Does waiting for total hip replacement matter? Prospective cohort study

2002 ◽  
Vol 7 (1) ◽  
pp. 19-25 ◽  
Author(s):  
Shakoor Hajat ◽  
Ray Fitzpatrick ◽  
Richard Morris ◽  
Barnaby Reeves ◽  
Marianne Rigge ◽  
...  
Keyword(s):  
Total Hip Replacement ◽  
Hip Replacement ◽  
Term Outcome ◽  
Total Hip ◽  
Socially Disadvantaged ◽  
Confounding Variables ◽  
Disability Status ◽  
Before And After ◽  
Oxford Hip Score ◽  
The Impact

Objectives: To assess the impact on the outcome of total hip replacement of the length of timing spent waiting for surgery. Methods: One hundred and forty-three orthopaedic and general hospitals provided information about aspects of surgical practice for each total hip replacement conducted between September 1996 and October 1997 for publicly and privately funded operations in five English health regions. These data were linked to patient information about hip-related pain and disability status (measured using the Oxford Hip Score) before operation and at 3 and 12 months after. Data were analysed using multiple regression analysis. Results: Questionnaires were completed by surgeons for 10 410 (78%) patients treated during the recruitment period and by 7151 (54%) patients. Twelve months after total hip replacement, the majority of patients experienced substantial improvements in hip-related pain and disability (as measured by the Oxford Hip Score). Those patients who started with a worse Oxford Hip Score before the operation tended to remain worse after the operation. Worse pre-operative score was associated with an increased length of either outpatient or inpatient wait, and this trend remained after the operation. The relationship between waiting time and outcome remained after adjustment for possible confounding variables. A consistently worse score was observed in public compared with private patients at all three time-points. In addition, in both sectors, those patients who were socially disadvantaged had a worse score than more socially advantaged patients both before and after the operation. Conclusions: Waiting for surgery is associated with worse outcomes 12 months later. Longer-term outcome needs to be considered to see if this association persists.

scholarly journals 3D kinematic analysis of patients’ gait before and after unilateral total hip replacement

2020 ◽  
Vol 22 (2) ◽  
Author(s):  
Kateřina Kolářová ◽  
Tomáš Vodička ◽  
Michal Bozděch ◽  
Martin Repko
Keyword(s):  
Range Of Motion ◽  
Total Hip Replacement ◽  
Kinematic Analysis ◽  
Hip Replacement ◽  
Sagittal Plane ◽  
Frontal Plane ◽  
Step Length ◽  
Total Hip ◽  
Before And After ◽  
Analysis System

Purpose: The purpose of the study was to describe changes in the kinematic parameters in the patients’ gait after total hip replacement. Methods: Research group of men in the end stage of osteoarthritis indicated to the THR (n = 10; age 54.1 ± 7.5 years; weight 92.2 ± 9.6 kg; height 179.7 ± 5.9 cm). All participants underwent a total of three measurements: before surgery, 3 and 6 months after the surgery. Using the 3D kinematic analysis system, the patients’ gait was recorded during each measurement session and kinematic analysis was carried out. The parameters that were monitored included the sagittal range of motion while walking in the ankle, the knee and the hip joints of the operated and the unoperated limb, and the range in the hip joint’s frontal plane, the rotation of pelvis in the frontal and transverse planes, as well as the speed of walking and the walking step length. Results: Significant increases were found in sagittal range of motion in the operated hip joint, sagittal range of motion in the ankle joint on the unoperated side and in the walking step length of the unoperated limb. Conclusions: During walking after a THR, the sagittal range of motion in the ankle of the unoperated limb increases. Also, the range of motion in the sagittal plane on the operated joint increases, which is related to the lengthening of the step of the unoperated lower limb.

scholarly journals Stabilographic features of standing in patients before and after the total hip replacement

TRAUMA ◽  
2018 ◽  
Vol 19 (3) ◽  
pp. 24-31
Author(s):  
R.V. Klimovitsky ◽  
H.D. Karpinskaya ◽  
A.A. Tyazhelov ◽  
L.D. Goncharova
Keyword(s):  
Total Hip Replacement ◽  
Hip Replacement ◽  
Total Hip ◽  
Before And After

scholarly journals Evaluation of hip precautions following total hip replacement: a before and after study

2020 ◽  
pp. 1-8 ◽  
Author(s):  
Courtney J. Lightfoot ◽  
Khosrow R. Sehat ◽  
Carol Coole ◽  
Gary Drury ◽  
Joanne Ablewhite ◽  
...  
Keyword(s):  
Total Hip Replacement ◽  
Hip Replacement ◽  
Total Hip ◽  
Before And After ◽  
Hip Precautions ◽  
Before And After Study

scholarly journals 130 Impact of Balance Training in Virtual Reality on Body Balance in Patients after Total HIP Replacement

