Medical-and-social examination and rehabilitation of patients and disabled persons after the hip total arthroplasty

Асилова, С. У.; Ruzibaev, Dilmurod

doi:10.18019/1028-4427-2015-2-36-39

Cited by 4 publications

(1 citation statement)

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“…The situation is complicated by the personnel shortage in outpatient facilities for orthopedic services. It is worth noting that the shortage rate, according to the Ministry of Healthcare of Russia is about 40% [ 14 , 15 ].…”

Section: Introductionmentioning

confidence: 99%

Rehabilitation Process Issues and Functional Performance after Total Hip and Knee Replacement

et al. 2021

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(1) Background: to ensure satisfactory outcomes in patients who have undergone total hip or knee replacement, it is crucial to prioritize postoperative rehabilitation process and its management rather than the successful surgery alone. The goal of our study was to investigate the outcomes of rehabilitation process after the total hip or knee replacement, including local orthopedic follow-up, communication with local health authorities, patients’ satisfaction regarding rehabilitation, and their functional performance after the surgery. (2) Methods: the study included 523 patients who underwent total hip replacement, and 650 patients who underwent total knee replacement. All patients were surveyed via formalized phone interviews containing questions related to postoperative rehabilitation parameters and outcomes. (3) Results: in postsurgical period, nearly 70% of patients had regular local orthopedic follow-up. Lack of the latter at the local level was indicated by approximately 10% of patients, and the rest of the respondents note the practice of sporadic follow-up. Half of patients reported pains of various severity. Good physical activity (e.g., ability to walk unassisted within their residential district) was acknowledged by about a quarter of patients. Ability to walk unassisted was reported by just 54.5% of patients. (4) Conclusions: the disproportion between generally high patient satisfaction of rehabilitation management (> 80%) and low feedback level on the part of local health authorities (9.4%) demonstrated lack of communication between the key parties involved in the rehabilitation process.

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Section: Introductionmentioning

confidence: 99%

Rehabilitation Process Issues and Functional Performance after Total Hip and Knee Replacement

et al. 2021

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Assessment of Patient Satisfaction with the Results of Total Hip Replacement

Botvinkin,

Koryak,

Zarva

et al. 2024

Fundamentalʹnaâ i kliničeskaâ medicina

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Aim. To test a simplified version of assessing the results of total hip replacement based on patient survey data.Materials and Methods. We conducted a cohort retrospective study with historical control. The study included 80 patients interviewed ≥ 1 year after the total hip replacement. Patients were included into the study regardless of gender, age and concomitant pathology. Statistical analysis was performed using EpiInfo software (version 7.2.2.2), Python programming language, and SciPy package version 1.11.4.Results. We developed a compact questionnaire of 33 questions to compare the answers of patients before and after the surgery. After prosthetics, the self-esteem of the patient conditions improved significantly. The results were stratified into 6 blocks of questions by the odds ratio magnitude: emotional state – 49.3 (11.3-215.4); health status – 42.8 (12.4-147.7); ability to move outside the home –14.4 (1.8-113.4); self-care ability at home – 11.7 (5.3-25.7); overall quality of life assessment – 9.3 (3.1-28.4). Such differences before and after surgery were statistically significant for all blocks of questions (p ≤ 0,008). In general, 81.2% (81.2÷81.3) of patients were completely satisfied with the results of the surgery, and 8.8% (8.6÷8.9) were partially satisfied.Conclusion. We tested a study design which allows to evaluate the rate of improvement in selfesteem of patients after the total hip replacement.

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Significance of the second stage of medical rehabilitation after arthroplasty of large joints

Николаев

Petrova

Preobrazhenskaya

et al. 2023

Physical and rehabilitation medicine, medical rehabilitation

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Until recently, the three-level system of medical rehabilitation adopted in Russia assumed the implementation of each of the stages in various medical organizations. The lack of funding within the budget and the basic CHI program led to limited access for patients to the trajectory of the completed cycle of MR after surgical interventions, which reduced the effectiveness of the provision of profile HTMC. The aim of study is to demonstrate the effectiveness of the system for organizing rehabilitation care for patients after arthroplasty of large joints of the lower extremities in a stationary (second) stage in a medical rehabilitation center. Materials and methods. The data of the medical information system on patients treated for three months at the second (inpatient) stage after arthroplasty of the hip and knee joints in the conditions of the Medical Rehabilitation Center were used. The effectiveness of rehabilitation was assessed by tests and scales: RRS, VAS, Borg exercise tolerance scale, HADS, EQ-5D; MRS, index Leken. Results. 308 patients (306 operated) were treated after medical rehabilitation measures at the first stage with a RRS score of 4-5 points, of which about 80% - after primary and revision arthroplasty of large joints. Upon completion of rehabilitation measures, a statistically significant improvement in all functional indicators was noted. Discussion. Despite the ambiguous opinion of scientists about the need for inpatient rehabilitation after arthroplasty, according to our data, arthroplasty and the subsequent stage of medical rehabilitation using modern technologies in a hospital significantly improve the clinical status, reduce or eliminate pain, increase motor activity, improve the psycho-emotional background and the patient's quality of life. Stationary (second) stage of rehabilitation was effective in 100%. Conclusions. The results of the work of the CMR proved its organizational feasibility, clinical effectiveness and advantages: continuity and phasing of rehabilitation in a single institution; continuity of observation of the patient during the interaction of MDRT with the participation of the operating surgeon, an anesthesiologist-resuscitator. The quality of rehabilitation is improved by the concentration of high-tech therapeutic and regenerative agents and experienced specialists, the correction of concomitant pathology, explanatory work with patients to increase compliance.

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Medical-and-social examination and rehabilitation of patients and disabled persons after the hip total arthroplasty

Cited by 4 publications

References 1 publication

Rehabilitation Process Issues and Functional Performance after Total Hip and Knee Replacement

Rehabilitation Process Issues and Functional Performance after Total Hip and Knee Replacement

Assessment of Patient Satisfaction with the Results of Total Hip Replacement

Significance of the second stage of medical rehabilitation after arthroplasty of large joints

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