scholarly journals Activities of daily living after total hip arthroplasty. Is a 32-mm femoral head superior to a 26-mm head for improving daily activities?

2009 ◽  
Vol 35 (1) ◽  
pp. 25-29 ◽  
Author(s):  
Isao Matsushita ◽  
Yuji Morita ◽  
Yoshiaki Ito ◽  
Ryuichi Gejo ◽  
Tomoatsu Kimura
Keyword(s):  
Femoral Head ◽  
Total Hip Arthroplasty ◽  
Activities Of Daily Living ◽  
Hip Arthroplasty ◽  
Daily Living ◽  
Daily Activities ◽  
Total Hip

Fear of Falling Restricts Activities of Daily Living after Total Hip Arthroplasty: A One-Year Longitudinal Study

2017 ◽  
Vol 41 (4) ◽  
pp. 308-314 ◽  
Author(s):  
Koutatsu Nagai ◽  
Hisashi Ikutomo ◽  
Keiichi Tagomori ◽  
Namika Miura ◽  
Tadao Tsuboyama ◽  
...  
Keyword(s):  
Longitudinal Study ◽  
Total Hip Arthroplasty ◽  
Activities Of Daily Living ◽  
Hip Arthroplasty ◽  
Daily Living ◽  
Fear Of Falling ◽  
Total Hip ◽  
One Year

scholarly journals Surgical management of avascular necrosis of femoral head in young adults treated with uncemented total hip replacement

2021 ◽  
Vol 7 (6) ◽  
pp. 1166
Author(s):  
Vijaya Bhaskar Reddy ◽  
N. Brahma Chary ◽  
Kacham Nikitha
Keyword(s):  
Femoral Head ◽  
Total Hip Arthroplasty ◽  
Avascular Necrosis ◽  
Total Hip Replacement ◽  
Hip Arthroplasty ◽  
Hip Replacement ◽  
Daily Activities ◽  
Harris Hip Score ◽  
Total Hip ◽  
Uncemented Total Hip Replacement

<p class="abstract"><strong>Background: </strong>Normal hip joint is subjected to many stresses during daily activities performed by an individual. Since it is one of the major weight bearing joints of the body, its normal function is necessary for daily activities. Avascular necrosis (AVN) of the femoral head is one of the common causes of painful hip in a young adult. Core decompression, fibular sturt graft can be considered in early stages, total hip arthroplasty in later stages of AVN of femoral head.</p><p class="abstract"><strong>Methods:</strong> This is a retrospective study of 30 patients following uncemented total hip replacement, who were operated between August 2017 and March 2020 at MNR medical college and hospital, Sangareddy. They were followed up for a minimum period of 1 year and evaluated using Harris hip scoring system. Harris hip score is designed specifically for measuring functional outcomes in hip arthroplasty.</p><p class="abstract"><strong>Results: </strong>There was a significant improvement in function as measured with the Harris hip score. The overall preoperative Harris hip score was 43, which remarkably improved to 89 postoperatively. The results observed, showed that all patients had good to excellent results, (Harris hip score ≥0) thus showing a good degree of pain relief, improvement in function and range of motion.</p><p class="abstract"><strong>Conclusions: </strong>Although the use of total hip arthroplasty in young patients will more likely necessitate future revision surgery, the consistent relief of pain and good functional results have made this procedure an attractive treatment choice for the debilitating arthritis resulting from osteonecrosis of the femoral head.  </p>

scholarly journals Ocena podstawowych i złożonych czynności życia codziennego pacjentów geriatrycznych po zabiegu endoprotezoplastyki stawu biodrowego / Assessment of basic and instrumental activities of daily living in geriatric patients after total hip arthroplasty

2014 ◽  
Vol 28 (4) ◽  
pp. 13-20
Author(s):  
Grzegorz Puzio ◽  
Agnieszka Stopa ◽  
Izabela Staszczak–Gawełda ◽  
Szymon Krupnik ◽  
Marek Żak ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Activities Of Daily Living ◽  
Hip Arthroplasty ◽  
Daily Living ◽  
Geriatric Patients ◽  
Total Hip ◽  
Instrumental Activities

Streszczenie Wstęp: Choroba zwyrodnieniowa stawów biodrowych stanowi u osób starszych jedną z głównych przyczyn dysfunkcji narządu ruchu oraz jest najczęstszą przyczyną wykonywania endoprotezoplastyki stawów biodrowych u osób po 65 r.ż. Postęp medycyny i rehabilitacji pozwala osobom starszym na utrzymanie wysokiej sprawności funkcjonalnej oraz samodzielności w wykonywaniu czynności życia codziennego. Cel pracy: Przedstawienie najczęstszych problemów z zakresu czynności dnia codziennego po zabiegu endoprotezoplastyki stawu biodrowego u pacjentów geriatrycznych. Materiał i metody: Zbadano 189 pensjonariuszy placówek opieki instytucjonalnej w wieku 70-98 lat (MEAN 81,77; SD 6,5), w tym 123 kobiety i 66 mężczyzn. Do oceny funkcjonalnej zastosowano skalę oceny podstawowych czynności życia codziennego ADL oraz skalę złożonych czynności życia IADL. Wykonano stratyfikację na wiek (Gr I: 70-79 r.ż., Gr II- >80 r.ż.). Analizę statystyczną wykonano w programie STATISTICA v10. Weryfikację hipotez podjęto na podstawie testu Manna-Whitneya przy założeniu α=0.05. Wyniki: Wszystkie badane osoby miały największe problemy w ADL w zakresie czynności samodzielnego kąpania się (43%) oraz kontrolowaniu wydalania moczu i stolca (66,66%). W skali IADL największe trudności badani mieli z gospodarowaniem pieniędzmi (71%), ponad połowa nie była w stanie wyjść poza odległość spaceru (54%). Po wprowadzeniu stratyfikacji na wiek, wynik główny ADL nie różnił się istotnie pomiędzy grupami (5 pkt. vs 5 pkt., p>0.05), istotne statystycznie różnice wykryto w skali IADL pomiędzy grupami (Gr I 20 pkt vs Gr II 18pkt., p<0.05). Wnioski: W 4 tygodnie po endoprotezoplastyce osoby objęte opieką instytucjonalną prezentują ubytki funkcjonalne w zakresie pielęgnacji. Treningi aktywności podstawowych i złożonych czynności dnia codziennego powinny być podstawowym elementem postępowania interdyscyplinarnego w geriatrii.

