Document Detail


Functional problems and treatment solutions after total hip arthroplasty.
MedLine Citation:
PMID:  17823029     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Dissatisfaction after total hip arthroplasty (THA) is linked to complications due to comorbitities, radiographic loosening, and poor prosthetic alignment. However, some patients have functional problems without obvious causes. This study elucidated soft tissue abnormalities that may lead to THA dysfunction and assessed the efficacy of customized physical therapeutic modalities. Seventy-eight THA patients complaining of poor functionality capabilities at 3 months after index THA were studied with a detailed physical examination and gait analysis with videotape, 3-dimensional gait studies, and isokinetic strength assessments used when necessary. Patients had muscle weakness (57), muscle tightness (32), limb length differences (11), and/or limb malalignment (10). Treatment protocols included physical therapy, electrical stimulation, shoe lifts, intramuscular botulinum, and corticosteroid injections. At 61-month mean follow-up, 73 (94%) patients had good to excellent clinical outcomes. Patient satisfaction averaged 8.7 of 10 possible points. These results suggest that various assessments and 3-dimensional gait studies are valuable tools in identifying problems after THA and help direct customized rehabilitation modalities.
Authors:
Anil Bhave; David R Marker; Thorsten M Seyler; Slif D Ulrich; Johannes F Plate; Michael A Mont
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Publication Detail:
Type:  Journal Article     Date:  2007-07-26
Journal Detail:
Title:  The Journal of arthroplasty     Volume:  22     ISSN:  0883-5403     ISO Abbreviation:  J Arthroplasty     Publication Date:  2007 Sep 
Date Detail:
Created Date:  2007-09-07     Completed Date:  2008-01-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8703515     Medline TA:  J Arthroplasty     Country:  United States    
Other Details:
Languages:  eng     Pagination:  116-24     Citation Subset:  IM    
Affiliation:
Center for Joint Preservation and Reconstruction, Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, Baltimore, Maryland 21215, USA.
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MeSH Terms
Descriptor/Qualifier:
Algorithms
Arthroplasty, Replacement, Hip*
Follow-Up Studies
Gait*
Humans
Leg Length Inequality / etiology
Male
Middle Aged
Muscular Diseases / diagnosis,  therapy
Patient Satisfaction
Physical Therapy Modalities
Postoperative Complications
Videotape Recording

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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