scholarly journals The Assessment of Static Balance in Patients after Total Hip Replacement in the Period of 2-3 Years after Surgery

2018 ◽  
Vol 2018 ◽  
pp. 1-8 ◽  
Author(s):  
Teresa Pop ◽  
Daniel Szymczyk ◽  
Joanna Majewska ◽  
Agnieszka Bejer ◽  
Joanna Baran ◽  
...  
Keyword(s):  
Total Hip Replacement ◽  
Hip Replacement ◽  
Force Platform ◽  
Control Group ◽  
Static Balance ◽  
Study Group ◽  
Total Hip ◽  
Eyes Closed ◽  
Male Subjects ◽  
Asymptomatic Control

Introduction. The aim of this study was to assess static balance of patients after Total Hip Replacement (THR) compared with the age-matched, asymptomatic control group, considering the subject’s gender and the time since the surgery. Materials and Methods. The Total Hip Replacement (THR) group consisted of 55 subjects (mean age: 56.3±8.7 years) and the control group consisted of 48 subjects (mean age: 58±6.2 years). For the assessment of static balance, a stabilometric force platform was used. All subjects performed two 30-second trials in the double-leg stance position with eyes opened and closed. In the study group, the stabilometric assessment was performed once within the period of 24 to 36 months after the surgery. Results. Subjects from the study group had significantly increased mediolateral COP velocity in the test with eyes opened, as well as the values of most of the COP parameters (excluding COP path area) in the test with eyes closed, compared to the control group. Higher values of the selected COP parameters were observed in the male subjects from the study group. Conclusion. In contrast to a number of papers, our study revealed some deficits in static balance in patients after THR up to 2-3 years after surgery.

Low-Dose Heparin and Deep-Vein Thrombosis after Total Hip Replacement

1976 ◽  
Vol 36 (01) ◽  
pp. 157-164 ◽  
Author(s):  
P. M Mannucci ◽  
Luisa E. Citterio ◽  
N Panajotopoulos
Keyword(s):  
Deep Vein Thrombosis ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Low Dose ◽  
Control Group ◽  
Total Hip ◽  
Vein Thrombosis ◽  
Dose Heparin ◽  
Deep Vein ◽  
Low Dose Heparin

SummaryThe effect of subcutaneous low-dose heparin on postoperative deep-vein thrombosis (D. V. T.) (diagnosed by the 125I-labelled fibrinogen test) has been investigated in a trial of 143 patients undergoing the operation of total hip replacement. Two randomized studies were carried out: in one the scanning for D.V.T. was carried out daily for 7 days post operatively and in the other for 15 days. In both, the incidence of D.V.T. was significantly lower in the heparin-treated patients (P<0.005). Bilateral D.V.T. was also prevented (P<0.05), through the extension of D.V.T. to the distal veins of the thigh was not significantly reduced. Heparin treatment was, however, followed by a higher incidence of severe postoperative bleeding (P< 0.02) and wound haematoma formation (P< 0.005), and the postoperative haemoglobin was significantly lower than in the control group (P<0.005). A higher number of transfused blood units was also needed by the heparin treated patients (P<0.001).

scholarly journals Balance a few years after total hip replacement

2019 ◽  
Author(s):  
Agnieszka Wareńczak ◽  
Przemysław Lisiński
Keyword(s):  
Total Hip Replacement ◽  
Hip Replacement ◽  
Dynamic Balance ◽  
Berg Balance Scale ◽  
Step Test ◽  
Control Group ◽  
Timed Up And Go ◽  
Total Hip ◽  
Functional Reach ◽  
Functional Reach Test

Abstract Background: The aim of the study was to conduct a long-term evaluation of whether total hip replacement permanently affects the quality of postural reactions and body balance. Material and methods: The unilateral Total Hip Replacement (THR) group consisted of 30 subjects (mean age: 69.4). The control group consisted of 30 healthy subjects (mean age: 68.8). The force platform and functional tests such as Timed Up and Go, 3m walk test, Functional Reach Test, 30s Chair Stand Test, Step Test and Berg Balance Scale were used to assess dynamic balance. Results: Subjects from the study group exhibited significantly increased time (p=0.002) and distance (p=0.012) in the tests performed on the force platform compared to the control group. We also observed worse balance and functional test scores in the THR group: Timed Up and Go test (p<0.001), 3m walk test (p<0.001), Functional Reach Test (p=0.003), 30s Chair Stand Test (p=0.002) and Step Test (operated leg: p<0.001, non-operated leg: p=0.002). The results obtained in the Berg Balance Scale tests were not significantly different between the groups (p=0.597). Conclusions: Our research shows that total hip replacement permanently impairs patients’ dynamic balance and functionality in certain lower-extremity activities. Keywords: balance, total hip replacement, gait, muscle strength

scholarly journals Aspirin-Persantin Prophylaxis in Elective total hip Replacement