2019 ◽  
Vol 48 (Supplement_4) ◽  
pp. iv28-iv33
Author(s):  
Anna Hadamus ◽  
Dariusz Białoszewski ◽  
Aleksandra Justyna Kowalska ◽  
Edyta Urbaniak ◽  
Rafał Boratyński ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Control Group ◽  
Forward Movement ◽  
Body Balance ◽  
Total Hip ◽  
Vr Training ◽  
The Impact ◽  
Experimental Group

Abstract Introduction Virtual Reality (VR) training is becoming an increasingly popular form of exercise aiding in re-education of body balance. Many reports have demonstrated its effectiveness, greater patient involvement in exercise and better outcomes compared to traditional rehabilitation [1]. The aim of this study was to assess the impact of the additional training in VR on body balance in patients after total hip replacement. Material and Methods 56 patients randomly assigned to an experimental group (30 people) and a control group (26 people) was included in the study. All patients had undergone THR within 2 to 12 weeks before the beginning of the study. The control group underwent standard post-operative rehabilitation, while a VR training programme was used in the experimental group as an additional rehabilitation tool. Balance was assessed with the VBC system and the AMTi AccuSway plate. The results were considered significant for p <0.05. Results CoP displacement in the frontal plane was reduced in both groups in tests with eyes closed (p<0.05). Other parameters in standing tests remain the same. The maximum forward deflection test has shown a significant increase in the range of forward movement in the experimental group (p <0.05). In the control group, the duration of the forward movement phase was reduced, but the range remained the same. The rhythmic sway test showed an increase in the average speed of movements in the experimental group (p <0.05). There were no changes in the control group. Conclusions 1. Postural stability training in VR primarily involves dynamic aspects of the maintenance of balance. 2. Improvement in functional tests may indicate a better clinical outcome of rehabilitation in patients who have additionally trained in VR. 3. The improvement obtained in static tests most probably results from improvement in muscle strength and static stability resulting from the rehabilitation.

The Problem of ‘Noise’ in Monitoring Patient-Based Outcomes: Generic, Disease-Specific and Site-Specific Instruments for Total Hip Replacement

1996 ◽  
Vol 1 (4) ◽  
pp. 224-231 ◽  
Author(s):  
Jill Dawson ◽  
Ray Fitzpatrick ◽  
David Murray ◽  
Andrew Carr
Keyword(s):  
Health Status ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Site Specific ◽  
Change Scores ◽  
Total Hip ◽  
Sf 36 ◽  
Oxford Hip Score ◽  
Disease Specific

Objectives: To compare the performance of three types of patient-based health status instrument — generic, disease-specific and site-specific — in assessing changes resulting from total hip replacement (THR). Methods: A two-stage prospective study of patients undergoing surgery for THR involving an assessment at a pre-surgical clinic and a follow-up clinic at 6 months. 173 patients with a diagnosis of arthritis and being admitted for unilateral THR were recruited in the outpatient departments of a specialist orthopaedic hospital and peripheral clinics within Oxfordshire. Patients’ health status was assessed using the 12-item Oxford Hip Score, the Arthritis Impact Measurement Scales (AIMS) and SF-36 general health questionnaire together with their surgeons’ assessment using Charnley hip score obtained before and 6 months after surgery. Results: Effect sizes, used to compare change scores, revealed that pain and function domains changed most following THR on both the AIMS and the SF-36. 71 patients (41%) were assessed as having symptoms or problems currently affecting lower limb joints other than the hip recently replaced. Change scores were compared between these patients and all other patients who reported no current problems with other joints. The Oxford Hip Score found no significant difference between change scores for these two groups of patients while both AIMS and SF-36 physical and pain dimensions recorded significant differences of similar magnitude (physical P < 0.01, pain P < 0.05). Likely reasons for this were apparent on closer inspection of the item content of each instrument. Conclusions: Assessment of outcomes in THR is necessarily long-term. Within studies of this kind, a hip-specific instrument (Oxford Hip Score) is likely to be more able to distinguish between symptoms and functional impairment produced by the index joint, as compared with other joints and conditions, than either a disease-specific instrument (AIMS) or a generic health status measure (SF-36). This is important given the high probability of existing and subsequent co-morbidity affecting such populations of patients. This consideration is likely to be relevant to any long-term assessment programme following treatment for a condition which threatens bilateral expression over time.

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