Extent of recovery after revision arthroplasty of the hip and knee: A pilot study.

Brucken Fock, Y. von (Yntor) (2015) Extent of recovery after revision arthroplasty of the hip and knee: A pilot study. thesis, Medicine.

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Abstract

Background: Due to the aging population and obesity epidemic, a growing population of older adults with osteoarthritis of the hip arises, who could benefit from a total hip arthroplasty (THA) in end-stage osteoarthritis. As a result, more revision THA are being performed. However, not much is known about recovery after revision THA. In addition not much is known how patients recover after revision caused by septic or aseptic loosening and what the role of postoperative physical therapy is. Objectives: This study determines the extent of recovery after revising a THA and whether physical therapy and surgery indication (septic or aseptic loosening) is of influence. Methods: A cross-sectional analyses of retrospectively collected data including 33 patients, six to twelve months after surgery. Surgery indication was assessed based on information from medical records. Demographics, comorbidity, amount of physical therapy and recovery were measured by means of self-administered questionnaires. Recovery was defined by the patients’ opinion about his/her hip associated problems (hip disability and osteoarthritis outcome score; HOOS), the amount of physical activity (international physical activity questionnaire; IPAQ), health related quality of life (health status; EQ-5D-3L) and satisfaction of operated hip (a visual analog scale of overall satisfaction). Mann-Whitney U tests were used to determine the influence of physical therapy and surgery indication on recovery. Results: The results show a tendency that revision THA patients recover to a smaller extent in comparison with primary THA patients. In addition there was a tendency that patients with septic loosening recover less well compared to patients with aseptic loosening. Similar results were found for patients with less physical therapy consults and time versus more. However, no significant differences were found. Conclusion: There is a tendency that patients after revision THA, recover less in comparison with primary THA patients. The indication for revision is of influence as is the amount of physical therapy. However, no definitive conclusions can be given at this time. Further investigation is needed. It should include enlarged patient groups and an evidence based minimum amount of physical therapy to confirm findings.

Item Type:	Thesis (Thesis)
Supervisor name:	Stevens, Dr. M. and Ploegmakers, Drs. J.J.W.
Faculty:	Medical Sciences
Date Deposited:	25 Jun 2020 10:49
Last Modified:	25 Jun 2020 10:49
URI:	https://umcg.studenttheses.ub.rug.nl/id/eprint/1003

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