Influence of early ambulation on postoperative complications and hip joint function among patients with total hip replacement

Abstract

Objective To explore the effects of early ambulation on postoperative complications and hip joint function among patients with total hip replacement. Methods From January 2017 to January 2018, we selected 149 patients with total hip replacement of Department of Orthopedics in the First Affiliated Hospital of Zhengzhou University by convenience sampling. All of the patients were divided into observation group (n=79) and control group (n=70) according to operation time. Control group carried out routine nursing. On the basis of that in control group, observation group received early ambulation related intervention beginning ambulation and training on the first day after surgery. We compared the complications and recoveries of hip joint function after surgery between two groups. Results One month after surgery, there were no patients with lower extremity deep venous thrombosis (DVT) , astriction, prosthetic dislocation in observation group, but there were 6, 10 and 4 cases respectively in control group with statistical differences (P<0.05) . The total scores of Harris hip of observation group 15 days and one month after surgery were (69.10±2.46) and (84.31±2.54) respectively higher than those [ (63.05±3.38) and (78.32±2.57) ] of control group with statistical differences (P<0.01) . Conclusions Early ambulation in patients with total hip replacement can decrease the incidence of complications and enhance the recovery hip joint function. Key words: Arthroplasty, replacement, hip; Postoperative complications; Early ambulation; Total hip arthroplasty; Hip joint function