Download or read book Improving Rehabilitation Outcomes After Total Hip Arthroplasty written by Dana L. Judd and published by . This book was released on 2014 with total page 121 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hip osteoarthritis (OA) is a complex condition requiring characterization of the effects on individuals' function. The remediation of muscle strength and functional mobility deficits is not achieved through total hip arthroplasty (THA) alone, thus understanding the time course of recovery and the effects of rehabilitation will inform rehabilitation priorities. The overall purpose of this doctoral thesis is to characterize the strength and functional deficits present in end-stage OA and following THA, and to investigate the efficacy of a rehabilitation intervention. The first study examined strength and functional performance in patients with end-stage hip OA compared with healthy adults of similar age. The results of this study indicate that individuals with hip OA had strength deficits and performed poorer on tests of stair climbing, sit-to-stand and walking. They were also less physically active than their healthy peers. These findings indicate that prior to THA, these individuals have diminished strength and functional performance, which should be considered during postoperative rehabilitation planning. The second study examined the time course of strength and functional recovery following THA. The results of this study indicated that patients see a significant decline in muscle strength and functional performance one month following surgery. Twelve months after THA, patients exhibit significant deficits in knee extensor and flexor strength compared with healthy adults. Furthermore, although not statistically significant, differences in functional performance compared to healthy adults remained. The third study examined the efficacy of a comprehensive, multi-component (CMC) rehabilitation program. The results of this study indicated that individuals who participated in the rehabilitation intervention had greater improvements in stair climbing ability, walking ability, balance and stability compared with individuals who did not receive intervention (CON). Further, there tended to be greater improvement in muscle strength by the end of intervention. Importantly, participation in the CMC intervention did not compromise safety, as there were no incidences of hip dislocation, injury or falls in either group. Overall, the results of these studies indicated strength and functional deficits present in end-stage hip OA may not be completely remediated by THA surgery alone. An 8-week multi-component rehabilitation program may enhance recovery after THA.

Download or read book White Paper on Joint Replacement written by Hans-Holger Bleß and published by Springer. This book was released on 2017-11-03 with total page 144 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is published open access under a CC BY 4.0 license. White Paper on Joint Replacement This White Paper details the status of hip and knee arthroplasty care in Germany. Hip and knee replacements are amongst the most frequently performed procedures and usually become necessarily due to age-related wear of the joint, osteoarthritis and fractures of the femoral neck. In light of demographic change, demands with regard to standards of care and the procedures are likely to rise. Contents • This White Paper contains information on indications, procedures, health economic aspects and the healthcare system stakeholders involved. • It portrays current developments with regard to the prevalence of hip and knee arthroplasty, the healthcare situation and quality of care within the chain of medical care. • This book is complemented by a chapter assessing the current situation from an expert perspective with contributions from renowned experts in the fields of science, medical technology and medical practice. This book addresses people involved in shaping and representing the healthcare system from a variety of fields including medical professions, health insurances and health sciences as well as journalists and patient representatives.

Download or read book Occupational Therapy for Adults Undergoing Total Hip Replacement written by and published by . This book was released on 2017-12 with total page 200 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Total Knee Arthroplasty written by James Alan Rand and published by Lippincott Williams & Wilkins. This book was released on 1993 with total page 488 pages. Available in PDF, EPUB and Kindle. Book excerpt: This comprehensive reference on total knee arthroplasty describes all surgical techniques and prosthetic designs for primary and revision arthroplasty, discusses every aspect of patient selection, preoperative planning, and intraoperative and postoperative care.

Download or read book Personalized Hip and Knee Joint Replacement written by Charles Rivière and published by Springer Nature. This book was released on 2020-06-30 with total page 346 pages. Available in PDF, EPUB and Kindle. Book excerpt: This open access book describes and illustrates the surgical techniques, implants, and technologies used for the purpose of personalized implantation of hip and knee components. This new and flourishing treatment philosophy offers important benefits over conventional systematic techniques, including component positioning appropriate to individual anatomy, improved surgical reproducibility and prosthetic performance, and a reduction in complications. The techniques described in the book aim to reproduce patients’ native anatomy and physiological joint laxity, thereby improving the prosthetic hip/knee kinematics and functional outcomes in the quest of the forgotten joint. They include kinematically aligned total knee/total hip arthroplasty, partial knee replacement, and hip resurfacing. The relevance of available and emerging technological tools for these personalized approaches is also explained, with coverage of, for example, robotics, computer-assisted surgery, and augmented reality. Contributions from surgeons who are considered world leaders in diverse fields of this novel surgical philosophy make this open access book will invaluable to a wide readership, from trainees at all levels to consultants practicing lower limb surgery

