scholarly journals Toward a Design of a Telerehabilitation Program for the Functional Recovery in Post-Hip Arthroplasty Patients

2019 ◽  
Author(s):  
Wilmer Esparza ◽  
Arian Ramón Aladro-Gonzalvo ◽  
Jonathan Baldeon ◽  
Sophia Ortiz
Keyword(s):  
Functional Recovery ◽  
Hip Arthroplasty

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.

Mid-term results with a neck-preserving femoral stem for total hip arthroplasty

2018 ◽  
Vol 28 (2_suppl) ◽  
pp. 28-34
Author(s):  
Giampaolo Rinaldi ◽  
Dario Capitani ◽  
Fabio Maspero ◽  
Valentina Scita
Keyword(s):  
Total Hip Arthroplasty ◽  
Functional Recovery ◽  
Hip Arthroplasty ◽  
Femoral Stem ◽  
Hip Osteoarthritis ◽  
Primary Stability ◽  
Harris Hip Score ◽  
Short Neck ◽  
Term Survival ◽  
Total Hip

Introduction: This prospective study aims to evaluate the mid-term clinical and radiological performance of a new short, neck-preserving femoral stem in total hip arthroplasty (THA). Patients and methods: 178 consecutive patients (190 hips) underwent THA from November 2008 to July 2016. Mean follow-up is 62.4 months. Women make up 41% of the cohort at a mean age of 50 ± 4 years, with primary hip osteoarthritis as the main complaint. All patients underwent radiological evaluation using the modified Gruen method, and clinical assessment via the Harris Hip Score (HHS), preoperatively and at 1, 6, 12, 24, 60, 80 and 106 months post-op. Results: A mean HHS increase (from 50 ± 12 points preoperatively to 96 ± 4 at 62 months), together with painless articular improvement, was present at 6 months postoperatively indicating early functional recovery. Effective osteointegration and primary stability were present on radiographic analysis, without evidence of stress shielding or stem mal-positioning: subsidence amounting to <1 mm was present in 40% of implants immediately after surgery, with subsequent stabilisation within 6 months in all cases. Metaphyseal trabecular re-orientation in absence of symptomatic cortical hypertrophy or progressive radiolucency indicates physiological load transfer in the proximal femur. Stem-related revision surgery was necessary for 1.05% of all implants due to fracture and infection. No loosening, dislocations or mechanical failures were reported. Conclusions: All patients show excellent functional recovery and clinical outcomes at 62 months, demonstrating the role optimal primary stability and physiological joint reconstruction play in ensuring stable secondary fixation and long-term survival of a short, neck-preserving stem.

Preoperative psychosocial factors predicting patient’s functional recovery after total knee or total hip arthroplasty: a systematic review

2017 ◽  
Vol 32 (4) ◽  
pp. 512-525 ◽  
Author(s):  
Anouck N Bletterman ◽  
Marcella E de Geest-Vrolijk ◽  
Johanna E Vriezekolk ◽  
Maria W Nijhuis-van der Sanden ◽  
Nico LU van Meeteren ◽  
...  
Keyword(s):  
Systematic Review ◽  
Total Hip Arthroplasty ◽  
Psychosocial Factors ◽  
Functional Recovery ◽  
Hip Arthroplasty ◽  
Total Hip ◽  
Total Knee

Periacetabular Bone Densitometry after Total Hip Arthroplasty with Highly Porous Titanium Cups: A 2-Year Follow-Up Prospective Study

2017 ◽  
Vol 27 (6) ◽  
pp. 551-557 ◽  
Author(s):  
Leo Massari ◽  
Alessandro Bistolfi ◽  
Pier Paolo Grillo ◽  
Alda Borré ◽  
Gaetano Gigliofiorito ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Functional Recovery ◽  
Hip Arthroplasty ◽  
Harris Hip Score ◽  
Radiographic Evaluation ◽  
Mineral Density ◽  
Cellular Solid ◽  
Total Hip ◽  
Sf 36

Introduction Trabecular Titanium is an advanced cellular solid structure, composed of regular multiplanar hexagonal interconnected cells that mimic the morphology of the trabecular bone. This biomaterial demonstrated improved mechanical properties and enhanced osteoinduction and osteoconduction in several in vitro and in vivo studies. The aim of this study was to assess Trabecular Titanium osseointegration by measuring periacetabular changes in bone mineral density (BMD) with dual-emission X-ray absorptiometry (DEXA). Methods 89 patients (91 hips) underwent primary total hip arthroplasty (THA) with acetabular Trabecular Titanium cups. Clinical (Harris Hip Score (HHS), SF-36) and radiographic assessment were performed preoperatively, and postoperatively at 7 days and at 3, 6, 12 and 24 months. DEXA analysis was performed only postoperatively, using the BMD values measured at 7 days as baselines. Results After an initial decrease from baseline to 6 months, BMD increased and progressively stabilised in all 3 regions of interest (ROIs). Median (IQR) HHS and SF-36 increased from 48 (39-62) and 49 (37-62) preoperatively to 99 (96-100) and 86 (79-92) at 24 months, indicating a considerable improvement in terms of pain relief, functional recovery and quality of life. BMD patterns and radiographic evaluation showed evident signs of periacetabular bone remodelling and osseointegration; all cups were stable at the final follow-up without radiolucent lines, loosening or osteolysis. No revisions were performed. Conclusions After an initial reduction in periacetabular BMD, all 3 ROIs exhibited stabilisation or slight recovery. Although clinical outcomes and functional recovery proved satisfactory, longer follow-ups are necessary to assess this cup long-term survivorship.

Exercise Improves Early Functional Recovery After Total Hip Arthroplasty

2003 ◽  
Vol 408 ◽  
pp. 193-200 ◽  
Author(s):  
Helen J. Gilbey ◽  
Timothy R. Ackland ◽  
Allan W. Wang ◽  
Alan R. Morton ◽  
Therese Trouchet ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Functional Recovery ◽  
Hip Arthroplasty ◽  
Total Hip ◽  
Early Functional Recovery

scholarly journals Assessing functional recovery shortly after knee or hip arthroplasty: a comparison of the clinimetric properties of four tools

2016 ◽  
Vol 17 (1) ◽  
Author(s):  
Stéphane Poitras ◽  
Kristi S. Wood ◽  
Jacinthe Savard ◽  
Geoffrey F. Dervin ◽  
Paul E. Beaulé
Keyword(s):  
Functional Recovery ◽  
Hip Arthroplasty
Sign in / Sign up

Export Citation Format

Share Document