Total Hip Arthroplasty in Young Patients in The Netherlands: Trend Analysis of &gt;19,000 Primary Hip Replacements in the Dutch Arthroplasty Register

Kuijpers, Martijn F L; Hannink, Gerjon; Steenbergen, L.N. van; Schreurs, B.W.

doi:10.1016/j.arth.2018.08.020

Cited by 19 publications

(24 citation statements)

References 24 publications

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“…Total hip arthroplasty is currently the most outstanding treatment method for hip osteoarthritis, which significantly reduces the comfort of patients due to severe pain and loss of function. In the past years, THA, which was preferred only in elderly patients, has become the primary treatment method in patients with relatively younger and advanced stage osteoarthritis, due to the progression of science and technology, increasing experience, and prolongation of the life expectancy of people [9]. The purpose of THA is to provide the integrity and mechanics of a painless and functional hip joint and to maintain it for the longest period of time.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Supine and Lateral Decubitus Positions for Total Hip Arthroplasty with the Direct Lateral Approach in Overweight and Obese Patients

Güler

Öztürk²,

Özgezmez

et al. 2020

BioMed Research International

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Background. The purpose of our study is to compare the results of supine and lateral decubitus positions for total hip arthroplasty (THA) with the direct lateral (DL) approach in overweight and obese patients. Methods. Patients who had a THA with the DL approach using the lateral decubitus position (LD group) (n=54) or supine position (S group) (n=45) were retrospectively investigated. Demographic characteristics, age, and body mass indexes were calculated. Blood loss of patients, amount of transfusion, Harris Hip Scores (HHSs) (preop, 6 weeks, 3 months, 6 months, and 12 months), incision size, surgery time, postoperative acetabular cup inclination angle, femoral stem alignment, follow-up period, hospital stay, preoperative-postoperative leg length inequality, and complication rates (infection, wound site problems, and dislocation rates) were compared. Results. Both groups did not differ from each other by means of age, gender, BMI, and affected side (p=0.814, p=0.723, p=0.582, and p=0.833, respectively). The incision length (p<0.001), blood loss (p=0.010), and amount of blood transfused (p=0.002) were significantly higher in the S group than in the LD group. The surgical time was significantly longer in the S group (p<0.001). There were no statistically significant differences between the LD and S groups in terms of pre- and postoperative height, cup inclination, stem alignment, duration of hospital stay, and follow-up period. The change between pre- and postoperative HHS in the LD and S groups was statistically significant. Post hoc binary comparison analysis was conducted to investigate the difference between the groups. The values of HHS were significantly increased from the preoperative period to the final follow-up. Conclusions. The LD and S groups had comparable functional outcomes one year postoperatively. However, the S group was associated with worse intraoperative outcomes than the LD group.

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Section: Discussionmentioning

confidence: 99%

Comparison of Supine and Lateral Decubitus Positions for Total Hip Arthroplasty with the Direct Lateral Approach in Overweight and Obese Patients

Güler

Öztürk²,

Özgezmez

et al. 2020

BioMed Research International

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“…Definite contraindications for THA include; the presence of an active infection in the hips or other areas outside the hip, and the presence of systemic diseases which will significantly increase the morbidity or mortality rate of the patient [36]. Charcot joint, loss of abductor muscles, rapidly progressive neurological diseases, dementia and successful hip arthrodesis are reported to be relatively contraindicated [37].…”

Section: Contraindications For Total Hip Arthroplastymentioning

confidence: 99%

Arthroplasty as a Choice of Treatment in Hip Surgery

Çetin¹,

Dinçel²,

Kabukçuoğlu³

2019

Hip Surgeries

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The hip joint bears the most load in the human body. For this reason, it carries the potential risk of degenerative arthritis in individuals with a functionally active lifestyle. The main goal in the treatment of degenerative arthritis is to achieve pain relief and create a hip joint range of motion close to normal. Even today, it is not possible to transform the hip joint, which has been degenerated due to several reasons and worn out due to the physiological properties of the cartilage structure, back to its natural state. Osteotomies, resection arthroplasties and hip arthrodeses, which are designed to compensate the load distribution affecting the hip and relieve the pain, are still employed methods. Total hip arthroplasty, on the other hand, is an alternative solution for the problem. Cemented, cementless and hybrid methods are widely used for this purpose in total hip arthroplasties. The purpose of hip prosthesis surgery is to shape the bone tips and to fill the fragments with various materials and keep these two structures as separate surfaces. Total hip arthroplasty consists of a femoral component placed in the medullas of the femur and an acetabular component placed in the acetabulum. In this article we will review the aims, causes, types and techniques of total hip arthroplasty.

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“…By 2030, 52% of primary THAs are projected to be implanted in patients younger than 65 years, with the strongest increase in patients aged 45-55 years (2,3). This increase in THA in younger patients may play a role in future rehabilitation demands for primary and revision THA surgery (4).…”

Section: Introductionmentioning

confidence: 99%

“…Osteoarthritis (OA) is the most common reason for patients older than 60 years of age to undergo THA (5). Although OA is still the primary reason for THA with younger patients (4), they require THA for several other conditions such as osteonecrosis, Rheumatoid Arthritis, hip dysplasia, a slipped epiphysis, and Perthes disease, congenital hip luxation, tumors, and infection (1,4,6,7). Regardless of age, symptoms for elective THA remain similar in that severe pain, limitation of range of motion (ROM), and dysfunction are the primary rationale for THA (8).…”

Section: Introductionmentioning

confidence: 99%

Augmented Rehabilitation Program for Young Patients Following Total Hip Arthroplasty

Negm

Yavarai

Jhangri

et al. 2021

Preprint

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BackgroundThe increase rate seen in Total Hip Arthroplasty (THA) for younger patients has implications for future rehabilitation demands for primary and revision THA surgery. This study aims to determine the impact of a 6-week post-operative rehabilitation program designed for THA patients ≤ 60 years on physical activity (PA) and function compared to age- and a sex-matched control group received usual postoperative care at 12-week post-THA. MethodsIn this quasi-experimental study, a cohort of THA candidates was recruited during their 6-week postoperative visit to their surgeons. The out-patient rehabilitation program consisted of 12 structured exercise classes (2 hrs/class) over 6 weeks. Physical activity was assessed using Sense Wear Pro ArmbandTM [SWA]. Participants completed the Hip Osteoarthritis Outcome Score (HOOS), and THA satisfaction questionnaire before and immediately after the intervention. ResultsThe intervention group took significantly more steps/day at the follow-up compared to baseline. The intervention group had a higher mean change in the number of weekly PA bouts than the control group. Within the intervention groups, all HOOS subscales were significantly higher at the follow-up compared to baseline. ConclusionThe augmented rehabilitation program may have immediate effects on pain relief and symptom reduction for patients (≤60 years) following THA.

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Total Hip Arthroplasty in Young Patients in The Netherlands: Trend Analysis of >19,000 Primary Hip Replacements in the Dutch Arthroplasty Register

Cited by 19 publications

References 24 publications

Comparison of Supine and Lateral Decubitus Positions for Total Hip Arthroplasty with the Direct Lateral Approach in Overweight and Obese Patients

Comparison of Supine and Lateral Decubitus Positions for Total Hip Arthroplasty with the Direct Lateral Approach in Overweight and Obese Patients

Arthroplasty as a Choice of Treatment in Hip Surgery

Augmented Rehabilitation Program for Young Patients Following Total Hip Arthroplasty

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