March 2016 The purpose of this study was to analyze the hospital, clinical, and patient factors associated with inpatient readmission following total hip arthroplasty (THA) in the Medicare population and to understand the primary reasons for readmission…
…The top five most frequently reported primary reasons for 30-day readmission in THA were procedure related : dislocation (5.9%), deep infection (5.1%), wound infection (4.8%), periprosthetic fracture (4.4%), or hematoma (3.4%). The top five reasons for 90-day readmission were the same as those at 30 days.… Read the Rest
Published on March 4, 2016
Many surgeons and patients believe that formal outpatient physical therapy (OPT) is necessary in order to optimize the functional outcome of patients undergoing total hip arthroplasty (THA). Limited evidence currently exists to support this belief. The purpose of this prospective, randomized study was to determine the effect of formal OPT on the functional outcome of THA…
…These findings suggest that formal OPT is not superior to prescribed, patient-directed home exercises. The value of formal OPT for all patients undergoing primary THA needs to be examined. Based on the findings of … Read the Rest
Injections require less organization, planning and have less morbidity.
By Robert B. Bourne, MD, FRCS(C)
ORTHOPEDICS TODAY 2008; 28:94
Relieving postoperative pain is an extremely important part of what we do as orthopedic surgeons. We all want to minimize postoperative pain and most believe in regional anesthesia, multimodal analgesia and in acute pain services. I think there is overwhelming evidence for regional anesthesia for both hip and knee arthroplasty. There is a lower mortality rate and there are significant decreases in morbidity in terms of blood loss, nausea, vomiting, respiratory depression and deep vein thrombosis…
…To … Read the Rest
Everyone has slightly different needs. There are some basic items almost everyone needs and then there are things that some people want and others just don’t need.
Crutches – Normally crutches are supplied by the hospital. I used elbow crutches and they are much easier to use than normal under the arm crutches. Overseas hospitals use elbow crutches while US hospital still normally use old fashioned under the arm crutches. If you have to be on crutches for a long time, I would suggest getting a pair of elbow crutches or at least a pair of the more … Read the Rest
By Atanu Ghosh
Underwater treadmill is a treadmill which is submerged in water and provides exercise to people who have undergone total hip replacement. Underwater treadmill is a key component in rehabilitation centers to increase muscle strength and motion of hip. It is also used in Veterinaries to improve the motion of animals like dogs, horses, etc, increase their resistance and make their movements more swift and smooth.
Underwater treadmill consists of a treadmill submerged in water pool. The water pool in an underwater treadmill is normally maintained at chest height of the person to whom exercise is advised by … Read the Rest
Original Link http://www.orthosupersite.com/view.aspx?rid=62584
The use of staples to close wounds following orthopedic surgery – especially hip surgery – is associated with a significantly greater risk of wound infection than traditional suturing, according to orthopedic researchers from Norwich, England…
…Toby O. Smith, MSc, BSc (Hons), MCSP, and colleagues analyzed the results of six trials that compared staples and sutures used for wound closure following orthopedic procedures in adult patients…
…The authors found that wounds closed with staples were more than three times as likely to develop a superficial wound infection compared to wounds closed with sutures.
Smith TO, Sexton D, … Read the Rest
The new joint has a limited range of movement. You will need to take special precautions to avoid displacing the joint, including:
Avoid crossing your legs or ankles even when sitting, standing, or lying.
When sitting, keep you feet about 6 inches apart.
When sitting, keep your knees below the level of your hips. Avoid chairs that are too low. You may sit on a pillow to keep your hips higher than your knees.
When getting up from a chair, slide toward the edge of the chair and then use your walker or crutches for support.
Avoid bending over at
How to Recover Faster After Joint Replacement Surgery for Arthritis By Nathan Wei
Findings from a recent study indicate that for osteoarthritis patients, an exercise program will allow a faster recovery following joint replacement surgery.
Researchers from Harvard Medical School (Boston’s New England Baptist Hospital, and Beth Israel Deaconess Medical Center) studied 108 men and women with severe osteoarthritis scheduled for total hip or knee replacement surgery at Boston’s New England Baptist Hospital. Patients were typically in their late 50s to late 60s.
The researchers randomly split the patients into two groups.
Patients in one group followed a six-week exercise … Read the Rest
After your total hip replacement surgery using the anterior approach, expect to stay in the hospital for at least 2 to 3 days. You will likely be in moderate pain for about a couple of weeks when walking after the surgery but you will receive medication if you need it. You can shower with your stitches because they have a protective film on it. They will eventually get absorbed into the skin tissue. Using a v-shaped pillow while you’re lying down will help keep the new hip aligned and reduce strain. Walking and light mobility are very important to your … Read the Rest