1977 ◽  
Author(s):  
A.J. Silvergleid ◽  
R. Bernstein ◽  
D.S. Burton ◽  
J.B. Tanner ◽  
J.F. Silverman ◽  
...  
Keyword(s):  
Total Hip Replacement ◽  
Hip Replacement ◽  
Treated Group ◽  
Control Group ◽  
Double Blind ◽  
Total Hip ◽  
Blind Area ◽  
Effective Prophylaxis ◽  
Clinically Significant ◽  
To Receive

A prospective, double-blind clinical study was performed to evaluate the combination of dipyridamole(Persantin)225 mg/day and acetyl salicyclic acid (ASA) 1 g/day prophylaxis of post-operative venous thromboembolism in elective total hip replacement. Patients were stratified according to age, and randomly assigned to receive drug or placebo. All patients were followed with 125I-labelledfibrinogen scanning for one week post-operatively, or until fully mobile. Venography was performed in 67/129 patients; in 27 patients the venogram was obtained to confirm a positive fibrinogen scan, in 40 patients an elective venogram was obtained on the 7th post-operative day to evaluate the operated thigh (a blind area for scanning). Thrombosis (by scan or venogram) was found in 16/66(24%) in the control group, and in 21/63(33%) in the treated group. Overall incidence was 37/129 (29%). Correlation of scan with venography was 90%. There were no clinically significant pulmonary emboli in either group. We conclude that the combination of ASA and dipridamole as given in this study is not effective prophylaxis in elective total hip replacement.

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 &lt;0.05. Results CoP displacement in the frontal plane was reduced in both groups in tests with eyes closed (p&lt;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 &lt;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 &lt;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.

A Comparative Study of the Effectiveness of a Preoperative Education Programme for Total Hip Replacement Patients

1995 ◽  
Vol 58 (12) ◽  
pp. 526-531 ◽  
Author(s):  
Nicola J Spalding
Keyword(s):  
Total Hip Replacement ◽  
Hip Replacement ◽  
Direct Consequence ◽  
Education Programme ◽  
Control Group ◽  
Preoperative Education ◽  
Total Hip ◽  
Quasi Experimental ◽  
Postoperative Morphine ◽  
Experimental Group

This study examined some effects of providing preoperative education to patients prior to their hospital admission for a total hip replacement. The preoperative education programmes are organised and presented by an occupational therapist with the assistance of a physiotherapist, an anaesthetist, an orthopaedic nurse and a dietician. The content includes information on preparation for surgery, what to expect of admission, surgery and rehabilitation, and how to prepare for discharge. A quasi-experimental design was used to compare a group of patients who had attended an education programme with, as control, a group of patients who had not. The variables Investigated were length of hospitalisation, morphine usage, mobility independence and discharge preparation. The results showed that the patients in the experimental group had a mean of 4 days' less hospitalisation than the control group, required less postoperative morphine and achieved mobility independence sooner. The control patients' lack of knowledge of what to expect from their surgery was evident from the lack of preparation for their discharge home. Large financial savings were then calculated as a direct consequence.

scholarly journals Better before–better after: efficacy of prehabilitation for older patients with osteoarthritis awaiting total hip replacement—a study protocol for a randomised controlled trial in South-Eastern Norway

BMJ Open ◽  
2019 ◽  
Vol 9 (12) ◽  
pp. e031626 ◽  
Author(s):  
Odd-Einar Svinøy ◽  
Astrid Bergland ◽  
May Arna Risberg ◽  
Are Hugo Pripp ◽  
Gunvor Hilde
Keyword(s):  
Randomised Controlled Trial ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Older Patients ◽  
Controlled Trial ◽  
Intervention Group ◽  
Control Group ◽  
Total Hip ◽  
Hospital Referral ◽  
Randomised Controlled

