Features of physical therapy of patients after endoprosthetic with the strengthening of capsule-ligamentous structures
Keywords:hip joint, traumatology, endoprosthesis, revision surgery, preoperative care, polypropylene mesh, quality of life, physiotherapy
The purpose of the work is to evaluate the degree of dynamic recovery of the movements of the operated limb during the second period of rehabilitation by means of physical therapy in patients who underwent hip replacement and strengthening of the capsule-ligament apparatus with a polypropylene mesh.
Materials and methods. A retrospective study of case histories, radiographs, and laboratory data of 47 patients requiring restoration or strengthening of the hip capsule was performed, of which primary endoprosthesis was performed in 26 (55.3 %) patients, and revision in 21 (44.7 %). Among the studied patients, 27 patients (57.4 %) were male, 20 patients (42.6 %) – female. The average age of the patients was 57 years (from 20 to 86 years).
Results. Based on the analysis of the results of the study, we note that the quality of life of patients in both groups, the overall subjective condition of the joint, the volume of movements of the operated limb, as well as the evaluation of clinical and functional outcomes of treatment on the Harris Hip Score (HHS) directly correlate with performance preoperative exercises of a therapeutic nature and adherence to the postoperative rehabilitation program of physical therapy. Such correlation is more significant at 12 months after surgery, at 24 months of observation the indexes of the operated hip joint in the two groups of patients were not significantly different: 65.3 % of the observation group and 52.2 % of the comparison group at 12 months after surgery and 91.3 % and 81.0 % after 24 months, respectively.
Conclusions. The use of polypropylene mesh to strengthen the posterior capsule ligaments of the hip joint enhances the functionality of the operated limb and restores patients overall, accelerates the physical rehabilitation process after discharge from the hospital. The expediency of careful preoperative preparation of patients and active management of the postoperative period (complexes of therapeutic exercises, informing of patients) is proved.
Bozic, K. J., Kurtz, S. M., Lau, E., Ong, K., Vail, T. P., & Berry, D. J. (2009). The Epidemiology of Revision Total Hip Arthroplasty in the United States. Journal of Bone and Joint Surgery-American Volume, 91A(1), 128-133. https://doi.org/10.2106/jbjs.h.00155
Bozic, K. J., Kurtz, S. M., Lau, E., Ong, K., Chiu, V., Vail, T. P., . . . Berry, D. J. (2010). The Epidemiology of Revision Total Knee Arthroplasty in the United States. Clinical Orthopaedics and Related Research, 468(1), 45-51. https://doi.org/10.1007/s11999-009-0945-0
Garellick, G., Karrholm, J., Lindahl, H., Malchau, H., Rogmark, C., & Rolfson, O. (2014). Swedish Hip Arthroplasty Register: Annual Report 2013. Goothenburg: Swedish Hip Arthroplasty Register. Retrieved from https://shpr.registercentrum.se/
Kosiakov, O. M., Burianov, O. A., & Bondar, V. K. (2018). Viddaleni rezultaty totalnoho endoprotezuvannia kulshovoho suhloba z vykorystanniam trabekuliarno-bionichnoi nizhky "Physiohip" [Long-term results of total hip arthroplasty with "Physiohip" trabecular-bionic stem]. Ortopediia, travmotolohgiia i protezirovaniie. 3. 99-103. http://dx.doi.org/10.15674/0030-59872018399-1035 [in Ukrainian].
Meek, R. M. D., Allan, D. B., McPhillips, G., Kerr, L., & Howie, C. R. (2006). Epidemiology of dislocation after total hip arthroplasty. Clinical Orthopaedics and Related Research, (447), 9-18. https://doi.org/10.1097/01.blo.0000218754.12311.4a
Pulido, L., Restrepo, C., & Parvizi, J. (2007). Late instability following total hip arthroplasty. Clinical Medicine and Research, 5(2), 139-142. https://doi.org/10.3121/cmr.2007.717
Mahoney, C. R., & Pellicci, P. M. (2003). Complications in primary total hip arthroplasty: Avoidance and management of dislocations. Instructional Course Lectures, 52, 247-255.
Gaiko, G. V, Torchinsky, V. P., Sulima, O. M., Pidgayetsky, V. M., Osadchuk, T. I., Kalashnikov, O. V. … Kozak, R. A. (2014). Pomylky ta uskladnennia reviziinoho protezuvannia u khvorykh z aseptychnoiu nestabilnistiu atsetabuliarnoho komponenta endoproteza kulshovoho suhloba [Mistakes and complications of revision prosthetics in patients with aseptic loosening of acetabular component of femoral endoprosthesis]. Travma, 15(1), 74-77. [in Ukrainian].
Kanziuba, A. I. (2016). Vyvikhi bedra posle total'nogo endoprotezirovaniya tazobedrennogo sustava [Hip dislocation after total hip arthroplasty]. Travma, 17(1), 106-110. [in Russian].
Dorr, L. D., Wolf, A. W., Chandler, R., & Conaty, J. P. (1983). Classification and Treatment of Dislocations of Total Hip Arthroplasty. Clinical Orthopaedics and Related Research, (173), 151-158.
Tsai, S. J., Wang, C. T., & Jiang, C. C. (2008). The effect of posterior capsule repair upon post-operative hip dislocation following primary total hip arthroplasty. BMC Musculoskeletal Disorders, 9. https://doi.org/10.1186/1471-2474-9-29
Ward, D. T., Metz, L. N., Horst, P. K., Kim, H. T., & Kuo, A. C. (2015). Complications of Morbid Obesity in Total Joint Arthroplasty: Risk Stratification Based on BMI. Journal of Arthroplasty, 30(9), 42-46. https://doi.org/10.1016/j.arth.2015.03.045
Herasymenko, S. I., Poluliakh, M. V., Roi, I. V., Herasymenko, A. S., Pavlova, Yu. H., Zamorskyi, T. V., & Kudrin, A. P. (2015). Profilaktyka vyvykhu stehnovoho komponenta endoproteza pislia totalnoho endoprotezuvannia kulshovoho suhloba u khvorykh na revmatoidnyi artryt [Prevention of dislocation of the femoral component of the endoprosthesis after total hip replacement in patients with rheumatoid arthritis]. Travma, 16(6), 55-58. [in Ukrainian].
Maslennikov, S. O., Holovakha, M. L., Zabielin, I. M., & Tverdovskyi, A. O. (2017). Sposib profilaktyky retsydyvuiuchykh vyvykhiv stehnovoho komponenta endoproteza kulshovoho suhloba pry velykomu defekti suhlobovoi kapsuly [A method for preventing recurrent dislocations of the femoral component of the hip replacement with a large defect of the articular capsule]. Ukraine Patent UA 117564. Retrieved from https://base.uipv.org/searchINV/search.php?action=viewdetails&IdClaim=237004
Maslennikov, S. O., Holovakha, M. L., Zabielin, I. M., & Tverdovskyi, A. O. (2017). Sposib profilaktyky vyvykhiv stehnovoho komponenta endoproteza kulshovoho suhloba [Method for preventing dislocation of hip component of hip joint endoprosthesis]. Ukraine Patent UA 117582. Retrieved from https://base.uipv.org/searchINV/search.php?action=viewdetails&IdClaim=237022
How to Cite
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access)