Rehabilitation after Arthroplasty in Patients with Severe Type of Hip Joint Dysplasia

S.І. Gerasymenko, І.V. Rоy, D.М. Poluliakh

Abstract


Introduction. Мedical rehabilitation is a complex of curative methods directed on recovery and development of patient’s physiological functions, on revealing and activation of organism compensatory abilities with the aim of providing conditions in future for patient’s comeback to active way of life. The main demands to rehabilitation are the following: early start, continuity, sequence and strict compliance of methodic demands depending on age and the patient’s condition. Materials and methods. The material for this paper is the analysis of arthroplasty results in 50 patients with hip joint dysplasia Crowe III, IV type who were made 63 hip joint arthroplasties, in 13 patients arthroplasty was performed from both sides. There were 42 cases with dysplasia Crowe III type and 21 cases with dysplasia Crowe type IV. There were 45 (90 %) females and 5 (10 %) males out of patients operated. The results were evaluated according to Harris scale. Results and discussion. Hip joint arthroplasty results when severe types of dysplasia were followed up during the term between 6 months and 12 years. After arthroplasty while long term observation one achieved hip joint condition improvement in average before operative treatment from 41.7 ± 4.1 (unsatisfactory result) to 84.6 ± 6.5 points after operation in remote period that is considered as a good condition of the hip joint according to Harris scale. Conclusions. Patients began walking on the second-third day after arthroplasty. Patients that were operated applying cementless and hybrid fixation of the components were walking loading the operated limb by approximately 30 % of their body weight gradually increasing the duration of the walk. The arthroplasty with the application of the cemented fixation of the components allowed load the operated limb up to 80 %. In 4–6 weeks after the operation the patients were walking without crutches with the full load on the limb.The patients with severe type of dysplasia of the hip joint who were performed the plastics of the acetabulum roof were recommended to prolong the rehabilitation up to 16–24 weeks after the operation with the restricted loading on the operated limb. After the radiological control and conformation of transplantat rebuilt there was recommended the walking with the stick and in 1–2 weeks without it. The timely rehabilitation in the postoperative period permits to renew the muscles strength and movements in the operated joint and get the patient back to normal way of life.

Keywords


dysplastic coxarthrosis; hip joint; congenital dislocation; total arthroplasty

References


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DOI: https://doi.org/10.22141/1608-1706.5.17.2016.83879

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