Features of physical therapy of patients after endoprosthetic with the strengthening of capsule-ligamentous structures

Authors

  • S. O. Maslennikov Zaporizhzhia State Medical University, Ukraine,
  • M. L. Holovakha Zaporizhzhia State Medical University, Ukraine,
  • E. Yu. Doroshenko Zaporizhzhia State Medical University, Ukraine,
  • S. M. Malakhova Zaporizhzhia State Medical University, Ukraine,
  • L. I. Levchenko Zaporizhzhia State Medical University, Ukraine,
  • S. H. Puzik Zaporizhzhia State Medical University, Ukraine,
  • A. M. Hurieieva Zaporizhzhia State Medical University, Ukraine,
  • M. O. Oliinyk Zaporizhzhia State Medical University, Ukraine,

DOI:

https://doi.org/10.14739/2409-2932.2020.1.198202

Keywords:

hip joint, traumatology, endoprosthesis, revision surgery, preoperative care, polypropylene mesh, quality of life, physiotherapy

Abstract

 

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.

References

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

1.
Maslennikov SO, Holovakha ML, Doroshenko EY, Malakhova SM, Levchenko LI, Puzik SH, Hurieieva AM, Oliinyk MO. Features of physical therapy of patients after endoprosthetic with the strengthening of capsule-ligamentous structures. Current issues in pharmacy and medicine: science and practice [Internet]. 2020Mar.10 [cited 2024May24];13(1). Available from: http://pharmed.zsmu.edu.ua/article/view/198202

Issue

Section

Original research