip Arthroplasty. Modern Representations and Our Experience

2020 ◽  
Vol 106 (3) ◽  
pp. 52-62
Author(s):  
O.M. Kosiakov ◽  
P.V. Bulych ◽  
K.O. Hrebennikov ◽  
A.V. Myloserdov ◽  
Ye. V. Tuz ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Surgical Intervention ◽  
Joint Damage ◽  
Cost Effective ◽  
Modern Medicine ◽  
Postoperative Rehabilitation ◽  
Surgical Interventions ◽  
Total Hip ◽  
One Stage

Summary. Relevance. Total hip arthroplasty remains one of the most successful and cost-effective surgical interventions in modern medicine. This is proven by the ever-growing number of total arthroplasties worldwide, which reached 650,000 implantations in Europe only in 2018. In 2024, this number is expected to be 730,000 [1]. According to experts, from 15 to 25 percent of patients need a bilateral procedure [2, 8]. The experience of our Center allows us to recommend a successful one-stage replacement of both hip joints for patients with a number of medical and social comorbidities. Objective. The study is set out to highlight the possibilities of performing simultaneous bilateral arthroplasty of the hip joint in a group of patients with bilateral joint damage, as well as to substantiate the economic, medical and social benefits of this surgical intervention. Materials and Methods. We have analyzed the data from publications of our foreign colleagues. We also present our own observations – more than 100 cases over the past 11 years (2008-2019). Results. Based on data from foreign publications and our own observations, the undoubted advantages, features and limitations of this type of surgical intervention are shown. Complex cases of bilateral joint damage and the results of one-stage surgical treatment have been demonstrated. Conclusions. One-stage bilateral hip arthroplasty is the method of choice for symmetric lesions and should take its rightful place in the arsenal of modern orthopedics clinics. We continue to advocate simultaneous bilateral hip replacement for a selected group of healthy patients ≤65 years old. Thoughtful preoperative planning, surgical intervention lasting up to 90 minutes on each joint, careful postoperative monitoring, strictly controlled prevention of thromboembolic complications and active postoperative rehabilitation provide our patients with quick and safe functional recovery.

scholarly journals Simultaneous bilateral minimally invasive total hip arthroplasty: A comprehensive review of the literature

2018 ◽  
Vol 10 (3) ◽  
Author(s):  
Michael-Alexander Malahias ◽  
Kulapat Chulsomlee ◽  
Fritz Thorey
Keyword(s):  
Clinical Trials ◽  
Total Hip Arthroplasty ◽  
Minimally Invasive ◽  
Hip Arthroplasty ◽  
Hip Osteoarthritis ◽  
Operation Time ◽  
Postoperative Rehabilitation ◽  
Total Hip ◽  
One Stage ◽  
Transfusion Requirements

Several studies have reported that minimally- invasive total hip arthroplasty (MISTHA) may significantly reduce postoperative pain and results in faster postoperative rehabilitation when compared with the traditional lateral or posterior approach. Regarding bilateral hip osteoarthritis, there is still no consensus whether simultaneous bilateral MIS-THA can be established as the treatment of choice. Therefore, we searched the international databases of Pubmed, Medline, and Cochrane Database of Systematic Reviews using the key words minimally invasive bilateral total hip arthroplasty. From the initial 23 articles we found five clinical studies which met our inclusion criteria. From the perspective of possible intra- and postoperative complications, one-stage bilateral MIS THA was equally safe or safer than two-stage interventions. In addition, from a clinical outcome perspective, the one-stage procedure can be considered to be preferable. Higher blood transfusion requirements, which were expected following the standard bilateral simultaneous THA, seemed to be minimized with the simultaneous bilateral MIS THA. The supine position of the patient minimized the mean operation time. Approaches using the lateral decubitus position of the patient should be avoided in simultaneous bilateral THA due to the increased operation time. There is a lack of randomized, controlled clinical trials, comparing simultaneous bilateral MIS THA with staged bilateral MIS THA. Although simultaneous bilateral MIS THA seems to be efficacious, cost-effective and safe, more clinical trials are required to establish its superiority over the sequential MIS THA.

