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

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

scholarly journals Total hip arthroplasty in patients with neuromuscular imbalance

2018 ◽  
Vol 100-B (1_Supple_A) ◽  
pp. 17-21 ◽  
Author(s):  
S. Konan ◽  
C. P. Duncan
Keyword(s):  
Systematic Review ◽  
Pain Relief ◽  
Total Hip Arthroplasty ◽  
Functional Outcome ◽  
Hip Arthroplasty ◽  
Bone Stock ◽  
Indication For Surgery ◽  
Technical Problems ◽  
Total Hip ◽  
Muscular Imbalance

Patients with neuromuscular imbalance who require total hip arthroplasty (THA) present particular technical problems due to altered anatomy, abnormal bone stock, muscular imbalance and problems of rehabilitation.In this systematic review, we studied articles dealing with THA in patients with neuromuscular imbalance, published before April 2017. We recorded the demographics of the patients and the type of neuromuscular pathology, the indication for surgery, surgical approach, concomitant soft-tissue releases, the type of implant and bearing, pain and functional outcome as well as complications and survival.Recent advances in THA technology allow for successful outcomes in these patients. Our review suggests excellent benefits for pain relief and good functional outcome might be expected with a modest risk of complication.Cite this article: Bone Joint J 2018;100-B(1 Supple A):17–21.

scholarly journals Excellent Functional Outcome and Quality of Life after Primary Cementless Total Hip Arthroplasty (THA) Using an Enhanced Recovery Setup

2021 ◽  
Vol 10 (4) ◽  
pp. 621
Author(s):  
Franziska Leiss ◽  
Julia Sabrina Götz ◽  
Günther Maderbacher ◽  
Matthias Meyer ◽  
Jan Reinhard ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Patient Satisfaction ◽  
Total Hip Arthroplasty ◽  
Functional Outcome ◽  
Hip Arthroplasty ◽  
Enhanced Recovery ◽  
Harris Hip Score ◽  
Total Hip ◽  
Cementless 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.

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

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

<p class="abstract"><strong>Background:</strong> 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.</p><p class="abstract"><strong>Methods:</strong> 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.<strong></strong></p><p class="abstract"><strong>Results:</strong> 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.</p><p class="abstract"><strong>Conclusions:</strong> 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. </p>

scholarly journals Prediction of Functional Outcome at Six Months Following Total Hip Arthroplasty

2012 ◽  
Vol 92 (11) ◽  
pp. 1386-1394 ◽  
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.

Prognostic Factors Influencing the Functional Outcome of Total Hip Arthroplasty for Hip Infection Sequelae

2005 ◽  
Vol 20 (5) ◽  
pp. 608-613 ◽  
Author(s):  
Youn-Soo Park ◽  
Young-Wan Moon ◽  
Seung-Jae Lim ◽  
Irvin Oh ◽  
Ji-Soon Lim
Keyword(s):  
Prognostic Factors ◽  
Total Hip Arthroplasty ◽  
Functional Outcome ◽  
Hip Arthroplasty ◽  
Total Hip ◽  
Factors Influencing ◽  
Hip Infection

Functional Outcome before and after Total Hip Arthroplasty

2014 ◽  
Vol 8 (4) ◽  
pp. 31
Author(s):  
S Sharma ◽  
S Saini ◽  
M Kaprail ◽  
PK Dhillon ◽  
KE Benjamin ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Functional Outcome ◽  
Hip Arthroplasty ◽  
Total Hip ◽  
Before And After

No differences between direct anterior and lateral approach for primary total hip arthroplasty related to muscle damage or functional outcome

2016 ◽  
Vol 40 (10) ◽  
pp. 2025-2030 ◽  
Author(s):  
Belén De Anta-Díaz ◽  
Juan Serralta-Gomis ◽  
Alejandro Lizaur-Utrilla ◽  
Eliana Benavidez ◽  
Fernando Anacleto López-Prats
Keyword(s):  
Total Hip Arthroplasty ◽  
Functional Outcome ◽  
Muscle Damage ◽  
Hip Arthroplasty ◽  
Lateral Approach ◽  
Total Hip ◽  
Primary Total Hip Arthroplasty

Postoperative Pain Relief After Total Hip Arthroplasty

2014 ◽  
Vol 58 (4) ◽  
pp. 202-203
Author(s):  
J. Kuchálik ◽  
B. Granath ◽  
A. Ljunggren ◽  
A. Magnuson ◽  
A. Lundin ◽  
...  
Keyword(s):  
Postoperative Pain ◽  
Pain Relief ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Postoperative Pain Relief ◽  
Total Hip
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