Does commitment to rehabilitation influence clinical outcome of total hip resurfacing arthroplasty?

Published online

Journal Article

BACKGROUND: The purpose of this study was to evaluate whether compliance and rehabilitative efforts were predictors of early clinical outcome of total hip resurfacing arthroplasty. METHODS: A cross-sectional survey was utilized to collect information from 147 resurfacing patients, who were operated on by a single surgeon, regarding their level of commitment to rehabilitation following surgery. Patients were followed for a mean of 52 months (range, 24 to 90 months). Clinical outcomes and functional capabilities were assessed utilizing the Harris hip objective rating system, the SF-12 Health Survey, and an eleven-point satisfaction score. A linear regression analysis was used to determine whether there was any correlation between the rehabilitation commitment scores and any of the outcome measures, and a multivariate regression model was used to control for potentially confounding factors. RESULTS: Overall, an increased level of commitment to rehabilitation was positively correlated with each of the following outcome measures: SF-12 Mental Component Score, SF-12 Physical Component Score, Harris Hip score, and satisfaction scores. These correlations remained statistically significant in the multivariate regression model. CONCLUSIONS: Patients who were more committed to their therapy after hip resurfacing returned to higher levels of functionality and were more satisfied following their surgery.

Full Text

Duke Authors

Cited Authors

  • Marker, DR; Seyler, TM; Bhave, A; Zywiel, MG; Mont, MA

Published Date

  • March 22, 2010

Published In

Volume / Issue

  • 5 /

Start / End Page

  • 20 -

PubMed ID

  • 20307288

Pubmed Central ID

  • 20307288

Electronic International Standard Serial Number (EISSN)

  • 1749-799X

Digital Object Identifier (DOI)

  • 10.1186/1749-799X-5-20

Language

  • eng

Conference Location

  • England