scholarly journals Methods of the physical medicine therapy in prevention of heterotopic ossification after total hip arthroplasty

2006 ◽  
Vol 63 (9) ◽  
pp. 807-811 ◽  
Author(s):  
Mirjana Kocic ◽  
Milica Lazovic ◽  
Zoran Kojovic ◽  
Milorad Mitkovic ◽  
Sasa Milenkovic ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Total Hip Arthroplasty ◽  
Heterotopic Ossification ◽  
Hip Arthroplasty ◽  
Nonsteroidal Antiinflammatory Drugs ◽  
Antiinflammatory Drugs ◽  
Postoperative Rehabilitation ◽  
Total Hip ◽  
Group A ◽  
Group B

Background/aim: In the prevention of periarticular heterotopic ossification (HO), a common complication after total hip arthroplasty (THA), nonsteroidal antiinflammatory drugs (NSAID) and irradiation are used. Some theories presume that local hypoxia of the soft tissue causes HO. The aim of this study was to investigate if the early use of pulsed electromagnetic fields (PEMF) could prevent this ossification since it accelerates the circulation and oxigenation of soft tissue. Methods. The study included three groups of the patients with primary THA. The group C consisted of 66 patients/79 hips who had only kinesitherapy in postoperative rehabilitation. The group B consisted of 117 patients/ 131 hips who had PEMF and interferential current (IC) which, on average, started on the 14th day after the surgery combined with the standard kinesitherapy. The group A consisted of 117 patients/131 hips who had PEMF from the third postoperative day and IC from, on average, the 14th postoperative day with the standard kinesitherapy. The classification of HO was done on a standard AP roentgenograms of the hips, taken at least one year after the surgery. Results. The overall HO was seen in 50.63% of the group C patients, in 43.51% of the B group and in 16.67% of the group A. Severe HO (III and IV class according to Brooker) was seen in 26.58% of the group C patients and in 6.10% of the group B, but none in the group A. Conclusion. According to the obtained results an early treatment with PEMF could prevent severe HO and reduce the overall HO.

scholarly journals Contralateral Total Hip Arthroplasty After Hindquarter Amputation

Sarcoma ◽  
2006 ◽  
Vol 2006 ◽  
pp. 1-4 ◽  
Author(s):  
Scott M. M. Sommerville ◽  
James T. Patton ◽  
Jonathan C. Luscombe ◽  
Robert J. Grimer
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Osteoarthritis Of The Hip ◽  
Postoperative Rehabilitation ◽  
Limited Mobility ◽  
Total Hip ◽  
Radiation Induced ◽  
Hindquarter Amputation

We describe the management and outcome of a 62-year old lady who developed severe osteoarthritis of the hip, nine years after a hindquarter amputation for radiation-induced sarcoma of the contralateral pelvis. The difficulties of stabilising the pelvis intraoperatively and the problems of postoperative rehabilitation are outlined. The operation successfully relieved her pain and restored limited mobility.

Changes in serum creatine kinase and C-reactive protein after posterior and direct anterior approaches in total hip arthroplasty

2020 ◽  
pp. 112070002097864
Author(s):  
Katsuhiko Maezawa ◽  
Masahiko Nozawa ◽  
Motoshi Gomi ◽  
Munehiko Sugimoto ◽  
Yuichiro Maruyama
Keyword(s):  
Creatine Kinase ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Direct Anterior Approach ◽  
Serum Creatine Kinase ◽  
C Reactive Protein ◽  
Postoperative Rehabilitation ◽  
Invasive Approach ◽  
Total Hip ◽  
Reactive Protein

