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https://www.readbyqxmd.com/read/27857630/effects-of-action-observation-therapy-in-patients-recovering-from-total-hip-arthroplasty-arthroplasty-a-prospective-clinical-trial
#1
Jorge Hugo Villafañe, Caterina Pirali, Maria Isgrò, Carla Vanti, Riccardo Buraschi, Stefano Negrini
OBJECTIVE: The purpose of this study was to investigate the effectiveness of action observation therapy (AOT) compared with written information in patients submitted to a physical therapy program after primary total hip arthroplasty (THA). METHODS: We conducted a prospective clinical trial. Twenty-four patients with THA, 62.5% female (aged 69.0 ± 8.5 years), received AOT in addition to conventional physical therapy (experimental group) or written information in addition to conventional physical therapy (exercise and information group) for 10 sessions...
December 2016: Journal of Chiropractic Medicine
https://www.readbyqxmd.com/read/27593372/postoperative-patient-education-in-physiotherapy-after-hip-arthroplasty-patients-perspective
#2
Anna-Maija Jäppinen, Harri Hämäläinen, Tarja Kettunen, Arja Piirainen
The objective of the present study was to explore postoperative patient education in physiotherapy from total hip arthroplasty (THA) patients' perspectives, which has been a little-studied area of research. The usefulness of rehabilitation protocols after THA has been debated over the years, and there are no clear guidelines for physiotherapy after THA METHODS: The data for the present qualitative study were collected from nine patients with THA by using individual interviews at the hospital after surgery. The interviews were audio-recorded and analysed by using a phenomenographic method RESULTS: Four different categories of postoperative patient education in physiotherapy after hip arthroplasty were produced: trust while in hospital; preparing for going home; managing at home; and regaining physical fitness...
September 4, 2016: Musculoskeletal Care
https://www.readbyqxmd.com/read/27356642/-a-clinical-study-of-the-efficacy-of-automated-intermittent-boluses-for-continuous-fascia-iliaca-block
#3
N Wang, M Li, J Geng, X L Chen, X Y Guo
OBJECTIVE: To compare two different regimens of continuous ultrasound-guided fascia iliaca compartment block (FICB) for postoperative analgesia after total hip arthroplasty (THA). METHODS: Approved by the Peking University Third Hospital ethics committee, sixty patients undergoing selective single total hip replacement in Peking University Third Hospital from May.2015 to Mar.2016 were included. Before neuraxial block, continuous ultrasound-guided FICB were administered...
June 14, 2016: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/27260482/ultrashort-versus-conventional-anatomic-cementless-femoral-stems-in-the-same-patients-younger-than-55-years
#4
Young-Hoo Kim, Jang-Won Park, Jun-Shik Kim
BACKGROUND: Because the clinical and radiographic performance of an ultrashort anatomic cementless stem has been investigated in only two randomized controlled studies, well-designed trials should aim for a thorough comparison of the outcomes of ultrashort anatomic cementless and conventional anatomic cementless stems. QUESTIONS/PURPOSES: The purposes of this study were to compare (1) the clinical results, including Harris hip score, thigh pain, and WOMAC index score, (2) radiographic results, (3) bone mineral density; and (4) proportions of patients undergoing revision of a THA using an ultrashort anatomic cementless stem versus a conventional anatomic cementless stem in the same patients who underwent bilateral sequential THAs under the same anesthetic...
September 2016: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/26911971/the-acs-nsqip-risk-calculator-is-a-fair-predictor-of-acute-periprosthetic-joint-infection
#5
Nathaniel C Wingert, James Gotoff, Edgardo Parrilla, Robert Gotoff, Laura Hou, Elie Ghanem
BACKGROUND: Periprosthetic joint infection (PJI) is a severe complication from the patient's perspective and an expensive one in a value-driven healthcare model. Risk stratification can help identify those patients who may have risk factors for complications that can be mitigated in advance of elective surgery. Although numerous surgical risk calculators have been created, their accuracy in predicting outcomes, specifically PJI, has not been tested. QUESTIONS/PURPOSES: (1) How accurate is the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) Surgical Site Infection Calculator in predicting 30-day postoperative infection? (2) How accurate is the calculator in predicting 90-day postoperative infection? METHODS: We isolated 1536 patients who underwent 1620 primary THAs and TKAs at our institution during 2011 to 2013...
