Den tidlige rehabilitering efter 3 forskellige typer total hofte alloplastik.

Jeannette Østergaard Penny, Søren Overgaard, Ole Ovesen, Jens-Erik Varmarken

Publikation: Konferencebidrag uden forlag/tidsskriftPosterForskning

Resumé

 

Introduction: For patients in employment a fast rehabilitation is important. The reduced risk of dislocation when using a large-head metal-on-metal articulation theoretically offers a faster rehabilitation than a THA with a 28 mm articulation due to no restrictions. The larger surgical incision in the resurfacing patient may impair the early rehabilitation.

We aimed to investigate early differences in rehabilitation parameters amongst the different groups.

Methods:We randomized to resurfacing (n=20), standard 28 mm THA (n=19) and large head MoM THA (n=12). We recorded operation time, blood loss, incision length, length of stay and length of sick-absence. Clinical scores: WOMAC, HHS, UCLA activity and steps were recorded preoperatively, at 8 weeks and 6 months, with additional WOMAC at 3 and 6 weeks.

Results: Results reported for resurfacing, 28 mm and large head THA, respectively. The incision measured 23.4 ( 2.9),  14.3 ( 3.6) and 14.1 ( 1.1) cm. The blood loss amounted to 536.7 (474.9), 426.5 (175.1) and 816.7 (347.9) mL. Both differed statistically, but the length of stay did not. The WOMAC activity and stiffness subscale were significant better in the large head THA at 6 months (7.3 (8.4), 12.8 (11.1) and 3.4 (4.0) mm and 12.2 (21.7) 21.6 (22.2) 5.0 (6.3) mm). Pain scores, UCLA activity, HHS, step rate or time before returning to work did not differ.

Conclusion: The present study showed an increase in early activity level in patients with large head THA and a tendency for resurfacing compared to a standard THA without increasing pain scores

OriginalsprogDansk
Publikationsdato2009
StatusUdgivet - 2009
BegivenhedForskningens dag. Region Sjælland - Næstved, Danmark
Varighed: 11. sep. 200911. sep. 2009

Konference

KonferenceForskningens dag. Region Sjælland
LandDanmark
ByNæstved
Periode11/09/200911/09/2009

Citer dette

Penny, J. Ø., Overgaard, S., Ovesen, O., & Varmarken, J-E. (2009). Den tidlige rehabilitering efter 3 forskellige typer total hofte alloplastik.. Poster session præsenteret på Forskningens dag. Region Sjælland, Næstved, Danmark.
Penny, Jeannette Østergaard ; Overgaard, Søren ; Ovesen, Ole ; Varmarken, Jens-Erik. / Den tidlige rehabilitering efter 3 forskellige typer total hofte alloplastik. Poster session præsenteret på Forskningens dag. Region Sjælland, Næstved, Danmark.
@conference{4aa26ef0800311de9c46000ea68e967b,
title = "Den tidlige rehabilitering efter 3 forskellige typer total hofte alloplastik.",
abstract = "  Introduction: For patients in employment a fast rehabilitation is important. The reduced risk of dislocation when using a large-head metal-on-metal articulation theoretically offers a faster rehabilitation than a THA with a 28 mm articulation due to no restrictions. The larger surgical incision in the resurfacing patient may impair the early rehabilitation.We aimed to investigate early differences in rehabilitation parameters amongst the different groups.Methods:We randomized to resurfacing (n=20), standard 28 mm THA (n=19) and large head MoM THA (n=12). We recorded operation time, blood loss, incision length, length of stay and length of sick-absence. Clinical scores: WOMAC, HHS, UCLA activity and steps were recorded preoperatively, at 8 weeks and 6 months, with additional WOMAC at 3 and 6 weeks.Results: Results reported for resurfacing, 28 mm and large head THA, respectively. The incision measured 23.4 ( 2.9),  14.3 ( 3.6) and 14.1 ( 1.1) cm. The blood loss amounted to 536.7 (474.9), 426.5 (175.1) and 816.7 (347.9) mL. Both differed statistically, but the length of stay did not. The WOMAC activity and stiffness subscale were significant better in the large head THA at 6 months (7.3 (8.4), 12.8 (11.1) and 3.4 (4.0) mm and 12.2 (21.7) 21.6 (22.2) 5.0 (6.3) mm). Pain scores, UCLA activity, HHS, step rate or time before returning to work did not differ.Conclusion: The present study showed an increase in early activity level in patients with large head THA and a tendency for resurfacing compared to a standard THA without increasing pain scores",
author = "Penny, {Jeannette {\O}stergaard} and S{\o}ren Overgaard and Ole Ovesen and Jens-Erik Varmarken",
year = "2009",
language = "Dansk",
note = "Forskningens dag. Region Sj{\ae}lland ; Conference date: 11-09-2009 Through 11-09-2009",

}

Penny, JØ, Overgaard, S, Ovesen, O & Varmarken, J-E 2009, 'Den tidlige rehabilitering efter 3 forskellige typer total hofte alloplastik.', Forskningens dag. Region Sjælland, Næstved, Danmark, 11/09/2009 - 11/09/2009.

