Artikel
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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Autoren
Veröffentlicht: | 13. Juni 2005 |
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Gliederung
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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.