The outcome of total hip arthroplasty in patients with developmental dysplasia of the hip.
Pain
arthroplasty
developmental dysplasia of the hip
exercises
function
hip
rehabilitation
Journal
Journal of back and musculoskeletal rehabilitation
ISSN: 1878-6324
Titre abrégé: J Back Musculoskelet Rehabil
Pays: Netherlands
ID NLM: 9201340
Informations de publication
Date de publication:
2019
2019
Historique:
pubmed:
9
4
2019
medline:
5
3
2020
entrez:
9
4
2019
Statut:
ppublish
Résumé
The optimal rehabilitation program for patients with post-total hip arthroplasty (THA) after developmental dysplasia of the hip (DDH) remains unclear. The aim of the present study was to evaluate the clinical outcomes, to define a postoperative rehabilitation program, and to report the complication rate of THA in patients with DDH. DDH hips (n= 89) were recruited. The transverse proximal femoral shortening osteotomy was applied to all patients. The rehabilitation program was performed on the first day immediately after operation to the 6th week. Pain was assessed via Visual Analogue Scale, and the function was evaluated by the Harris Hip Score at the end of the 3rd month and the first year. The weakness of hip abduction was assessed via the Trendelenburg test before the operation and at one year. Statistically significant improvements were seen for pain (p< 0.001) and function (p< 0.001) in the third month. This improvement continued for pain from three months to one year (p< 0.001). However, the function did not increase from month three to one year (p= 0.47). The Trendelenburg test was positive in all cases in the first assessment; it decreased to 24.7% at one year. The complication rate was 11.23%. The pain and function of patients who performed exercise following THA due to DDH might improve, especially in the first three months.
Sections du résumé
BACKGROUND
BACKGROUND
The optimal rehabilitation program for patients with post-total hip arthroplasty (THA) after developmental dysplasia of the hip (DDH) remains unclear.
OBJECTIVE
OBJECTIVE
The aim of the present study was to evaluate the clinical outcomes, to define a postoperative rehabilitation program, and to report the complication rate of THA in patients with DDH.
METHODS
METHODS
DDH hips (n= 89) were recruited. The transverse proximal femoral shortening osteotomy was applied to all patients. The rehabilitation program was performed on the first day immediately after operation to the 6th week. Pain was assessed via Visual Analogue Scale, and the function was evaluated by the Harris Hip Score at the end of the 3rd month and the first year. The weakness of hip abduction was assessed via the Trendelenburg test before the operation and at one year.
RESULTS
RESULTS
Statistically significant improvements were seen for pain (p< 0.001) and function (p< 0.001) in the third month. This improvement continued for pain from three months to one year (p< 0.001). However, the function did not increase from month three to one year (p= 0.47). The Trendelenburg test was positive in all cases in the first assessment; it decreased to 24.7% at one year. The complication rate was 11.23%.
CONCLUSIONS
CONCLUSIONS
The pain and function of patients who performed exercise following THA due to DDH might improve, especially in the first three months.
Identifiants
pubmed: 30958333
pii: BMR181367
doi: 10.3233/BMR-181367
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM