gms | German Medical Science

54. Jahrestagung der Norddeutschen Orthopädenvereinigung e. V.

Norddeutsche Orthopädenvereinigung

16.06. bis 18.06.2005, Hamburg

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

Meeting Abstract

  • 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

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Veröffentlicht: 13. Juni 2005

© 2005 Liebs et al.
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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.


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.


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.


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.