Download or read book Life After Hip Replacement written by Troy A. Miles and published by Createspace Independent Publishing Platform. This book was released on 2016-03-19 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Dr. Troy A. Miles gives patients a clear understanding of what to expect following hip replacement surgery. He reveals how patients can improve their odds of successful outcomes and includes specific activity recommendations for the weeks, months, and years following surgery. This comprehensive and thoroughly illustrated guide bridges the gap between scientific evidence and real world advice. Readers will find information on what to expect after returning home from surgery, learn about which home modifications are essential during the early recovery phase, and gain a better understanding of how to safely resume popular sports such as golf, skiing, and tennis. Dr. Miles welcomes readers of all ages to learn more about the rapidly evolving field of adult join replacement.

Download or read book Rehabilitation Outcome After Total Hip Replacement written by Mette Krintel Petersen and published by . This book was released on 2008 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book The Direct Anterior Approach to Hip Reconstruction written by B. Bal and published by CRC Press. This book was released on 2024-06-01 with total page 481 pages. Available in PDF, EPUB and Kindle. Book excerpt: Total hip arthroplasty has steadily evolved to improve patient outcomes and safety. One innovation has been to incorporate less invasive surgical methods, such as the direct anterior surgical approach. The Direct Anterior Approach to Hip Reconstruction is a comprehensive reference text that addresses contemporary surgeon interest in innovation and less invasive surgery. This resource will help with introductory learning, intermediate technical development, and advanced revision total hip skills using the direct anterior technique. Accordingly, the text is structured into three sections as follows: Basic concepts: Surgical hip anatomy, patient selection, and placement of single, multiple, and extensile incisions for primary total hip arthroplasty Intermediate concepts: Adoption of imaging and navigation technologies, use of traction tables to enhance positioning, and presentation of unique instruments and custom devices that have evolved specifically for the direct anterior approach Advanced concepts: Using the direct anterior approach for bearing and liner exchanges, acetabular revisions, femoral component revisions, and both component revisions. Drs. B. Sonny Bal, Lee E. Rubin, and Kristaps J. Keggi have combined their unique perspectives, along with those of a renowned group of North American and European experts in the anterior hip reconstruction surgery to create this reference. Dr. Keggi was among the first to recognize the benefits of the direct anterior approach in hip reconstruction; this text is based on his 50-plus years of experience as a clinician and pioneer surgeon. The Direct Anterior Approach to Hip Reconstruction provides a stepwise learning process for surgeons interested in mastering total hip arthroplasty using the direct anterior approach, with detailed chapters and video instruction, contributed by a distinguished group of international experts in the field. The chapters focus on using the direct anterior approach to address a variety of hip problems well beyond performing total hip arthroplasty for osteoarthritis. The unique applications of the direct anterior approach within the orthopedic sub-specialties are addressed in chapters covering the fields of pediatrics, sports medicine, trauma, and tumor surgery. Other chapters address subjects like femoroacetabular impingement, hip preservation surgery, and postoperative rehabilitation protocols designed to improve patient outcomes. The final section of the text reviews the evidence-based outcomes related to direct anterior total hip arthroplasty, addressing evolving implant design concepts specific to this approach, and outlining directions for educating the next generation of surgeons who will continue to develop and refine these techniques. Complementing the written text is a website with educational videos to further enhance the learning experience. To date, no other reference has addressed the need for comprehensive education for the orthopedic resident, fellow, or surgeon seeking to learn about the direct anterior approach for hip reconstruction. This resource should be invaluable to orthopedic surgeons worldwide and will contribute to improving patient safety, reducing complications, and better surgical outcomes. Indeed, this landmark publication is truly the world’s first comprehensive text on anterior hip surgery.