Den tidlige rehabilitering efter 3 forskellige typer total hofte alloplastik. / Penny, Jeannette Østergaard; Overgaard, Søren; Ovesen, Ole; Varmarken, Jens-Erik.

2009. Poster session præsenteret på Forskningens dag. Region Sjælland, Næstved, Danmark.

Publikation: Konferencebidrag uden forlag/tidsskriftPosterForskning

TY - CONF

T1 - Den tidlige rehabilitering efter 3 forskellige typer total hofte alloplastik.

AU - Penny, Jeannette Østergaard

AU - Overgaard, Søren

AU - Ovesen, Ole

AU - Varmarken, Jens-Erik

PY - 2009

Y1 - 2009

N2 -   Introduction: For patients in employment a fast rehabilitation is important. The reduced risk of dislocation when using a large-head metal-on-metal articulation theoretically offers a faster rehabilitation than a THA with a 28 mm articulation due to no restrictions. The larger surgical incision in the resurfacing patient may impair the early rehabilitation.We aimed to investigate early differences in rehabilitation parameters amongst the different groups.Methods:We randomized to resurfacing (n=20), standard 28 mm THA (n=19) and large head MoM THA (n=12). We recorded operation time, blood loss, incision length, length of stay and length of sick-absence. Clinical scores: WOMAC, HHS, UCLA activity and steps were recorded preoperatively, at 8 weeks and 6 months, with additional WOMAC at 3 and 6 weeks.Results: Results reported for resurfacing, 28 mm and large head THA, respectively. The incision measured 23.4 ( 2.9),  14.3 ( 3.6) and 14.1 ( 1.1) cm. The blood loss amounted to 536.7 (474.9), 426.5 (175.1) and 816.7 (347.9) mL. Both differed statistically, but the length of stay did not. The WOMAC activity and stiffness subscale were significant better in the large head THA at 6 months (7.3 (8.4), 12.8 (11.1) and 3.4 (4.0) mm and 12.2 (21.7) 21.6 (22.2) 5.0 (6.3) mm). Pain scores, UCLA activity, HHS, step rate or time before returning to work did not differ.Conclusion: The present study showed an increase in early activity level in patients with large head THA and a tendency for resurfacing compared to a standard THA without increasing pain scores

AB -   Introduction: For patients in employment a fast rehabilitation is important. The reduced risk of dislocation when using a large-head metal-on-metal articulation theoretically offers a faster rehabilitation than a THA with a 28 mm articulation due to no restrictions. The larger surgical incision in the resurfacing patient may impair the early rehabilitation.We aimed to investigate early differences in rehabilitation parameters amongst the different groups.Methods:We randomized to resurfacing (n=20), standard 28 mm THA (n=19) and large head MoM THA (n=12). We recorded operation time, blood loss, incision length, length of stay and length of sick-absence. Clinical scores: WOMAC, HHS, UCLA activity and steps were recorded preoperatively, at 8 weeks and 6 months, with additional WOMAC at 3 and 6 weeks.Results: Results reported for resurfacing, 28 mm and large head THA, respectively. The incision measured 23.4 ( 2.9),  14.3 ( 3.6) and 14.1 ( 1.1) cm. The blood loss amounted to 536.7 (474.9), 426.5 (175.1) and 816.7 (347.9) mL. Both differed statistically, but the length of stay did not. The WOMAC activity and stiffness subscale were significant better in the large head THA at 6 months (7.3 (8.4), 12.8 (11.1) and 3.4 (4.0) mm and 12.2 (21.7) 21.6 (22.2) 5.0 (6.3) mm). Pain scores, UCLA activity, HHS, step rate or time before returning to work did not differ.Conclusion: The present study showed an increase in early activity level in patients with large head THA and a tendency for resurfacing compared to a standard THA without increasing pain scores

M3 - Poster

ER -

Penny JØ, Overgaard S, Ovesen O, Varmarken J-E. Den tidlige rehabilitering efter 3 forskellige typer total hofte alloplastik.. 2009. Poster session præsenteret på Forskningens dag. Region Sjælland, Næstved, Danmark.