Functional state after hip replacement surgery in patients coming from rural area
Keywords:
arthroplasty, hip joint, Harris Hip ScoreAbstract
Background: Degenerative hip joint disease constitutes a serious clinical and social problem globally. Primarily pain, but also a significant limitation of motor function has the biggest influence on a patient’s decision regarding operative treatment. However, the best hip endoprosthesis will not fulfill its task without ensuring its biological drive and mechanical stability. The aim of this study was to evaluate the functional state after hip joint replacement surgery in patients coming from rural areas.
Methods: A group of 219 patients who underwent hip replacement surgery were analyzed. A 100-point Harris’s scale as well as a self-designed questionaire was used for the analysis purposes. BMI index was calculated for all of the participants in this study. The patients were divided into the two groups: The first group contained patients from a rural area; the second group from patients living in the city.
Results: Functional state of patients, evaluated using the Harris’s scale, was significantly worse in the group from rural areas. Over half of the patients were not rehabilitated after surgery and this percentage was higher in the group of patients living in rural areas. Obesity and being overweight were more common in patients coming from rural areas, which influenced the poorer outcome of functional state in this group.
Conclusions: Hard work in agriculture and discontinuation of the rehabilitation process in the post-operative period determines a poor functional state of the patients after hip replacement surgery. Education regarding a body mass index reduction and the necessity of systematic and continuous rehabilitation in those patients qualified for hip replacement surgery is crucial.
Downloads
References
Ziętek P., Gusta A., Bohatyrewicz A., Larysz D.: Współczesne metody profilaktyki przeciwzakrzepowej w alloplastykach całkowitych stawów biodrowych. Chirurgia Narządu Ruchu i Ortopedia Polska 2000, 65,3 295 – 301.
Felson D.T. et al.: Weight loss reduces the risk for symptomatic osteoarthritis in women: the Framingham study. Ann. Intern. Med. 1992, 116: 535.
Moskowitz R.W.: Clinical and Laboratory Findings in Osteoarthritis. In: McCarty D.J. ed. Arthritis and allied conditions,. 11th ed Philadelphia: Lea and Febiger; 1989: 1605.
Pop T., Szczygielska D., Drużbicki M., Zajkiewicz K.: Epidemiologia i koszty leczenia zachowawczego chorych z chorobą zwyrodnieniową stawów biodrowych i kolanowych. Ortopedia, Traumatologia, Rehabilitacja, 2007;9(4) 405-412.
Röder Ch., Lukas P. Staub, Stefan Eggli, Daniel Dietrich, Andre Busato, and Urs Müller. Influence of Preoperative Functional Status on Outcome After Total Hip Arthroplasty. J Bone Joint Surg Am. 2007;89:11-17.
Mahomed N.N., Berrett J.A., Katz J.N., Philips C.B., Losina E., Lew R.A., Guadagnoli E., Harris W.H., Poss R., Baron J.A.: Wyniki pierwotnej i rewizyjnej artroplastyki całkowitej biodra w populacji systemu ubezpieczeń zdrowotnych Stanów Zjednoczonych. J Bone Joint Surg Am. 2003 Jan;85-A(1):27-32.
Harris W.H.: Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold artroplasty. An endresult study using a new method of result evaluation. The Journal of Bone and Joint Surgery.1969,Vol.51-A,4, 735-755.
Nizer N., Mahomed N.N., Arndt D.C., McGrory B.J., Harris W.H.: The Harris hip score. Comparison of patient self-report with surgeon assessment. The journal of arthroplasty 2001,16,5.
Kwolek A., Pop T., Szczygielska D., Zajkiewicz K. Możliwości rehabilitacji chorych po udarze mózgu w latach 1998 i 2003 – badania porównawcze. Post. Rehab. 2006.,13,3,55-59.
Laidler P.: Rehabilitacja po udarze mózgu, PZWL Warszawa 1996.
Long WT, Dorr LD, Healy B, Perry J. Functional recovery of noncemented total hip arthroplasty. Clin Orthop Relat Res. 1993, (288), 73 – 77.
Kokoszka P., Staszczuk P., Redman M., Piślewski Z., Pietrza K.: Ocena odległych wyników endoprotezoplastyki stawu biodrowego protezą bezcementową typu Zweymuller. Chirurgia Narządu Ruchu i Ortopedia Polska 2008, 73, 2 2, 2008.
Pop Teresa, Zajkiewicz Katarzyna, Drużbicki Mariusz, Austrup Heiner Możliwości reedukacji funkcji chodu u chorych po endoprotezoplastyce bezcementowej stawu biodrowego. Post. Rehab.2007,21,2,29- 33.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2011 Medical Journal of the Rzeszow University and the National Medicines Institute, Warsaw
This work is licensed under a Creative Commons Attribution 4.0 International License.
Our open access policy is in accordance with the Budapest Open Access Initiative (BOAI) definition: this means that articles have free availability on the public Internet, permitting any users to read, download, copy, distribute, print, search, or link to the full texts of these articles, crawl them for indexing, pass them as data to software, or use them for any other lawful purpose, without financial, legal, or technical barriers other than those inseparable from having access to the Internet itself.
All articles are published with free open access under the CC-BY Creative Commons attribution license (the current version is CC-BY, version 4.0). If you submit your paper for publication by the Eur J Clin Exp Med, you agree to have the CC-BY license applied to your work. Under this Open Access license, you, as the author, agree that anyone may download and read the paper for free. In addition, the article may be reused and quoted provided that the original published version is cited. This facilitates freedom in re-use and also ensures that Eur J Clin Exp Med content can be mined without barriers for the research needs.