Download or read book Non cemented Total Hip Arthroplasty written by Robert Hannon Fitzgerald and published by Raven Press (ID). This book was released on 1988 with total page 528 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Orthogeriatrics written by Paolo Falaschi and published by Springer Nature. This book was released on 2021 with total page 355 pages. Available in PDF, EPUB and Kindle. Book excerpt: This new open access edition supported by the Fragility Fracture Network aims at giving the widest possible dissemination on fragility fracture (especially hip fracture) management and notably in countries where this expertise is sorely needed. It has been extensively revised and updated by the experts of this network to provide a unique and reliable content in one single volume. Throughout the book, attention is given to the difficult question of how to provide best practice in countries where the discipline of geriatric medicine is not well established and resources for secondary prevention are scarce. The revised and updated chapters on the epidemiology of hip fractures, osteoporosis, sarcopenia, surgery, anaesthesia, medical management of frailty, peri-operative complications, rehabilitation and nursing are supplemented by six new chapters. These include an overview of the multidisciplinary approach to fragility fractures and new contributions on pre-hospital care, treatment in the emergency room, falls prevention, nutrition and systems for audit. The reader will have an exhaustive overview and will gain essential, practical knowledge on how best to manage fractures in elderly patients and how to develop clinical systems that do so reliably.

Download or read book Improving Outcomes After Total Hip Arthroplasty written by and published by . This book was released on 2024 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Enhanced Recovery After Surgery written by Olle Ljungqvist and published by Springer Nature. This book was released on 2020-03-30 with total page 654 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is the first comprehensive, authoritative reference that provides a broad and comprehensive overview of Enhanced Recovery After Surgery (ERAS). Written by experts in the field, chapters analyze elements of care that are both generic and specific to various surgeries. It covers the patient journey through such a program, commencing with optimization of the patient’s condition, patient education, and conditioning of their expectations. Organized into nine parts, this book discusses metabolic responses to surgery, anaesthetic contributions, and optimal fluid management after surgery. Chapters are supplemented with examples of ERAS pathways and practical tips on post-operative pain control, feeding, mobilization, and criteria for discharge. Enhanced Recovery After Surgery: A Complete Guide to Optimizing Outcomes is an indispensable manual that thoroughly explores common post-operative barriers and challenges.

Download or read book Joint Arthroplasty written by Shinichi Imura and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 428 pages. Available in PDF, EPUB and Kindle. Book excerpt: The introduction of total joint arthroplasty throughout the world has contributed manifold benefits to patients who suffer from joint diseases. Concurrently, however, there has been an increase in revision surgery. Many orthopedic surgeons agree that durability of prostheses is an eternal problem. In particular, periprosthetic osteolysis recently has been identified as one of the serious problems affecting prosthetic dura bility. To improve durability, osteolysis and many other problems must be investi gated and solved both experimentally and clinically with respect to such aspects as prosthetic material, design, and biological and biomechanical behavior. This book comprises 37 papers that were presented by orthopedic surgeons and biomedical engineers at the 28th Annual Meeting of the Japanese Society for Replace ment Arthroplasty, held in March 1998 in Kanazawa, Japan. The volume is thus a compilation of the latest knowledge about the pathogenesis and reduction of osteolysis and wear, newly developed total hip prostheses, and other current topics of total knee arthroplasty. We earnestly hope that this book will be of benefit to clinicians and researchers, and that it will contribute to the creation of more durable total joint prostheses in the future. SHINICHI IMURA v Contents Preface .................... '" .. .. .. ... . .. .. .. . ... .. . . .. . ... . . .. . V List of Contributors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . XI . . . . . . . . . . . . Part 1 Wear and Pathogenesis of Osteolysis Friction and Wear of Artificial Joints: A Historical Review N. AKAMATSU ................................................ , 3 Matrix Degradation in Osteoclastic Bone Resorption Under Pathological Conditions .

Download or read book The Anterior Based Muscle Sparing Approach to Total Hip Arthroplasty written by Jeffrey A. Geller and published by Springer Nature. This book was released on 2022-07-26 with total page 242 pages. Available in PDF, EPUB and Kindle. Book excerpt: The minimally invasive, anterior-based muscle-sparing (ABMS) approach to total hip arthroplasty (THA) is utilized worldwide in select locations as an effective surgical technique. As the name suggests, it is completely muscle-sparing and touts the benefits of anterior-based surgery, including a lower dislocation rate, quicker return to baseline function, and lower narcotic use than many other surgical approaches. However, there is a paucity of collected information on the technique and research associated with this technique. This text serves as a compendium of information for those surgeons interested in utilizing this surgical approach as an all-inclusive reference. As an alternative anterior-based approach to the direct anterior surgical approach, some surgeons may find the technique an improved alternative for anterior hip-based surgery. Opening chapters present the history of the anterolateral approach and how to transition to the ABMS approach, including surgical anatomy. ABMS technique with the patient positioned in both the lateral and supine positions are then presented, including associated video segments. Considerations such as implant selection, fixation, and other tips and tricks are shared, along with comparisons to other approaches, patient-reported outcomes, complications and revision surgery techniques, and rehabilitation strategies. For hip surgeons looking to expand their armamentarium of surgical approaches, The Anterior-Based Muscle-Sparing Approach to Total Hip Arthroplasty is a terrific resource.

