scholarly journals Effect of Following Physiotherapy on Strength and Range of Motion in Patients with Total Hip Arthroplasty: A Case Series

2021 ◽  
Vol 11 (4) ◽  
pp. 122-132
Author(s):  
Shivangini Patel ◽  
Yiva Bhanushali ◽  
Bhavana Gadhavi
Keyword(s):  
Total Hip Arthroplasty ◽  
Range Of Motion ◽  
Hip Arthroplasty ◽  
Case Series ◽  
Vascular Supply ◽  
Post Intervention ◽  
Total Hip ◽  
Wide Range ◽  
Level Of Significance ◽  
Strength Result

Introduction: The hip is a true ball-and-socket joint surrounded by powerful and well-balanced muscles, enabling a wide range of motion in several physical planes while also exhibiting remarkable stability. The vascular supply to the femoral head has been well studied due to the risk of vascular necrosis of the head when it is disrupted, particularly in fractures of the femoral neck or dislocation of the hip. Total hip arthroplasty (THR) is the surgical procedure of choice, because this treatment improves the patient’s quality of life and facilitates the patient’s return to activities of daily living (ADLs) and even to labor activities. Methodology: Total 5 patients with Total Hip Arthroplasty were taken. Patients who fulfill the inclusion criteria were included in the Study. Informed and written Consent were taken. Physiotherapy treatment was given in form of ROM Exercise and Strengthening Exercise Twice a day for 5 days. Outcome Measures: Goniometer for ROM and MMT for Strength. Result: Pre and post intervention data was recorded with Goniometer and MMT. Significance was assessed at 5% level of significance. Significance improvement in ROM and Muscle strength of Hip, Knee and Ankle was noted. Conclusion: Study shows significance effect of following Physiotherapy on Strength and ROM in patients with Total Hip Arthroplasty. Key words: Total Hip Arthroplasty, THA, Post-op. Physiotherapy.

Excellent Clinical and Radiographic Outcomes with Direct Superior Total Hip Arthroplasty with a Minimum of Two-Year Follow Up

2021 ◽  
Author(s):  
Moritz Sharabianlou ◽  
Prerna Arora ◽  
Derek Amanatullah
Keyword(s):  
Total Hip Arthroplasty ◽  
Functional Recovery ◽  
Hip Arthroplasty ◽  
Case Series ◽  
Harris Hip Score ◽  
Timed Up And Go ◽  
Total Hip ◽  
Radiologic Evaluation ◽  
Superior Approach

This study aims to establish the midterm safety and performance for the direct superior approach to minimally invasive surgery total hip arthroplasty (MIS-THA). We used a unicentric, single-surgeon, retrospective, consecutive case series analysis of the first 40 patients who received primary unilateral direct superior MIS-THA. Special attention was given to functional recovery by measuring Harris Hip Score (HHS) and timed-up-and-go (TUG) with a mean follow up of 2.2 ± 0.4 years. A radiologic evaluation was performed. HHS and TUG improved significantly at three months and one year (p < 0.001). All components were placed within the Lewinnek safe zone with no change position or signs of loosening at two years. With a minimum of two years of follow up, the direct superior approach appears to be safe without any obvious or consistent postoperative complications—clinically or radiographically—with excellent functional recovery. Additionally, our subgroup analysis supported no late learning curve effect.

Effects of the Femoral Offset and the Head Size on the Safe Range of Motion in Total Hip Arthroplasty

2009 ◽  
Vol 24 (4) ◽  
pp. 646-651 ◽  
Author(s):  
Akinobu Matsushita ◽  
Yasuharu Nakashima ◽  
Seiya Jingushi ◽  
Takuaki Yamamoto ◽  
Akio Kuraoka ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Range Of Motion ◽  
Hip Arthroplasty ◽  
Head Size ◽  
Femoral Offset ◽  
Total Hip

The effect of range of motion simulated with a patient-specific three-dimensional simulation analysis on dislocation after total hip arthroplasty

2021 ◽  
pp. 112070002110448
Author(s):  
Ryo Mitsutake ◽  
Hiromasa Tanino ◽  
Hiroshi Ito
Keyword(s):  
Total Hip Arthroplasty ◽  
Range Of Motion ◽  
Hip Arthroplasty ◽  
Preoperative Planning ◽  
Simulation Analysis ◽  
Fine Tuning ◽  
Posterior Dislocation ◽  
Flexion Angle ◽  
Total Hip ◽  
Dimensional Simulation