Purpose: Some studies reported that measuring serum creatine kinase (CK) level is an objective method with which to determine the relative invasiveness of surgery. The purpose of this study was to evaluate the change in postoperative serum CK levels as a measure of whether the direct anterior approach (DAA) is less invasive than the posterior approach (PA) regarding postoperative rehabilitation. Materials and methods: We prospectively recruited 71 women who were undergoing total hip arthroplasty, 47 were treated by the PA and 24 by the DAA. Serum CK and C-reactive protein (CRP) levels were measured preoperatively and 3 hours and 1, 4, 7, 10, and 14 days after the operation. Results: The serum CK levels were significantly higher in the DAA group than in the PA group on postoperative days 1, 4, 7, 10, and 14. On postoperative day 4 and 7, the percentage of patients whose serum CK levels were above the normal range was 46.8% and 8.5% in the PA group and 95.2% and 45.5% in the DAA group. Conclusions: CK levels were significantly higher in the 2 weeks after THA by a DAA than after the same procedure by a PA indicating that DAA causes prolonged muscle damage. Although the DAA is considered to be a muscle-sparing approach this may not be the case and DAA may not actually be a minimally-invasive approach.

Sport Activity after Total Hip Arthroplasty: Changes in Surgical Technique, Implant Design, and Rehabilitation

2009 ◽  
Vol 18 (1) ◽  
pp. 47-59 ◽  
Author(s):  
Cale A. Jacobs ◽  
Christian P. Christensen ◽  
Michael E. Berend
Keyword(s):  
Surgical Technique ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Sport Activity ◽  
Implant Design ◽  
Postoperative Rehabilitation ◽  
Postoperative Function ◽  
Total Hip ◽  
Orthopedic Literature ◽  
Sporting Activities

Over the past 10–15 years, many aspects of total hip arthroplasty (THA) have changed. First and foremost, the patients themselves have changed. Since 1990, the age group that has demonstrated the greatest increase in THA was patients between the ages of 45 and 64. As younger, healthier patients are having surgery, a greater emphasis is being placed on postoperative function, activity, and exercise. The rationale for increased postoperative activity is 2-fold: the obvious cardiovascular benefits of exercise and greater patient desire to return to recreational sporting activities. The purpose of this review is to discuss how recent changes in surgical technique, implant design, and pre- and postoperative rehabilitation have affected postoperative athletic activity for THA patients. Although these topics have been addressed often in the orthopedic literature, to our knowledge no published articles have summarized this information for a targeted audience of rehabilitation specialists.

scholarly journals The Role of Physical Activity and Rehabilitation Following Hip and Knee Arthroplasty in the Elderly

2020 ◽  
Vol 9 (5) ◽  
pp. 1401 ◽  
Author(s):  
Rocco Papalia ◽  
Stefano Campi ◽  
Ferruccio Vorini ◽  
Biagio Zampogna ◽  
Sebastiano Vasta ◽  
...  
Keyword(s):  
Physical Activity ◽  
Total Hip Arthroplasty ◽  
Clinical Outcome ◽  
Knee Arthroplasty ◽  
Hip Arthroplasty ◽  
Secondary Outcome ◽  
Postoperative Rehabilitation ◽  
Total Hip ◽  
Rehabilitation Protocols ◽  
Total Knee

Hip and knee replacement is an effective treatment for symptomatic, end-stage hip and knee osteoarthritis, aiming to relieve pain and restore joint function. Several postoperative rehabilitation protocols and physical activities are proposed in routine clinical practice. However, their effect on clinical outcome and implant revision in patients undergoing joint replacement is still unclear. A systematic review of the literature was performed through a comprehensive search on online databases including Pubmed-Medline, Cochrane central, and Google scholar. We included all the available studies on postoperative physical activity and rehabilitation protocols after total knee and total hip arthroplasty in patients older than 65 years. The primary endpoint was to evaluate the effect of physical activity and rehabilitation on clinical outcome; the secondary outcome was to determine the effect on patients’ quality of life (QoL) and implant survival. Although the heterogeneity of the rehabilitation protocols and outcome measures did not allow to draw definitive conclusions, most studies suggested that aquatic therapy, ergometer cycling, and fast-track protocols have a beneficial effect on muscle strength, gait speed, and main clinical scores after total hip arthroplasty. Similarly, enhanced rehabilitation protocols produced an improvement in primary and secondary outcomes after total knee arthroplasty.

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