Function and Activity After Minimally Invasive Total Hip Arthroplasty Compared to a Healthy Population

Overview

Journal Int Orthop

Specialty Orthopedics

Date 2017 Jul 14

PMID 28702750

Citations 10

Authors

Eberhard von Rottkay

Lars Rackwitz

Maximilian Rudert

Ulrich Noth

Johannes Christian Reichert

Affiliations

Soon will be listed here.

Abstract

Purpose: The aim of the present study was to compare the daily activity and functionality in a patient cohort 12 months after total hip arthroplasty (THA) using a direct anterior approach with a healthy non-operated control population.

Methods: Sixty-four patients who underwent THA and 59 healthy individuals (control) were assessed regarding their daily activity and joint functionality utilizing the Harris hip score (HHS), the extra short musculoskeletal functional assessment questionnaire (XSFMA), the Short Form 36 (SF-36) health survey and a Stepwatch™ Activity Monitor (SAM). Post-operative x-ray images after THA were analysed regarding inclination and stem positioning.

Results: Twelve months after surgery, the average HHS showed no significant difference between both groups equalling 90.7 points in the THA patient group and 90.8 in the healthy volunteer group. The XSFMA functional index scores were 11.0 (THA) and 5.0 (control) while the bother index summed up to a score of 15.3 (THA) and 7.6 (control) respectively thus differing significantly (p < 0.001). Daily activity equalled 4227 (THA) and 4687 (control) load cycles per day (p = 0.327) while a number of 5658 (THA) and 6417 (control) steps per day (p = 0.011) was recorded. The SF-36 physical component scores were 47.3 (THA) and 50.6 (control) points while the psychometric properties added up to a score of 56.1 (THA) and 55.9 (control). The physical component was determined to be significantly different (p < 0.001) whereas no statistically significant difference could be shown for the psychometric properties (p = 0.511). The radiographic analysis revealed an average cup inclination of 39.9° without signs of migration. Stem positioning was neutral in 53% of all cases while 36% were graded varus and 11% valgus.

Conclusion: In summary, our short-term results show an activity, functionality and quality of life for patients one year after THA comparable to healthy control individuals.

Citing Articles

Functional Recovery After Hip Arthroplasty with a Minimal Invasive or Classical Approach Eight Years After Intervention.

Vuckovic M, Ruzic L, Tudor K, Prpic T, Jotanovic Z, Segulja S J Funct Morphol Kinesiol. 2024; 9(4).

PMID: 39584861 PMC: 11587008. DOI: 10.3390/jfmk9040208.

Multicentre investigation on the effect of decompressive surgery on Balance and physical ActiviTy Levels amongst patients with lumbar Spinal stenosis (B-ATLAS): protocol for a prospective cohort study.

Zielinski O, Hallager D, Jensen K, Carreon L, Andersen M, Diederichsen L BMJ Open. 2024; 14(9):e085667.

PMID: 39313282 PMC: 11418479. DOI: 10.1136/bmjopen-2024-085667.

Amount and type of physical activity and sports from one year forward after hip or knee arthroplasty-A systematic review.

Mooiweer Y, van den Akker-Scheek I, Stevens M PLoS One. 2021; 16(12):e0261784.

PMID: 34962967 PMC: 8714096. DOI: 10.1371/journal.pone.0261784.

Short-stem total hip arthroplasty is not associated with an earlier return to work compared to a straight-stem design.

Hauer G, Smolle M, Zaussinger S, Friesenbichler J, Leithner A, Maurer-Ertl W Sci Rep. 2021; 11(1):4968.

PMID: 33654124 PMC: 7925530. DOI: 10.1038/s41598-021-82805-0.

Revision Arthroplasty Through the Direct Anterior Approach Using an Asymmetric Acetabular Component.

Prodinger P, Lazic I, Horas K, Burgkart R, von Eisenhart-Rothe R, Weissenberger M J Clin Med. 2020; 9(9).

PMID: 32967075 PMC: 7564155. DOI: 10.3390/jcm9093031.

References

Nakamura S, Matsuda K, Arai N, Wakimoto N, Matsushita T . Mini-incision posterior approach for total hip arthroplasty. Int Orthop. 2004; 28(4):214-7. PMC: 3456936. DOI: 10.1007/s00264-004-0570-1. View

Khan R, Fick D, Khoo P, Yao F, Nivbrant B, Wood D . Less invasive total hip arthroplasty: description of a new technique. J Arthroplasty. 2006; 21(7):1038-46. DOI: 10.1016/j.arth.2006.01.010. View

Wollmerstedt N, Faller H, Ackermann H, Schneider J, Glatzel M, Kirschner S . [Evaluation of the Extra Short Musculoskeletal Function Assessment questionnaire XSMFA-D in patients with musculoskeletal disorders and surgical or medical in-patient treatment]. Rehabilitation (Stuttg). 2006; 45(2):78-87. DOI: 10.1055/s-2005-915337. View