IntroductionHealth professions need to prepare for the increase of older patients with osteoarthritis requiring health services including those requiring total joint arthroplasty (TJA). The primary objective of this study is to assess the effect of a tailored prehabilitation programme of older patients awaiting primary surgery for total hip replacement on physical function measured by walking speed within 1 week after intervention as well as 6 weeks and 3 months after TJA surgery.Methods and analysisThis is a single-blinded randomised controlled trial. The participants are 70 years or older, scheduled for primary total hip replacement due to late stage osteoarthritis. The intervention group will receive patient education and exercise for 6–12 weeks. The control group will receive care as usual. The primary outcome is gait speed. Secondary outcomes are lower body strength, mobility, aerobic capacity, activity of daily living, length of stay at the hospital, referral to an inpatient rehabilitation clinic, pain, quality of life and cost-effectiveness. Estimated sample size is 150 participants randomised into the two arms. The data will be analysed following the intention-to-treat principle with methods for repeated measurements.Ethics and disseminationThe project proposal has been approved by The Regional Committee for Medical Research Ethics in South Norway (ref no. 2018/503). The results will be published in peer-reviewed articles.Trial registration numberNCT03602105

scholarly journals POLARIZATION TOMOGRAPHY METHODS TO DIFFERENTIATE ASEPTIC AND SEPTIC LOOSENING AFTER TOTAL HIP REPLACEMENT

2020 ◽  
pp. 33-46
Author(s):  
V.L. Vasyuk ◽  
V.V. Protsiuk ◽  
Y.M. Vasilchishin ◽  
S.V. Vasiuk
Keyword(s):  
Total Hip Replacement ◽  
Hip Replacement ◽  
Mueller Matrix ◽  
Mapping Method ◽  
Control Group ◽  
Septic Loosening ◽  
Logical Scheme ◽  
Total Hip ◽  
Polarization Tomography ◽  
Matrix Mapping

Abstract. This article contains: • Structural-logical scheme and analytical description of the differential diagnosis for aseptic and septic loosening after total hip replacement using the methods of differential Mueller-matrix mapping of circular birefringence (CB) distributions of polycrystalline synovial fluid (SF) films. • Statistical analysis of the distributions of CB in polycrystalline SF films obtained from patients in the control group and groups with different hip joint pathology. • Results of establishing the strength of the differential Mueller-matrix mapping method of the distributions of CB polycrystalline films of SF by means of information analysis based on sensitivity determination, specificity and accuracy of the polarization tomography technique. • Clinical example of using polarization tomography methods to differentiate aseptic and septic cup loosening after total hip replacement

scholarly journals Fast-Track Surgery and Early Rehabilitation for Total Hip Replacement in Hospital of Traumatology and Orthopaedics

2019 ◽  
Vol 73 (5) ◽  
pp. 419-424
Author(s):  
Miķelis Birznieks ◽  
Iveta Golubovska ◽  
Lauris Repša ◽  
Inta Čerņavska ◽  
Jānis Ābols ◽  
...  
Keyword(s):  
Hospital Stay ◽  
Total Hip Replacement ◽  
Spinal Anaesthesia ◽  
Hip Replacement ◽  
Fast Track ◽  
Self Care ◽  
Study Group ◽  
Total Hip ◽  
Duration Of Hospital Stay ◽  
Improve Patient

Abstract Due to an ageing population, the necessity for hip replacement has grown, and therefore, new options are being sought, such as the Fast-track principle, to improve patient condition, reduce their hospital stay and enhance the hospital’s ability to treat more patients. The aim of this study was to investigate the effects of same-day patient mobilisation on pain, side effects, complications, duration of hospital stay, and recovery after primary hip replacement, using intermediate-acting local anaesthetics in spinal anaesthesia (SA). A prospective, randomised study was conducted at the Hospital of Traumatology and Orthopaedics. Forty-six patients undergoing total hip replacement were selected and divided into two groups. Spinal anaesthesia was performed in study group (P) with 70 mg plain prilocaine. The control group (B) received 18 mg heavy bupivacaine in SA. On the first postoperative day, pain during movement was 2.00 (P) and 3.33 (B) on the Numeric Pain Rating Scale, the duration of hospital stay in the study group was shorter by ~1 day, and patient self-care was better in the study group. When the Fast-track principle is used with intermediate-acting SA and early rehabilitation, it is possible to reduce post-operative pain during movement, reduce the length of stay and improve patient self-care abilities.

scholarly journals Changes in the contraction ratio of transversus abdominis and quality of life in patients after total hip replacement and three-compartment knee arthroplasty with implant posterior stabilization

2018 ◽  
Vol 22 (2) ◽  
pp. 4-10
Author(s):  
Joanna Golec ◽  
Kamil Nafalski ◽  
Damian Turzański ◽  
Agata Masłoń ◽  
Elżbieta Szczygieł ◽  
...  
Keyword(s):  
Total Hip Replacement ◽  
Knee Arthroplasty ◽  
Hip Replacement ◽  
Exercise Programme ◽  
Transversus Abdominis ◽  
Study Group ◽  
Posterior Stabilization ◽  
Total Hip ◽  
Contraction Ratio ◽  
Sf 36