July 2016: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/26876943/the-prevalence-of-positive-findings-on-metal-artifact-reduction-sequence-magnetic-resonance-imaging-in-metal-on-metal-total-hip-arthroplasty
#6
Kevin Lindgren, Mike B Anderson, Christopher L Peters, Christopher E Pelt, Jeremy M Gililland
BACKGROUND: We sought to assess the prevalence of soft tissue changes seen on magnetic resonance imaging (MRI) after metal-on-metal (MOM) total hip arthroplasty (THA) and determine if the presence of pseudotumors was associated with metal ion levels, acetabular cup position, outcomes scores, and femoral head size. METHODS: After receiving an institutional review board exemption for secondary data analysis, we performed a cross-sectional study identifying 55 patients (55 hips) that underwent primary THA with a MOM articulation and had subsequent MRI imaging between February 2013 and February 2014 at a single academic medical center...
July 2016: Journal of Arthroplasty
https://www.readbyqxmd.com/read/26792619/quality-adjusted-life-years-gained-by-hip-and-knee-replacement-surgery-and-its-aftercare
#7
Thoralf R Liebs, Wolfgang Herzberg, Wolfgang Rüther, Martin Russlies, Joachim Hassenpflug
OBJECTIVES: To determine the lifetime quality-adjusted life years (QALYs) gained by total joint arthroplasty (TJA), and assess the QALYs attributed to specific postoperative rehabilitation interventions. DESIGN: Secondary analysis of 2 multicenter, randomized controlled trials (RCTs) with 3-, 6-, 12-, and 24-month follow-up. SETTING: Two university hospitals, 2 municipal hospitals, and 1 rural hospital. PARTICIPANTS: Patients (N=827) who underwent total hip arthroplasty (THA) or total knee arthroplasty (TKA)...
May 2016: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/26627999/cortical-hypertrophy-with-a-short-curved-uncemented-hip-stem-does-not-have-any-clinical-impact-during-early-follow-up
#8
Michael W Maier, Marcus R Streit, Moritz M Innmann, Marlis Krüger, Jan Nadorf, J Philippe Kretzer, Volker Ewerbeck, Tobias Gotterbarm
BACKGROUND: Short stems have become more and more popular for cementless total hip arthroplasty in the past few years. While conventional, uncemented straight stems for primary total hip arthroplasty (THA) have shown high survival rates in the long term, it is not known whether uncemented short stems represent a reasonable alternative. As cortical hypertrophy has been reported for short stems, the aim of this study was to determine the radiographic prevalence of cortical hypertrophy and to assess the clinical outcome of a frequently used short, curved hip stem...
December 1, 2015: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/26305296/preoperative-prediction-of-inpatient-recovery-of-function-after-total-hip-arthroplasty-using-performance-based-tests-a-prospective-cohort-study
#9
Ellen Oosting, Thomas J Hoogeboom, Suzan A Appelman-de Vries, Adam Swets, Jaap J Dronkers, Nico L U van Meeteren
PURPOSE: The aim of this study was to evaluate the value of conventional factors, the Risk Assessment and Predictor Tool (RAPT) and performance-based functional tests as predictors of delayed recovery after total hip arthroplasty (THA). METHOD: A prospective cohort study in a regional hospital in the Netherlands with 315 patients was attending for THA in 2012. The dependent variable recovery of function was assessed with the Modified Iowa Levels of Assistance scale...
2016: Disability and Rehabilitation
https://www.readbyqxmd.com/read/26285180/preoperative-progressive-explosive-type-resistance-training-is-feasible-and-effective-in-patients-with-hip-osteoarthritis-scheduled-for-total-hip-arthroplasty-a-randomized-controlled-trial
#10
RANDOMIZED CONTROLLED TRIAL
A Hermann, A Holsgaard-Larsen, B Zerahn, S Mejdahl, S Overgaard
OBJECTIVE: To investigate the efficacy and feasibility of progressive explosive-type resistance training (RT) in patients with osteoarthritis (OA) of the hip scheduled for total hip arthroplasty (THA). METHOD: Randomized controlled trial (1:1) in patients diagnosed with hip OA and scheduled for THA. The intervention group (IG) performed supervised preoperative progressive explosive-type RT twice a week for 10 weeks; four exercises (hip/thigh) performed in three series each (8-12 repetition maximum)...
