Signiifcance of preoperative rehabilitation education in total hip arthroplasty
XU Guo-jian
WENG Dong
XIE Ming-hua
LIANG Wen-qing
Qian Yu
Abstract：Objective To investigate the role of preoperative rehabilitation education in total hip arthroplasty ( THA ).Methods From January 2012 to January 2013, 87 patients receiving THA were randomly divided into experimental group (n=45 ) and control group (n=42 ). The patients in the control group received conventional treatment and care. Besides that, the patients in the experimental group grasped the functional training method before the operation under the guidance of surgeons and specialist nurses by using the pictures and videos combined with practical exercises. The duration of the active and standard functional exercises for the ifrst time, incremental value of limb circumference and postoperative complication rates were recorded in both groups, and the differences between them were compared.Results The duration of the active ankle pump exercises for the ifrst time, contraction time of the musculi quadriceps femoris and straight leg raising time were ( 4.62±2.39 ) hr, ( 13.33±5.88 ) hr and ( 23.67±6.01 ) hr respectively in the experimental group, which were shorter than ( 6.12±2.93 ) hr, ( 16.02±5.89 ) hr and ( 27.95±7.85 ) hr in the control group. There were statistically signiifcant differences between the 2 groups (P<0.05 ). No statistically signiifcant differences in the incremental value of the lower limb circumference existed at 1 day after the operation between the 2 groups (P>0.05 ). However, the incremental values of the lower limb circumference were gradually reduced at 2, 3, 5 and 7 days after the operation, which was ( 3.76±0.75 ) cm, ( 3.68±0.56 ) cm, ( 3.46±0.53 ) cm and ( 3.17±0.36 ) cm in the experimental group and ( 4.03±0.55 ) cm, ( 3.92±0.51 ) cm, ( 3.71±0.59 ) cm and ( 3.48±0.36 ) cm in the control group. There were statistically significant differences between the 2 groups (P<0.05 ). There was 1 case of deep vein thrombosis ( DVT ) of the lower limb and 1 case of infections in the experimental group, and there were 5 cases of DVT of the lower limb, 1 case of prosthesis dislocation and 5 cases of infections in the control group. The postoperative complication rate was obviously lower in the experimental group ( 4.5% ) than that in the control group ( 26.2% ), and there were statistically significant differences between the 2 groups (P<0.05 ).Conclusions The preoperative rehabilitation education in THA is worthy of clinical application, with the advantages of obviously alleviated limb swelling and lower complication rates. The patients can grasp the functional training method in advance, so as to actively standardize rehabilitation exercises early.
Keywords：Preoperative periodHealth educationArthroplastyreplacementhipRehabilitation
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 653-656 )