Core stability is a reference term for the performance of the deep trunk muscles, which provide functional stability of the lumbopelvic area and control the human body in static and dynamic positions. The study group consisted of 30 patients between the age of 42 and 76 years (mean=61.4) after total hip arthroplasty (total hip replacement, Group I) and total knee arthroplasty (three-compartment arthroplasty with posterior stabilization of the implant - Group II). In 18 (60%) patients, hip endoprosthesis was performed, whereas in 12 (40%), three-compartment knee endoprosthesis with posterior stabilization has been implanted. In the study group, Rehabilitative Ultrasound Imaging (RUSI) of the transversus abdominis muscle thickness was conducted at rest and in contraction, the transversus abdominis activation ratio was specified, the SF-36 Life Quality Questionnaire was applied and a three-week treatment cycle was performed. The tests were carried out twice, i.e. before and after treatment. In the group of patients after total hip replacement, the transversus abdominis (TrA) contraction ratio before the beginning of the exercise programme was 0.79±0.06, and after its completion 0.9 ±0.02. The observed difference was statistically significant at p<0.001. In the group of patients after three-compartment knee arthroplasty, the TrA contraction ratio before the beginning of the exercise programme was 0.78±0.09, and after its completion0 0.91±0.02. The difference of these values was statistically significant at the level of p<0.05. The results of the SF-36 questionnaire in both groups indicate improvement in physical functioning. The observed difference was statistically significant at p<0.001. The performed three-week physiotherapy treatment in conjunction with deep muscle training increases the thickness of the TrA muscle during rest and contraction testing, and increases the transversus abdominis contraction ratio in Rehabilitative Ultrasound Imaging in the study groups. Furthermore, improvement in the level of physical functioning was observed within the studied groups.

scholarly journals Laser Projector Method for Measuring Postoperative Acetabular Anteversion After Total Hip Replacement

2021 ◽  
Author(s):  
Wei-Cheng Chen ◽  
Tai-Yin Wu ◽  
Kuan-Yu Chi ◽  
Pei-Wei Weng ◽  
Yu-min Huang ◽  
...  
Keyword(s):  
Total Hip Replacement ◽  
Hip Replacement ◽  
Statistical Significance ◽  
Control Group ◽  
Acetabular Anteversion ◽  
Remote Areas ◽  
Total Hip ◽  
Laser Projector ◽  
Ellipse Method ◽  
Significant Difference

Abstract Introduction For patients undergoing total hip replacement (THR), measuring the postoperative acetabular anteversion precisely plays a pivotal role in the prognosis because anteversion of acetabulum cup determines the range of motion and stability after the THR. To date, the documented techniques for the accurate assessment encompass methods of two-dimensional (2D) and three-dimensional (3D). Our team has developed several 2D methods for precisely measuring acetabular anteversion after the THR, namely the trigonometric, the protractor, and the computerized ellipse method. Despite multiple commercially available assessing tools, most mandate computerized equipment with corresponding software that is frequently in shortage in remote areas and developing countries. Therefore, we attempted to invent a laser projector that is able to measure the acetabular anteversion directly on the traditional plain film and to examine its validity and consistency by comparison with the Elliversion software.Methods We invented a portable laser projector incorporating the ellipse method for the measurement of postoperative acetabular anteversion. We retrospectively collected 50 postoperative pelvis radiographs including acetabulum from our institution. One investigator first measured the anteversion of included radiographs through Elliversion software as the control group. Subsequently, two operators independently used the laser projector for measurements in two separate periods with 1-day intervals as the experimental group. Our analysis was comprised of intra- and inter-group comparisons, which investigated the consistency and validity, respectively, by using two-sample student’s t-test. P-value < 0.05 suggests statistical significance. Results There was no significant difference in measuring the anteversion through laser projectors between two operators (MD, -0.12; 95% CI, -0.52 to 0.27; p=0.54). The estimated effect in the anteversion measurement between the Elliversion and laser projector was also comparable (MD, -0.17; 95% CI, -0.38 to 0.04; p=0.12).Conclusions Our study reported the consistency and validity of this laser projector as there is no significant difference in both intra- and inter-observer reliability, demonstrating real-time, intuitive, and convenient product design comparing to Elliversion. Most importantly, we look forward to helping elevate clinical acumen when doctors provide care to patients after THR, especially in remote areas.

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