Den tidlige rehabilitering efter 3 forskellige typer total hofte alloplastik.
Research output: Contribution to conference › Poster › Research
Standard
Den tidlige rehabilitering efter 3 forskellige typer total hofte alloplastik. / Penny, Jeannette Østergaard; Overgaard, Søren; Ovesen, Ole; Varmarken, Jens-Erik.
2009. Poster session presented at Forskningens dag. Region Sjælland, Næstved, Denmark.Research output: Contribution to conference › Poster › Research
Harvard
APA
Vancouver
Author
Bibtex
}
RIS
TY - CONF
T1 - Den tidlige rehabilitering efter 3 forskellige typer total hofte alloplastik.
AU - Penny, Jeannette Østergaard
AU - Overgaard, Søren
AU - Ovesen, Ole
AU - Varmarken, Jens-Erik
PY - 2009
Y1 - 2009
N2 - Introduction: For patients in employment a fast rehabilitation is important. The reduced risk of dislocation when using a large-head metal-on-metal articulation theoretically offers a faster rehabilitation than a THA with a 28 mm articulation due to no restrictions. The larger surgical incision in the resurfacing patient may impair the early rehabilitation.We aimed to investigate early differences in rehabilitation parameters amongst the different groups.Methods:We randomized to resurfacing (n=20), standard 28 mm THA (n=19) and large head MoM THA (n=12). We recorded operation time, blood loss, incision length, length of stay and length of sick-absence. Clinical scores: WOMAC, HHS, UCLA activity and steps were recorded preoperatively, at 8 weeks and 6 months, with additional WOMAC at 3 and 6 weeks.Results: Results reported for resurfacing, 28 mm and large head THA, respectively. The incision measured 23.4 ( 2.9), 14.3 ( 3.6) and 14.1 ( 1.1) cm. The blood loss amounted to 536.7 (474.9), 426.5 (175.1) and 816.7 (347.9) mL. Both differed statistically, but the length of stay did not. The WOMAC activity and stiffness subscale were significant better in the large head THA at 6 months (7.3 (8.4), 12.8 (11.1) and 3.4 (4.0) mm and 12.2 (21.7) 21.6 (22.2) 5.0 (6.3) mm). Pain scores, UCLA activity, HHS, step rate or time before returning to work did not differ.Conclusion: The present study showed an increase in early activity level in patients with large head THA and a tendency for resurfacing compared to a standard THA without increasing pain scores
AB - Introduction: For patients in employment a fast rehabilitation is important. The reduced risk of dislocation when using a large-head metal-on-metal articulation theoretically offers a faster rehabilitation than a THA with a 28 mm articulation due to no restrictions. The larger surgical incision in the resurfacing patient may impair the early rehabilitation.We aimed to investigate early differences in rehabilitation parameters amongst the different groups.Methods:We randomized to resurfacing (n=20), standard 28 mm THA (n=19) and large head MoM THA (n=12). We recorded operation time, blood loss, incision length, length of stay and length of sick-absence. Clinical scores: WOMAC, HHS, UCLA activity and steps were recorded preoperatively, at 8 weeks and 6 months, with additional WOMAC at 3 and 6 weeks.Results: Results reported for resurfacing, 28 mm and large head THA, respectively. The incision measured 23.4 ( 2.9), 14.3 ( 3.6) and 14.1 ( 1.1) cm. The blood loss amounted to 536.7 (474.9), 426.5 (175.1) and 816.7 (347.9) mL. Both differed statistically, but the length of stay did not. The WOMAC activity and stiffness subscale were significant better in the large head THA at 6 months (7.3 (8.4), 12.8 (11.1) and 3.4 (4.0) mm and 12.2 (21.7) 21.6 (22.2) 5.0 (6.3) mm). Pain scores, UCLA activity, HHS, step rate or time before returning to work did not differ.Conclusion: The present study showed an increase in early activity level in patients with large head THA and a tendency for resurfacing compared to a standard THA without increasing pain scores
M3 - Poster
T2 - Forskningens dag. Region Sjælland
Y2 - 11 September 2009 through 11 September 2009
ER -
ID: 252048515