Relationship between clinical results of total hip replacement and postoperative activities including weeding and snow shovelling

2017 ◽  
Vol 28 (2) ◽  
pp. 145-147
Author(s):  
Hiroaki Kijima ◽  
Shin Yamada ◽  
Natsuo Konishi ◽  
Hitoshi Kubota ◽  
Hiroshi Tazawa ◽  
...  
Keyword(s):  
Total Hip Replacement ◽  
Hip Replacement ◽  
Japanese Orthopaedic Association ◽  
Clinical Results ◽  
Average Period ◽  
Work Activities ◽  
Total Hip ◽  
Hip Disease ◽  
High Level ◽  
Better Than

Introduction: Weeding or snow shovelling is indispensable for life in farm villages of northern countries. Clarifying the relationships between the degrees of these activities after total hip replacement (THR) and the clinical results of THR may enable us to predict the results of THR for high-level activity patients. The relationships between work activities after THR and the results were investigated. Methods: The subjects were 95 post-THR patients, who consulted 6 hospitals in August 2012. First, the Japanese Orthopaedic Association Hip-Disease Evaluation Questionnaire (JHEQ) and a questionnaire on postoperative activity were administered. Then, the Japanese Orthopaedic Association hip score (JOA score) was evaluated. Results: The subjects’ average age was 68 years. The average period after surgery was 4 years and 5 months. Weeding and snow shovelling were performed after THR in 44.2% and 40.0% of cases, respectively. The rate of farming after surgery (25.6%) was greater than that of swimming (21.1%). Both the JOA score and JHEQ were higher in those who played sports after THR than in those who did not (p = 0.003, p = 0.0046). The JOA score of those who performed work activities after THR was higher than that of those who did not (p = 0.0295). Conclusions: Nearly half of patients performed weeding or snow shovelling after THR, and about 1/4 of the patients engaged in farming after THR. The clinical results in cases doing sports and work activities after THR were better than those of cases not doing such activities. Therefore, these activities may be positively recommended.

Short stems in total hip replacement: evidence on primary stability according to the stem type

2018 ◽  
Vol 29 (2) ◽  
pp. 118-127 ◽  
Author(s):  
Georgios I Drosos ◽  
Panagiotis Touzopoulos
Keyword(s):  
Total Hip Replacement ◽  
Clinical Studies ◽  
Hip Replacement ◽  
Primary Stability ◽  
Clinical Results ◽  
Migration Patterns ◽  
Total Hip ◽  
Short Stems ◽  
Stem Migration

Background: As the prevalence of total hip replacement is increasing in younger patients, less invasive implants (short stems) are becoming more favourable. However, despite the advantages of these stems, clinical results with a follow-up of more than 10 years are limited to a very few stem designs. There has been an increase in publications recently – mechanical and clinical studies – concerning the primary stability of short stems. Primary stem stability is an important factor as it reflects final stem stabilisation and is related to the clinical results of the prosthesis. Method: We conducted a systematic review of the literature to retrieve evidence concerning primary implant stability in short stems – as expressed by implant micromotion and stem subsidence – according to our previously proposed short-stem classification. Results: Mechanical in vitro studies on stem micromotion are very few and limited to type 2 “partial collum” short stems. The results are comparable to those of stems with a known long-term excellent clinical course. Clinical results concerning stem migration patterns are also limited to some of the commercially available short stems. Although comparative studies are very few, the results for most of the short stems are similar to those of standard stems. Conclusion: There are promising results concerning biomechanical studies of the initial micromotion of short stems, as well as clinical results of stem migration patterns. Long-term clinical studies are needed in order to confirm these findings. The existing literature concerns very few of the many commercially available implants.

Trochanteric osteotomy in total hip replacement for congenital hip disease

2011 ◽  
Vol 93-B (5) ◽  
pp. 601-607 ◽  
Author(s):  
G. Hartofilakidis ◽  
G. C. Babis ◽  
G. Georgiades ◽  
G. Kourlaba
Keyword(s):  
Total Hip Replacement ◽  
Hip Replacement ◽  
Trochanteric Osteotomy ◽  
Total Hip ◽  
Hip Disease

scholarly journals Total Hip Replacement in Inflammatory Hip Disease using the Charnley Prosthesis

BMJ ◽  
1972 ◽  
Vol 2 (5816) ◽  
pp. 750-752 ◽  
Author(s):  
J. Harris ◽  
C. D. R. Lightowler ◽  
R. C. Todd
Keyword(s):  
Total Hip Replacement ◽  
Hip Replacement ◽  
Total Hip ◽  
Hip Disease
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