Guidelines for Implant Placement to Minimize Impingement During Activities of Daily Living After Total Hip Arthroplasty

2010 ◽  
Vol 25 (8) ◽  
pp. 1275-1281.e1 ◽  
Author(s):  
Anisha B. Patel ◽  
Rohan R. Wagle ◽  
Molly M. Usrey ◽  
Matt T. Thompson ◽  
Stephen J. Incavo ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Activities Of Daily Living ◽  
Hip Arthroplasty ◽  
Daily Living ◽  
Total Hip ◽  
Implant Placement

Gait and gait-related activities of daily living after total hip arthroplasty: A systematic review

2014 ◽  
Vol 29 (6) ◽  
pp. 705-718 ◽  
Author(s):  
Sjoerd Kolk ◽  
Michiel J.M. Minten ◽  
Geert E.A. van Bon ◽  
Wim H. Rijnen ◽  
Alexander C.H. Geurts ◽  
...  
Keyword(s):  
Systematic Review ◽  
Total Hip Arthroplasty ◽  
Activities Of Daily Living ◽  
Hip Arthroplasty ◽  
Daily Living ◽  
Total Hip

Epidemiological Study of Femoral Head Osteonecrosis

2017 ◽  
Vol 68 (5) ◽  
pp. 974-976
Author(s):  
Alexandru Patrascu ◽  
Liliana Savin ◽  
Dan Mihailescu ◽  
Victor Grigorescu ◽  
carmen Grierosu ◽  
...  
Keyword(s):  
Risk Factors ◽  
Femoral Head ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Young Patients ◽  
Head Group ◽  
Bipolar Hemiarthroplasty ◽  
Aseptic Necrosis ◽  
Total Hip ◽  
Femoral Head Osteonecrosis

In recent years, there has been an increase in the number of studies on the etiology of femoral head necrosis. We retrospectively reviewed all patients diagnosed with aseptic necrosis of the femoral in the period of 2010-2015. We recorded a total of 230 cases diagnosed with aseptic necrosis of the femoral head, group was composed of 65.7% men and 34.3% women, risk factors identified was 19.13% (post-traumatic), 13.91% (glucocorticoids), 26.52% (alcohol), 3.47% (another cause) and in 36 95% of the cases no risk factors were found. The results of the study based on the type of surgery performed on the basis of stages of disease progression, 8 patients (3.48%) benefited from osteotomy, 28 patients (12.17%) benefited of bipolar hemiarthroplasty prosthesis and 188 patients (81.74%) benefited of total hip arthroplasty. Osteonecrosis of the femoral head is characteristic to young patients between the age of 30-50 years old. Predisposing factors, alcohol and corticosteroid therapy remains an important cause of the disease. Total hip arthroplasty remains the best option for the patients with osteonecrosis of the femoral head.

scholarly journals A Novel Measurement Using Digital Radiography to Minimize Fluoroscopy in Total Hip Arthroplasty

2021 ◽  
Author(s):  
Andrew G. Yun ◽  
Marilena Qutami ◽  
Kory B. Dylan Pasko
Keyword(s):  
Femoral Head ◽  
Total Hip Arthroplasty ◽  
Radiation Exposure ◽  
Hip Arthroplasty ◽  
Fluoroscopy Time ◽  
Lesser Trochanter ◽  
Total Hip ◽  
Preoperative Templating ◽  
The Mean ◽  
Templating Technique

AbstractPreoperative templating for total hip arthroplasty (THA) is fraught with uncertainty. Specifically, the conventional measurement of the lesser trochanter to the center (LTC) of the femoral head used in preoperative planning is easily measured on a template but not measurable intraoperatively. The purpose of this study was to examine the utility of a novel measurement that is reproducible both on templating and in surgery as a more accurate and practical guide. We retrospectively reviewed 201 patients with a history of osteoarthritis who underwent primary THA. For preoperative templating, the distance from the top of the lesser trochanter to the equator (LeTE) of the femoral head was measured on a calibrated digital radiograph with a neutral pelvis. This measurement was used intraoperatively to guide the choice of the trial neck and head. As with any templating technique, the goal was to construct a stable, impingement-free THA with equivalent leg lengths and hip offset. In evaluating this novel templating technique, the primary outcomes measured were the number of trial reductions and the amount of fluoroscopic time, exposures, and radiation required to obtain a balanced THA reconstruction. Using the LeTE measurement, the mean number of trial reductions was 1.21, the mean number of intraoperative fluoroscopy images taken was 2.63, the mean dose of radiation exposure from fluoroscopy was 0.02 mGy, and the mean fluoroscopy time per procedure was 0.6 seconds. In hips templated with the conventional LTC prior to the LeTE, the mean fluoroscopy time was 0.9 seconds. There was a statistically significant difference in fluoroscopy time (p < 0.001). The LeTE is a reproducible measurement that transfers reliably from digital templating to surgery. This novel preoperative templating metric reduces the fluoroscopy time and consequent radiation exposure to the surgical team and may minimize the number of trial reductions.

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