The course of radiographic loosening, pain and functional outcome around the first revision of a total hip arthroplasty

Background: Total hip arthroplasty combined with the concept of enhanced recovery is of continued worldwide interest, as it is reported to improve early functional outcome and treatment quality without increasing complications. The aim of the study was to investigate functional outcome and quality of life 4 weeks and 12 months after cementless total hip arthroplasty in combination with an enhanced recovery concept. Methods: A total of 109 patients underwent primary cementless Total Hip Arthroplasty (THA) in an enhanced recovery concept and were retrospectively analyzed. After 4 weeks and 12 months, clinical examination was analyzed regarding function, pain and satisfaction; results were evaluated using Harris Hip score, Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), EQ-5D-5L, EQ-VAS and subjective patient-related outcome measures (PROMs). Preoperatively, HADS (Hospital Anxiety and Depression Scale) was collected. A correlation analysis of age, American Society of Anesthesiologists (ASA), HADS and comorbidities (diabetes mellitus, art. hypertension, cardiovascular disease) with WOMAC, Harris Hip score (HHS) and EQ-5D was performed. Results: Patients showed a significant improvement in Harris Hip score 4 weeks and 12 months postoperatively (p < 0.001). WOMAC total score, subscale pain, subscale stiffness and subscale function improved significantly from preoperative to 12 months postoperative (p < 0.001). EQ-5D showed a significant improvement preoperative to postoperative (p < 0.001). The influence of anxiety or depression (HADS-A or HADS-D) on functional outcome could not be determined. There was a high patient satisfaction postoperatively, and almost 100% of patients would choose enhanced recovery surgery again. Conclusion: Cementless THA with the concept of enhanced recovery improves early clinical function and quality of life. PROMs showed a continuous improvement over a follow-up of 12 months after surgery. PROMs can help patients and surgeons to modify expectations and improve patient satisfaction.

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Study of functional outcome of total hip arthroplasty in a series of cases of hip pathologies done in rural population

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20163755 ◽

2016 ◽

Vol 2 (4) ◽

pp. 269

Author(s):

Rahul Kadam ◽

Pankaj Bansal ◽

Abhay Chhallani

Keyword(s):

Total Hip Arthroplasty ◽

Functional Outcome ◽

Hip Arthroplasty ◽

Rural Population ◽

Harris Hip Score ◽

Controlled Study ◽

Walking Ability ◽

Total Hip ◽

Medical College

Background: The objective of the study was to assess the functional outcome of total hip arthroplasty (THA) done in a series of cases of hip pathologies rural population.Methods: A retrospective randomized controlled study conducted in 50 cases of hip arthritis (38 males and 12 females) treated with uncemented THA for an average follow-up of 2 years at department of orthopedics MGM Medical College, Kamothe, Navi Mumbai. Harris hip scoring system was used for the functional scoring and the postoperative radiographs were assessed by Gruen zones for the femoral component and DeLee and Charnley zones for the acetabular component. All patients were evaluated pre operatively and post operatively 3 months 6 months, 12months, 2years with Harris Hip score.Results: 81% of our patients scored 85 points or better for a rating of excellent by Harris hip score system. 90% patients had little /no pain post operatively, whereas walking ability improved and was unlimited in 80% of the patients post operatively. Harris hip score improved from 40 to 80. 80.5% -excellent, 13.80% -good, 5.7% -fair results. Poor results were not seen in any patient.Conclusions: THR provided excellent pain relief, adequate stability, and remarkable range of motion in severely painful, refractory hip. A significant improvement was seen at two year follow-up.

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Comparision of the early functional outcome between lateral and posterior approaches in total hip arthroplasty

International Journal of Orthopaedics Sciences ◽

10.22271/ortho.2021.v7.i3c.2739 ◽

2021 ◽

Vol 7 (3) ◽

pp. 155-160

Author(s):

Lokesh K Meena ◽

Pawan Kumar ◽

Anuragh Singh ◽

Ramavtar .

Keyword(s):

Total Hip Arthroplasty ◽

Functional Outcome ◽

Hip Arthroplasty ◽

Total Hip ◽

Early Functional Outcome

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How effective is periarticular drug infiltration in providing pain relief and early functional outcome following total hip arthroplasty?

Journal of Clinical Orthopaedics and Trauma ◽

10.1016/j.jcot.2018.06.005 ◽

2019 ◽

Vol 10 (3) ◽

pp. 550-554

Author(s):

George Mathew Srampickal ◽

Korula Mani Jacob ◽

Jacob Joe Kandoth ◽

Bijesh Kumar Yadev ◽

Tyagraj Palraj ◽

...

Keyword(s):

Pain Relief ◽

Total Hip Arthroplasty ◽

Functional Outcome ◽

Hip Arthroplasty ◽

Total Hip ◽

Early Functional Outcome

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Prediction of Functional Outcome at Six Months Following Total Hip Arthroplasty

Physical Therapy ◽

10.2522/ptj.20110484 ◽

2012 ◽

Vol 92 (11) ◽

pp. 1386-1394 ◽

Cited By ~ 26

Author(s):

Emily J. Slaven

Keyword(s):

Body Mass Index ◽

Logistic Regression ◽

Total Hip Arthroplasty ◽

Functional Outcome ◽

Body Mass ◽

Hip Arthroplasty ◽

Walking Speed ◽

Assistive Device ◽

Total Hip ◽

Cart Analysis

Background Recovery of function such as the ability to walk without an assistive device after total hip arthroplasty (THA) is not always automatic. Objective This study investigated whether predetermined variables could be used to identify patients who might have functional limitations at 6 months following THA. Design A prospective, observational cohort design was used. Method Demographics and baseline measures, including age, sex, and preoperative Lower Extremity Functional Scale (LEFS) score, were collected 1 to 3 weeks prior to surgery from 40 participants who were scheduled to undergo THA. Six weeks after surgery, a second LEFS score was recorded along with each participant's body mass index and the THA procedure performed; walking speed and balance also were assessed at this time using the 10-Meter Walk Test, the Timed “Up & Go” Test, and the Functional Reach Test. At 6 months following surgery, each participant's functional outcome was determined from the final LEFS score and the need for an assistive device. Classification and regression tree (CART) analyses and logistic regression were used to establish which of the variables could predict outcome at 6 months. Results Body mass index, sex, and age were identified by CART analysis as predictors to classify participants who did not reach successful outcome status. Logistic regression revealed that sex (female) was the only individual variable that predicted outcome at 6 months. Walking speed was the only performance variable identified as a predictor for outcome using CART analysis. Limitations Only a limited number of variables were observed due to the small sample size. Conclusion It is possible to identify those patients who are at risk for an unsuccessful outcome through the use of variables such as body mass index, age, and sex.

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