Goebel S, Steinert A, Schillinger J, Eulert J, Broscheit J, Rudert M . Reduced postoperative pain in total hip arthroplasty after minimal-invasive anterior approach. Int Orthop. 2011; 36(3):491-8. PMC: 3291765. DOI: 10.1007/s00264-011-1280-0. View

Ludemann M, Kreutner J, Haddad D, Kenn W, Rudert M, Noth U . [MRI-based measurement of muscle damage after minimally invasive hip arthroplasty]. Orthopade. 2012; 41(5):346-53. DOI: 10.1007/s00132-011-1889-0. View

Matta J, Shahrdar C, Ferguson T . Single-incision anterior approach for total hip arthroplasty on an orthopaedic table. Clin Orthop Relat Res. 2005; 441:115-24. DOI: 10.1097/01.blo.0000194309.70518.cb. View

Reichert J, Volkmann M, Koppmair M, Rackwitz L, Ludemann M, Rudert M . Comparative retrospective study of the direct anterior and transgluteal approaches for primary total hip arthroplasty. Int Orthop. 2015; 39(12):2309-13. DOI: 10.1007/s00264-015-2732-8. View

Wollmerstedt N, Noth U, Ince A, Ackermann H, Martell J, Hendrich C . The Daily Activity Questionnaire: a novel questionnaire to assess patient activity after total hip arthroplasty. J Arthroplasty. 2009; 25(3):475-480.e1-3. DOI: 10.1016/j.arth.2009.01.005. View

Johnston R, Fitzgerald Jr R, Harris W, Poss R, Muller M, Sledge C . Clinical and radiographic evaluation of total hip replacement. A standard system of terminology for reporting results. J Bone Joint Surg Am. 1990; 72(2):161-8. View

10.

Laffosse J, Chiron P, Molinier F, Bensafi H, Puget J . Prospective and comparative study of the anterolateral mini-invasive approach versus minimally invasive posterior approach for primary total hip replacement. Early results. Int Orthop. 2006; 31(5):597-603. PMC: 2266652. DOI: 10.1007/s00264-006-0247-z. View

11.

Oinuma K, Eingartner C, Saito Y, Shiratsuchi H . Total hip arthroplasty by a minimally invasive, direct anterior approach. Oper Orthop Traumatol. 2007; 19(3):310-26. DOI: 10.1007/s00064-007-1209-3. View

12.

Sander K, Layher F, Babisch J, Roth A . [Evaluation of results after total hip replacement using a minimally invasive and a conventional approach. Clinical scores and gait analysis]. Z Orthop Unfall. 2011; 149(2):191-9. DOI: 10.1055/s-0030-1250590. View

13.

Wollmerstedt N, Noth U, Mahlmeister F, Lotze A, Finn A, Eulert J . [A novel questionnaire to assess activity in patients after hip arthroplasties]. Orthopade. 2006; 35(12):1237-45. DOI: 10.1007/s00132-006-1010-2. View

14.

Garratt A, Schmidt L, Mackintosh A, Fitzpatrick R . Quality of life measurement: bibliographic study of patient assessed health outcome measures. BMJ. 2002; 324(7351):1417. PMC: 115850. DOI: 10.1136/bmj.324.7351.1417. View

15.

Swiontkowski M, ENGELBERG R, Martin D, Agel J . Short musculoskeletal function assessment questionnaire: validity, reliability, and responsiveness. J Bone Joint Surg Am. 1999; 81(9):1245-60. DOI: 10.2106/00004623-199909000-00006. View

16.

Silva M, McClung C, dela Rosa M, Dorey F, Schmalzried T . Activity sampling in the assessment of patients with total joint arthroplasty. J Arthroplasty. 2005; 20(4):487-91. DOI: 10.1016/j.arth.2004.08.013. View

17.

Noth U, Nedopil A, Holzapfel B, Koppmair M, Rolf O, Goebel S . [Minimally invasive anterior approach]. Orthopade. 2012; 41(5):390-8. DOI: 10.1007/s00132-011-1894-3. View

18.

Harris W . Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An end-result study using a new method of result evaluation. J Bone Joint Surg Am. 1969; 51(4):737-55. View

19.

Rachbauer F . [Minimally invasive total hip arthroplasty via direct anterior approach]. Orthopade. 2005; 34(11):1103-4, 1106-8, 1110. DOI: 10.1007/s00132-005-0854-1. View

20.

Nilsdotter A, Lohmander L . Age and waiting time as predictors of outcome after total hip replacement for osteoarthritis. Rheumatology (Oxford). 2002; 41(11):1261-7. DOI: 10.1093/rheumatology/41.11.1261. View