Download or read book Rehabilitation After Elective Total Hip Replacement written by Corinne Coulter and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Primary total hip replacement surgery was performed on over 40,000 Australians in 2013. While THR is tremendously successful in terms of pain relief for patients, outcome studies report some residual impairment and functional limitations in these patients post operatively. Despite the rising number of hip replacements performed, the optimum rehabilitation after total hip replacement lacks consensus throughout the literature and no evidence based guidelines exist worldwide on this topic. Physiotherapy exercises and protocols within rehabilitation programs are largely based on level 4 evidence. There is little evidence to support the effectiveness of physiotherapy post total hip replacement, and little to support physiotherapy supervised exercise programs in favour of home exercise programs. This thesis aimed to inform best practice in rehabilitation following hip replacement. First, by systematically reviewing the current evidence for total hip replacement rehabilitation. Secondly by a prospective study to determine the benefit of supervised and unsupervised rehabilitation interventions on patient outcomes, namely functional and quality of life measures (WOMAC and SF-36 scores); post total hip replacement surgery in the adult population. Finally, to contribute to the evidence supporting clinical decisions in Australia for total hip replacement rehabilitation. Our systematic review aimed to synthesise the current literature for rehabilitative exercise effectiveness on strength, gait, function and quality of life after a total hip replacement including comparison in a home based or supervised setting. Five randomised controlled trials were included comprising 234 participants. Meta-analysis showed that physiotherapy can improve abductor muscle strength of the operated leg, as well as gait speed and cadence. Function and quality of life measures were unable to be measured due to the broad variation in outcome measures used in the studies. There was no difference between supervised and unsupervised exercise programs. Further well designed research is needed to compare the efficacy of home based to supervised programs. A randomised controlled trial was performed to investigate the efficacy of two rehabilitation programs; a supervised (centre based) and an independent (home-based) program in the early phase of rehabilitation (

Download or read book Inpatient Rehabilitation for a Patient Following a Total Hip Arthroplasty written by Benjamin Baumgardner and published by . This book was released on 2016 with total page 54 pages. Available in PDF, EPUB and Kindle. Book excerpt: A patient, after receiving a total hip arthroplasty, was seen for physical therapy treatment for 8 sessions from 8/01/15 to 8/05/15 in an acute care hospital. Treatment was provided by a student physical therapist under the supervision of a licensed physical therapist. The patient was evaluated at the initial encounter with the Well's Clinical Prediction Rule to assess for the presence of deep vein thrombosis; the Numeric Pain Rating Scale was used to assess pain; the Physical Function ICU Test--Scored was used to assess strength; the Activity Measure for Post-Acute Care mobility short form was used to assess functional mobility; the 10 Meter Walk Test was used to assess gait speed; the Lower Extremity Function Scale was used to assess independence with ADLs; a plan of care was established based on the results of these outcome measures. Main goals for the patient were to improve pain, range of motion, strength, functional mobility, gait speed, and functional independence. Main interventions used were over-ground gait training, restorative training, resistive exercises, bed mobility and transfer training, and functional training. The patient improved in pain levels, strength, range of motion, functional mobility, gait speed, and functional independence. The patient was discharged to home with a home exercise program and a plan to follow-up with home health physical therapy.

Download or read book In Older Adults Undergoing a Total Hip Arthroplasty Does Pre operative Physical Therapy Improve Post operative Functional Outcomes written by Benjamin Duell and published by . This book was released on 2019 with total page 66 pages. Available in PDF, EPUB and Kindle. Book excerpt: ABSTRACT: Total hip arthroplasty (THA) is a surgery commonly performed on patients with symptomatic osteoarthritis. This procedure has been shown to reduce pain and improve quality of life in many patients, however, there is a population of patients that report poor post-surgical outcomes. This review aims to determine whether pre-operative physical therapy improves post-operative functional outcomes in patients with osteoarthritis undergoing THA.