Abstract
Background and Purpose: Total hip replacement (THR) is one of the most frequently performed orthopedic surgery in India and worldwide. Thousands of people undergo THR every year in hopes of improving their functional abilities and reducing their disability levels. The purpose of this case report is to document acute care outcome measures in Rheumatoid arthritis patient who had undergone bilateral THR and to assess the possible implications that a short staging period might have on the patient’s ability to recover. Case Presentation: A 44 years old rheumatoid arthritis patient with severe restriction in mobility had undergone bilateral Uncemented total hip replacement following which patient was rehabilitated for strength, gait and functional abilities. Outcomes: Modified Harris Hip Score was taken preoperatively, Post-operative day 6, 3 weeks, 6 weeks for both the hips. Discussion: Many studies support an early and intensive Physiotherapy following THR but there are limited literature on rehabilitation in case of rheumatic arthritis patient who had undergone bilateral THR. This study includes an early acute care Physiotherapy from day 1 up to 6 weeks which helped the patient in resuming his daily activities early.
Highlights
Background and PurposeTotal hip replacement (THR) is one of the most frequently performed orthopedic surgery in India and worldwide
This study includes an early acute care Physiotherapy from day 1 up to 6 weeks which helped the patient in resuming his daily activities early
Rheumatoid arthritis is characterized by destructive erosion of bone and loss of joint integrity and frequently leads to disability
Summary
Compromised biomechanical properties of rheumatic bone, caused by inflammatory diseases and medication, are potential risk factors for a positive end result of THR in RA patients. With acute intervention of physiotherapy from post-operative day 1 till 6 weeks has improved the outcome measure. These exercises fastened the recovery as well as post-operative pain. Most challenging part was to make him ambulated with partial weight bearing on left leg due to bone graft and full weight bearing on right leg on 3rd post-operative day it’s probably the fixation of the implants with surgeon’s skills. With these exercise protocols patients can have improved functional outcomes and quality of life in shorter duration.
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