64. Continuous Femoral Nerve Versus Fascia Iliac Compartment Blocks in Hip Replacement Surgery: Feasibility, Patients Acceptance and Quality of Postoperative Analgesia

Relevance. Preoperative planning is an integral stage of hip replacement surgery, which reduces the number of complications and improves the accuracy of the installation of endoprosthesis components. Goal. Assess the accuracy of digital preoperative planning using mediCAD® v.6. Material and methods. The study included data from 276 patients with idiopathic coxarthrosis who were treated at the orthopedic department of the Center of Traumatology and Orthopedics of the Main Military Clinical Hospital named after N.N. Burdenko in the period from 2018 to 2020.The patients had X-rays of the pelvis and hip joint in two projections. All patients underwent total hip arthroplasty with cementless endoprostheses. Before surgery, all patients underwent preoperative planning using the mediCAD® v.6 software. After the operation, a control X-ray was performed, followed by an assessment of the obtained images in the same software. The planning accuracy was evaluated by comparing the parameters that were calculated in the program before the operation with the parameters of the installed implants. The results. The conducted study demonstrated the high accuracy of digital preoperative planning. The coincidence of the planned sizes of the acetabular component of the endoprosthesis and a deviation within +/- one size was observed in 93% of patients, femoral — in 84% of patients. Conclusion. Preoperative planning is an integral stage of hip replacement surgery, which allows you to perform the necessary preparation for the intervention. Digital planning allows you to simplify and speed up the process of preparing for an operation and improve the quality of its execution.

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Information about sexual activity after hip replacement: A literature review

Nordic Journal of Nursing Research ◽

10.1177/2057158517718397 ◽

2017 ◽

Vol 38 (3) ◽

pp. 119-127

Author(s):

Sandra Pennbrant ◽

Jeanette Gustafsson Törn ◽

Helena Munthe

Keyword(s):

Quality Of Life ◽

Literature Review ◽

Sexual Activity ◽

Hip Replacement ◽

Healthcare Providers ◽

Relevant Information ◽

Replacement Surgery ◽

Hip Replacement Surgery ◽

Centered Care

Sexual activity is an important aspect of quality of life and contributes to healing and recovery. Adequate information may minimize post-operative risks and improve wellbeing. The aim of this literature review was to identify and review articles regarding the information on sexual activity after hip replacement provided to or obtained by patients and partners prior to their hip replacement surgery. The literature search was performed in the following databases: CINAHL, PubMed/Medline, MEDLINE (via Ebscoost) and Scopus. The results underline the importance of providing hip replacement patients and partners with relevant information, to reduce their concerns and improve their satisfaction and quality of life. Such information could promote person-centered care for patient and partner, and increase long-term cost-effectiveness for the healthcare organization. Information to patients and partners on post-hip-replacement sexual limitations has not been closely studied. Further research is needed to help healthcare providers promote patients’ and partners’ sexual health and quality of life and improve wellbeing.

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Health-related quality of life and health service use following total hip replacement surgery

Journal of Advanced Nursing ◽

10.1046/j.1365-2648.2002.02426.x ◽

2002 ◽

Vol 40 (6) ◽

pp. 663-672 ◽

Cited By ~ 25

Author(s):

Anne McMurray ◽

Sheila Grant ◽

Susan Griffiths ◽

Ali Letford

Keyword(s):

Quality Of Life ◽

Hip Replacement ◽

Service Use ◽

Health Service Use ◽

Health Related Quality ◽

Replacement Surgery ◽

Hip Replacement Surgery ◽

Related Quality ◽

Health Related

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Marital Relationship and Quality of Life in Couples Following Hip Replacement Surgery

Life ◽

10.3390/life11050401 ◽

2021 ◽

Vol 11 (5) ◽

pp. 401

Author(s):

Michael Tanzer ◽

Christopher Pedneault ◽

Esther Yakobov ◽

Adam Hart ◽

Michael Sullivan

Keyword(s):

Quality Of Life ◽

Hip Replacement ◽

Marital Relationship ◽

Rating Score ◽

Replacement Surgery ◽

Hip Replacement Surgery ◽

Before And After ◽

Numerical Rating ◽

Patient’S Perception

For the majority of patients with osteoarthritis, total hip (THA) arthroplasty results in a significant reduction in pain, emotional distress, and disability and a significant improvement in their quality of life. Little is known about how these recovery-related changes impact the spouse or the marital relationship. Methods: Twenty-nine couples whose spouse underwent a THA (29 THA) participated in a semi-structured retrospective interview designed for this study. They were each asked to recall the level of pain before and after surgery and to provide a numerical rating score for questions pertaining to the level of disability in seven different activities of daily living. Couples were also asked to list in order of importance the five ways in which the surgery affected their overall quality of life. Results: The spouses estimated their partner’s pain, both pre- and postoperatively, to be significantly higher level than the patient’s perception. The spouses perceived a greater improvement in family/home responsibilities, recreation and social activities, and in their occupation than that noted by the partner. After the arthroplasty, the spouses indicated that their lives had improved with respect to doing more activities/leisure (72%), because their partner had less suffering (59%), they had more independence/less caregiving (55%), it improved their marital relationship (52%), they had a better social/family life (28%), and they were able to travel (28%). Conclusions: This study indicates that THA result in a significant improvement in quality of life not only for the patients, but also for their spouses.

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