Early clinical results of total hip arthroplasty assessed with the 25-question Geriatric Locomotive Function Scale and muscle strength testing

Maezawa, Katsuhiko; Nozawa, Masahiko; Yuasa, Takahito; Sato, Hiroki; Gomi, Motosi

doi:10.1016/j.jos.2018.02.012

Cited by 16 publications

(5 citation statements)

References 14 publications

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“…[24][25][26] Quadriceps strength has a significant influence on daily function in patients with end-stage hip osteoarthritis, 27 and some authors have reported impairment of functional performance after THA in patients with quadriceps weakness. [28][29][30][31] In addition, some studies have demonstrated that quadriceps weakness persists for several months to 1 year after surgery despite improvement of hip pain, functional improvement, and participation in rehabilitation. 32,33 Therefore, quadriceps strength is Fig.…”

Section: Discussionmentioning

confidence: 99%

Postoperative hemoglobin and recovery of hip muscle strength after total hip arthroplasty

Maezawa

Nozawa

Yuasa

et al. 2018

Journal of Orthopaedics

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Section: Discussionmentioning

confidence: 99%

Postoperative hemoglobin and recovery of hip muscle strength after total hip arthroplasty

Maezawa

Nozawa

Yuasa

et al. 2018

Journal of Orthopaedics

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“…Quadriceps strength has a significant influence on daily activities, and patients with quadriceps weakness show impaired functional performance after total hip arthroplasty. 18–21 In our previous study, we also found a significant difference in straight leg-raise strength (1 of the indicators of quadriceps strength) between patients with low and high locomotive function after total hip arthroplasty. 22 Although postoperative straight leg-raise strength is important for a patient’s activities of daily living and quality of life, it has received little attention in previous studies.…”

Section: Discussionmentioning

confidence: 78%

Changes in serum creatine kinase and C-reactive protein after posterior and direct anterior approaches in total hip arthroplasty

et al. 2020

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Purpose: Some studies reported that measuring serum creatine kinase (CK) level is an objective method with which to determine the relative invasiveness of surgery. The purpose of this study was to evaluate the change in postoperative serum CK levels as a measure of whether the direct anterior approach (DAA) is less invasive than the posterior approach (PA) regarding postoperative rehabilitation. Materials and methods: We prospectively recruited 71 women who were undergoing total hip arthroplasty, 47 were treated by the PA and 24 by the DAA. Serum CK and C-reactive protein (CRP) levels were measured preoperatively and 3 hours and 1, 4, 7, 10, and 14 days after the operation. Results: The serum CK levels were significantly higher in the DAA group than in the PA group on postoperative days 1, 4, 7, 10, and 14. On postoperative day 4 and 7, the percentage of patients whose serum CK levels were above the normal range was 46.8% and 8.5% in the PA group and 95.2% and 45.5% in the DAA group. Conclusions: CK levels were significantly higher in the 2 weeks after THA by a DAA than after the same procedure by a PA indicating that DAA causes prolonged muscle damage. Although the DAA is considered to be a muscle-sparing approach this may not be the case and DAA may not actually be a minimally-invasive approach.

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“…The results were compared among the groups divided according to the disease location. Studies evaluating the efficacy of surgeries based on the LS risk tests and LS stage are limited [ 14 , 17 ]. However, this is the first study to compare these results among the disease types and to discuss the issues in LS evaluation of the patients who underwent surgeries.…”

Section: Discussionmentioning

confidence: 99%

“…† P < 0.05 versus Lumbar group, # P < 0.05 versus Hip group, § P < 0.05 versus Knee group, ¶ P < 0.05 versus Foot & Ankle group, ANFH avascular necrosis of the femoral head; BMI body mass index; HTO high tibial osteotomy; LS locomotive syndrome; LSS lumbar spinal stenosis; OA osteoarthritis; SD standard deviation; SONK spontaneous osteonecrosis of the knee; THA total hip arthroplasty; TKA total knee arthroplasty; UKA unicompartmental knee arthroplasty Fig. 1 The distribution of locomotive syndrome stage based on the total assessment preoperatively and at 6 and 12 months postoperatively among the four surgical groups [14,17]. However, this is the first study to compare these results among the disease types and to discuss the issues in LS evaluation of the patients who underwent surgeries.…”

Section: Exclusion Criteriamentioning

confidence: 99%

Improvement of locomotive syndrome with surgical treatment in patients with degenerative diseases in the lumbar spine and lower extremities: a prospective cohort study

Kato

Kurokawa

Kabata

et al. 2020

BMC Musculoskelet Disord

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Background The epidemiology, risk factors, and prevention of locomotive syndrome (LS) have been reported. However, the number of clinical studies about the efficacy of LS treatment, including surgery, has been limited. This study aimed to evaluate LS and its improvement in patients undergoing surgeries for degenerative disease of the lumbar spine and lower extremities, and to discuss the effects of surgery on LS and the issues of LS assessment in these patients. Methods We enrolled 257 patients aged ≥60 years that underwent surgery for degenerative diseases of the lumbar spine and lower extremities and agreed to participate in the preoperative and 6- and 12-month postoperative LS examinations. According to the disease location, patients were divided into the lumbar ( n = 81), hip ( n = 106), knee ( n = 43), and foot and ankle ( n = 27) groups. Patients underwent LS risk tests, including the stand-up test, two-step test, and 25-Question Geriatric Locomotive Function Scale (GLFS-25) assessment. Results The preoperative prevalence of LS stage 2 was 95%. Only the hip group showed significant improvements in the stand-up test. The knee group showed the worst results in the stand-up and two-step tests at all time points. All four groups had significant improvements in GLFS-25 scores. Approximately 40% of all patients had improvement in their LS stage postoperatively. However, > 90% of the patients in the knee group had LS stage 2 postoperatively. Conclusion Nearly all elderly patients requiring surgeries for degenerative diseases of the lumbar spine and lower extremities had advanced conditions (LS stage 2). Surgeries could be beneficial in alleviating LS. The LS stage 3 criteria should be established, and the use of the GLFS-25 assessment can be appropriate for advanced LS patients with severe musculoskeletal diseases requiring surgeries.

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Early clinical results of total hip arthroplasty assessed with the 25-question Geriatric Locomotive Function Scale and muscle strength testing

Cited by 16 publications

References 14 publications

Postoperative hemoglobin and recovery of hip muscle strength after total hip arthroplasty

Postoperative hemoglobin and recovery of hip muscle strength after total hip arthroplasty

Changes in serum creatine kinase and C-reactive protein after posterior and direct anterior approaches in total hip arthroplasty

Improvement of locomotive syndrome with surgical treatment in patients with degenerative diseases in the lumbar spine and lower extremities: a prospective cohort study

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