January 2016: Osteoarthritis and Cartilage
https://www.readbyqxmd.com/read/26015635/ceramic-on-ceramic-hip-arthroplasty-in-fused-hips
#11
Kyung-Soon Park, Taek-Rim Yoon, Tae-Min Lee, Yeong-Seub Ahn
BACKGROUND: Most literature in the field of total hip arthroplasty (THA) for fused hips, until date has reported the results of using metal on polyethylene and ceramic on polyethylene bearings. Results of THA using ceramic on ceramic (CoC) bearings in fused hips have not been published in literature. This study reports the results of cementless THA using CoC articulation perfomed in fused hips. MATERIALS AND METHODS: Twenty-three patients (25 hips) with fused hips underwent conversion to THA using CoC bearings and were followed up for a mean 5...
May 2015: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/25873151/effect-of-cycle-ergometer-and-conventional-exercises-on-rehabilitation-of-older-patients-with-total-hip-arthroplasty-study-protocol-for-randomized-controlled-trial
#12
RANDOMIZED CONTROLLED TRIAL
Mariana Kátia Rampazo-Lacativa, Maria José D'Elboux
BACKGROUND: Total hip arthroplasty (THA) is an increasingly common treatment for older patients with hip osteoarthritis. The best strategy for a physiotherapy intervention for older people after THA is not clear in the literature. The purpose of this protocol study is to test the feasibility of undertaking a full trial clinical to evaluate the effect of ergometer cycling-associated conventional exercises on functional results and health-related quality of life (HRQOL) of older patients with THA...
April 8, 2015: Trials
https://www.readbyqxmd.com/read/25326208/patients-values-and-preferences-of-the-expected-efficacy-of-hip-arthroscopy-for-osteoarthritis-a-protocol-for-a-multinational-structured-interview-based-study-combined-with-a-randomised-survey-on-the-optimal-amount-of-information-to-elicit-preferences
#13
RANDOMIZED CONTROLLED TRIAL
Yuqing Zhang, Kari A O Tikkinen, Thomas Agoritsas, Olufemi R Ayeni, Paul Alexander, Maha Imam, Daniel Yoo, Athanasios Tsalatsanis, Benjamin Djulbegovic, Lehana Thabane, Holger Schünemann, Gordon H Guyatt
INTRODUCTION: Symptomatic hip osteoarthritis (OA) is a disabling condition with up to a 25% cumulative lifetime risk. Total hip arthroplasty (THA) is effective in relieving patients' symptoms and improving function. It is, however, associated with substantial risk of complications, pain and major functional limitation before patients can return to full function. In contrast, hip arthroscopy (HA) is less invasive and can postpone THA. However, there is no evidence regarding the delay in the need for THA that patients would find acceptable to undergoing HA...
2014: BMJ Open
https://www.readbyqxmd.com/read/25268505/effects-of-home-based-interval-walking-training-on-thigh-muscle-strength-and-aerobic-capacity-in-female-total-hip-arthroplasty-patients-a-randomized-controlled-pilot-study
#14
RANDOMIZED CONTROLLED TRIAL
Yutaka Morishima, Takashi Mizushima, Katsuya Yamauchi, Mayuko Morikawa, Shizue Masuki, Hiroshi Nose
UNLABELLED: Due to the reduced physical activity of patients who have undergone total hip arthroplasty (THA), there are no home-based exercise training regimens for preventing muscle atrophy and aerobic capacity impairment in these patients. We examined whether interval walking training (IWT) could prevented these issues. Twenty-eight female patients (∼60 years of age) who had undergone THA more than 2 months prior were randomly divided into IWT (n = 14) and control (CNT, n = 14) groups...
2014: PloS One
https://www.readbyqxmd.com/read/25051209/functional-performance-of-female-patients-more-than-6-months-after-total-hip-arthroplasty-shows-greater-improvement-with-weight-bearing-exercise-than-with-non-weight-bearing-exercise-randomized-controlled-trial
#15
RANDOMIZED CONTROLLED TRIAL
R Tsukagoshi, H Tateuchi, Y Fukumoto, S Ibuki, H Akiyama, K So, Y Kuroda, H Okumura, N Ichihashi
BACKGROUND: Impaired functional performance and decreased muscle strength and muscle atrophy generally persist for a long period after total hip arthroplasty (THA). AIM: To investigate the effects of weight-bearing (WB) and non-weight-bearing (NWB) exercises on functional performance, Harris hip score (HHS), muscle strength and muscle thickness in women after THA. DESIGN: A randomised, controlled trial. SETTING: Community...