Background: Dislocation continues to be a common complication following total hip arthroplasty (THA). Although previous studies of computed simulation analysis investigated the range of motion (ROM), it is unclear whether the ROM before impingement simulated using computed tomography-based 3-dimensional simulation analysis (simulated ROM) is related to dislocation after THA. It is also unclear what angles are required in computed simulation analyses for stable hips after THA. In this study, we compared the simulated ROM in patients with and without dislocation. Methods: 16 patients with posterior dislocation were compared with 48 matched patients without dislocation. Risk factors including preoperative bone morphology of the hip, implant position, change of femoral offset, change of leg length, anterior aspect of the greater trochanter (GTa) length, and anterior inferior iliac spine length were also compared. Results: The mean flexion angle, internal-rotation at 90° flexion (IR) angle, cup anteversion based on the anterior pelvic plane (APP), tilt-adjusted cup anteversion and GTa length were significantly different between patients with dislocation and patients without dislocation ( p = 0.033, 0.002, 0.010, 0.047, 0.046). A receiver-operating characteristic curve analysis suggested cutoff points for flexion angle, IR angle, cup anteversion based on the APP, tilt-adjusted cup anteversion and GTa length, of 114.5°, 45.5°, 19.5°, 12.0° and 15.3 mm. Conclusions: This study suggests that preoperative planning to achieve a larger simulated ROM, flexion angle and IR angle, may reduce the risk of posterior dislocation. This study also suggests that fine-tuning of cup anteversion and/or trimming of the overhanging GTa during preoperative planning may reduce the risk of posterior dislocation.

Adoption of Robotic Arm-Assisted Total Hip Arthroplasty Results in Reliable Clinical and Radiographic Outcomes at Minimum Two-Year Follow Up

2021 ◽  
Author(s):  
Matthew Hepinstall ◽  
Harrison Zucker ◽  
Chelsea Matzko ◽  
Morteza Meftah ◽  
Michael Mont
Keyword(s):  
Total Hip Arthroplasty ◽  
Clinical Outcomes ◽  
Hip Arthroplasty ◽  
Case Series ◽  
Robotic Arm ◽  
Complication Rates ◽  
Total Hip ◽  
Surgical Assistance ◽  
Published Evidence

Introduction: Longevity and success of total hip arthroplasty (THA) is largely dependent on component positioning. While use of robotic platforms can improve this positioning, published evidence on its clinical benefits is limited. Therefore, the aim of this study was to assess the clinical outcomes of THA with robotic surgical assistance. Materials and Methods: We conducted an analysis of robotic arm-assisted primary THAs performed by a single surgeon utilizing a posterior approach. A total of 99 patients (107 cases) who had a minimum two-year follow up were identified. Their mean age was 61 years (range, 33 to 84 years), and their mean body mass index was 30.5 kg/m2 (range, 18.5 to 49.1 kg/m2). There were 56% female patients and primary osteoarthritis was the principal hip diagnosis in 88.8%. Operative times, lengths of hospital stay, and discharge dispositions were recorded, along with any complications. Modified Harris Hip Scores (HHS) were calculated to quantify clinical outcomes. Results: Mean postoperative increases in HHS at 2- to 5.7-year follow up was 33 points (range, 6 to 77 points). There were no complications attributable to the use of robotic assistance. Surgical-site complications were rare; one case underwent a revision for prosthetic joint infection (0.93%) but there were no dislocations, periprosthetic fractures, or cases of mechanical implant loosening. There was no evidence of progressive radiolucencies or radiographic failure. Discussion: Robotic arm-assisted THA resulted in low complication rates at minimum two-year follow up, with clinical outcomes comparable to those reported with manual surgery.1–4 The haptically-guided acetabular bone preparation enabled reliable cementless acetabular fixation and there were no adverse events related to the use of the robot. Dislocations were avoided in this case series. Randomized controlled clinical trials are needed to compare manual to robotic surgery and to investigate whether the precision found with this functional planning will reliably reduce the incidence of dislocations.

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