gms | German Medical Science

54. Jahrestagung der Norddeutschen Orthopädenvereinigung e. V.

Norddeutsche Orthopädenvereinigung

16.06. bis 18.06.2005, Hamburg

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Health-related quality of life after elective total hip arthroplasty – influence of the weight-bearing recommendation: a multicenter randomized controlled trial

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  • corresponding author T. Liebs - Universitätsklinikum Schleswig-Holstein, Campus Kiel, Klinik für Orthopädie, Kiel
  • W. Drescher - Kiel
  • W. Herzberg - Wedel
  • J. Haasters - Damp
  • M. Russlies - Lübeck
  • W. Rüther - Bad Bramstedt
  • J. Hassenpflug - Kiel

Norddeutsche Orthopädenvereinigung. 54. Jahrestagung der Norddeutschen Orthopädenvereinigung e.V.. Hamburg, 16.-18.06.2005. Düsseldorf, Köln: German Medical Science; 2005. Doc05novEP06

The electronic version of this article is the complete one and can be found online at: http://www.egms.de/en/meetings/nov2005/05nov088.shtml

Published: June 13, 2005

© 2005 Liebs et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

Text

Background

Although Total Hip Arthroplasty (THA) is one of the most common major surgical procedures, an optimal postoperative treatment regimen is still unknown. In particular, current recommendation regarding weight-bearing after primary unilateral THA vary considerably. The aim of this study was to examine the differences between a recommended full weight-bearing or partial weight-bearing regimen after THA on disability, joint stiffness, pain, quality of life, and patient satisfaction.

Methods

Multicenter randomized controlled trial. One group was recommended a full weight-bearing, the other a partial weight-bearing regimen after THA. At baseline, three, six and twelve postoperative months the following outcomes were taken: The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Short Form-36 (SF-36), Lequesne Hip Score, and a patient satisfaction score based on a consensus paper of the AAOS, SICOT, and the Hip Society.

Results

The primary outcome was assessed in 208 of 221 patients, resulting in a follow-up rate of 94 percent. Differences between study groups favoring full weight-bearing were observed for all outcomes measured. These differences were statistically significant for the WOMAC stiffness, and the WOMAC physical function at the three-month follow-up, and for WOMAC physical function, patient satisfaction, SF-36 Physical Component Summary and Lequesne Hip Score at six-month follow-up.

Conclusion

After THA, the recommendation of a full weight bearing regime leads to superior outcome in health-related quality of life when compared to recommended partial weight-bearing.