December 2014: European Journal of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/24889213/a-randomized-pilot-study-of-a-comprehensive-postoperative-exercise-program-compared-with-usual-care-following-primary-total-hip-arthroplasty-in-subjects-less-than-65-years-of-age-feasibility-selection-of-outcome-measures-and-timing-of-assessment
#16
RANDOMIZED CONTROLLED TRIAL
Lauren A Beaupre, Edward C O Masson, Barbara J Luckhurst, Orfan Arafah, Gregory J O'Connor
BACKGROUND: Total Hip Arthroplasty (THA) is being used more commonly in younger higher demand patients. The purpose of this randomized pilot study was to explore a) feasibility of comprehensive postoperative rehabilitation compared to usual care following primary THA in subjects <65 years, b) appropriate outcome measures including performance-based measures and c) timing of assessments. METHODS: 21 subjects who underwent primary THA were randomized to receive a three-month out-patient rehabilitation program (Intervention) or usual postoperative care (Control)...
2014: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/24590990/comparison-between-drainage-and-non-drainage-after-total-hip-arthroplasty-in-chinese-subjects
#17
RANDOMIZED CONTROLLED TRIAL
Wei-nan Zeng, Kai Zhou, Zong-ke Zhou, Bin Shen, Jing Yang, Peng-de Kang, Fu-xing Pei
OBJECTIVE: To assess the difference between drainage and non-drainage after total hip arthroplasty (THA) in Chinese subjects by evaluating post-operative complications and joint function. METHODS: One hundred and sixty-eight patients undergoing THA were randomly allocated into drainage (83 patients) and non-drainage groups (85 patients). All surgeries were performed by one surgical team using the same pre-, intra-, and postoperative techniques. Measured items included: hemoglobin (Hb), superficial and deep wound infection, volume of blood transfusion, wound hematoma thickness, range of motion (ROM) of the hip, wound healing time, ecchymosis and tension vesicles around the wound...
February 2014: Orthopaedic Surgery
https://www.readbyqxmd.com/read/24497426/guideline-recommendations-for-post-acute-postoperative-physiotherapy-in-total-hip-and-knee-arthroplasty-are-they-used-in-daily-clinical-practice
#18
REVIEW
W F Peter, R G H H Nelissen, T P M Vliet Vlieland
BACKGROUND: In a Dutch guideline on physiotherapy (PT) in hip and knee osteoarthritis, a number of recommendations on post-acute (i.e. after discharge from hospital) PT following total hip (THA) and total knee (TKA) arthroplasty were included. Little is known about the uptake of these recommendations in daily clinical practice. OBJECTIVE: The aim of the present study was to determine the extent to which the guideline recommendations regarding post-acute PT after THA and TKA are followed in daily clinical practice...
September 2014: Musculoskeletal Care
https://www.readbyqxmd.com/read/24172644/which-type-of-exercise-therapy-is-effective-after-hip-arthroplasty-a-systematic-review-of-randomized-controlled-trials
#19
REVIEW
M Di Monaco, C Castiglioni
BACKGROUND: Early multidisciplinary rehabilitation can improve the recovery after total hip arthroplasty (THA). However, optimal exercise therapy has not been defined. We aimed to answer the question: "Which type and/or timing of exercise therapy is effective following THA?" DESIGN: Systematic review. METHODS: We searched four databases: MEDLINE, PEDro, Cochrane Library, and Cinahl since January 2008 till December 2012. Literature before 2008 was not searched for, because it was previously analyzed by two systematic reviews...
December 2013: European Journal of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/23731906/differences-in-gait-characteristics-between-total-hip-knee-and-ankle-arthroplasty-patients-a-six-month-postoperative-comparison
#20
COMPARATIVE STUDY
Nicola C Casartelli, Julia F Item-Glatthorn, Mario Bizzini, Michael Leunig, Nicola A Maffiuletti
BACKGROUND: The recovery of gait ability is one of the primary goals for patients following total arthroplasty of lower-limb joints. The aim of this study was to objectively compare gait differences of patients after unilateral total hip arthroplasty (THA), total knee arthroplasty (TKA) and total ankle arthroplasty (TAA) with a group of healthy controls. METHODS: A total of 26 TAA, 26 TKA and 26 THA patients with a mean (± SD) age of 64 (± 9) years were evaluated six months after surgery and compared with 26 matched healthy controls...
2013: BMC Musculoskeletal Disorders
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