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Functional problems and treatment solutions after total hip arthroplasty.

Publication ,  Journal Article
Bhave, A; Marker, DR; Seyler, TM; Ulrich, SD; Plate, JF; Mont, MA
Published in: J Arthroplasty
September 2007

Dissatisfaction after total hip arthroplasty (THA) is linked to complications due to comorbitities, radiographic loosening, and poor prosthetic alignment. However, some patients have functional problems without obvious causes. This study elucidated soft tissue abnormalities that may lead to THA dysfunction and assessed the efficacy of customized physical therapeutic modalities. Seventy-eight THA patients complaining of poor functionality capabilities at 3 months after index THA were studied with a detailed physical examination and gait analysis with videotape, 3-dimensional gait studies, and isokinetic strength assessments used when necessary. Patients had muscle weakness (57), muscle tightness (32), limb length differences (11), and/or limb malalignment (10). Treatment protocols included physical therapy, electrical stimulation, shoe lifts, intramuscular botulinum, and corticosteroid injections. At 61-month mean follow-up, 73 (94%) patients had good to excellent clinical outcomes. Patient satisfaction averaged 8.7 of 10 possible points. These results suggest that various assessments and 3-dimensional gait studies are valuable tools in identifying problems after THA and help direct customized rehabilitation modalities.

Duke Scholars

Published In

J Arthroplasty

DOI

ISSN

0883-5403

Publication Date

September 2007

Volume

22

Issue

6 Suppl 2

Start / End Page

116 / 124

Location

United States

Related Subject Headings

  • Videotape Recording
  • Postoperative Complications
  • Physical Therapy Modalities
  • Patient Satisfaction
  • Orthopedics
  • Muscular Diseases
  • Middle Aged
  • Male
  • Leg Length Inequality
  • Humans
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Bhave, A., Marker, D. R., Seyler, T. M., Ulrich, S. D., Plate, J. F., & Mont, M. A. (2007). Functional problems and treatment solutions after total hip arthroplasty. J Arthroplasty, 22(6 Suppl 2), 116–124. https://doi.org/10.1016/j.arth.2007.04.025
Bhave, Anil, David R. Marker, Thorsten M. Seyler, Slif D. Ulrich, Johannes F. Plate, and Michael A. Mont. “Functional problems and treatment solutions after total hip arthroplasty.J Arthroplasty 22, no. 6 Suppl 2 (September 2007): 116–24. https://doi.org/10.1016/j.arth.2007.04.025.
Bhave A, Marker DR, Seyler TM, Ulrich SD, Plate JF, Mont MA. Functional problems and treatment solutions after total hip arthroplasty. J Arthroplasty. 2007 Sep;22(6 Suppl 2):116–24.
Bhave, Anil, et al. “Functional problems and treatment solutions after total hip arthroplasty.J Arthroplasty, vol. 22, no. 6 Suppl 2, Sept. 2007, pp. 116–24. Pubmed, doi:10.1016/j.arth.2007.04.025.
Bhave A, Marker DR, Seyler TM, Ulrich SD, Plate JF, Mont MA. Functional problems and treatment solutions after total hip arthroplasty. J Arthroplasty. 2007 Sep;22(6 Suppl 2):116–124.
Journal cover image

Published In

J Arthroplasty

DOI

ISSN

0883-5403

Publication Date

September 2007

Volume

22

Issue

6 Suppl 2

Start / End Page

116 / 124

Location

United States

Related Subject Headings

  • Videotape Recording
  • Postoperative Complications
  • Physical Therapy Modalities
  • Patient Satisfaction
  • Orthopedics
  • Muscular Diseases
  • Middle Aged
  • Male
  • Leg Length Inequality
  • Humans