Abstract

Background: Total hip arthroplasty involves replacing the hip joint with a prosthesis. This procedure aims to restore the function and relief in painful hip joint of patients with hip disorders who have failed in the nonoperative treatment (conservative). The surgery has dramatically improved the quality of life and independence of people who have disorders in the hip. With technological advances, new techniques and materials emerge and gradually improve the success of this intervention on quality of life of patients. Among the models used to perform total hip arthroplasty, one can cite the resurfacing method, suitable for young people and adults which uses a femoral head prosthesis on the surface for the preservation of the head and neck of the femur and a component of type acetabular prosthesis monoblock, similar to conventional total hip prosthesis Objective: To describe the quality of life and functionality of patients undergoing arthroplasty surgery Hip Resurfacing. Methods: We conducted a cross-sectional study of 30 patients hospitalized in the Hospital Estadual Mario Covas and undergoing surgery for total hip arthroplasty during the period 2008 to 2010. The patients were evaluated pre-surgery and at 12 and 48 months postoperatively by means of two questionnaires, the Harris Hip Score and SF-36. Results: The sample consisted of 30 individuals with an average age of 46.83. The findings were significant p <0.001 compared to pre Harris Hip Score (average 53.86 confidence interval 95% CI: 50.43 to 57.3) and postoperative (89.7 average confidence interval 95% , CI: 88.13 to 91.26), and found a higher score in the postoperative time. Moreover, a correlation between age and pain areas (r = -0.436 p <0.015) was observed and functional capacity (r = -0.46 p <0.009) SF36. Conclusion: In the short term, this overall assessment of patients manifested improvement in pain, function (gait and physical activity), mobility and initial deformity. Individuals also reported improved quality of life in the postoperative follow-up to arthroplasty hip resurfacing.

Highlights

  • Total hip arthroplasty (THA) is the replacement of the hip joint by a femoral acetabular component and one artificial part

  • The findings were significant p

  • A study was conducted with 35 patients with a diagnosis of osteoarthritis or osteonecrosis of the femoral head, who were admitted to the State Hospital Mário Covas (HEMC-Faculty of Medicine of ABC (FMABC)) and underwent surgery for total hip arthroplasty during the period 2008 to 2010

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Summary

Introduction

Total hip arthroplasty (THA) is the replacement of the hip joint by a femoral acetabular component and one artificial part This procedure aims to restore function and relieve painful hip joints of patients with hip disorders who have failed to heal with nonsurgical treatment [1, 2]. THA surgery is among the types of orthopedic surgeries with high success rate in recent years This procedure has dramatically improved the quality of life and independence of people with disorders of the hip [3,4,5]. Total hip arthroplasty involves replacing the hip joint with a prosthesis This procedure aims to restore the function and relief in painful hip joint of patients with hip disorders who have failed in the nonoperative treatment (conservative). Among the models used to perform total hip arthroplasty, one can cite the resurfacing method, suitable for young people and adults which uses a femoral head prosthesis on the surface for the preservation of the head and neck of the femur and a component of type acetabular prosthesis monoblock, similar to conventional total hip prosthesis

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