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  • Relaxing hip precautions increased patient satisfaction and promoted quicker return to normal activities after total hip arthroplasty

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Relaxing hip precautions increased patient satisfaction and promoted quicker return to normal activities after total hip arthroplasty

https://doi.org/10.1136/ebn.8.4.115

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    Peak EL, Parvizi J, Ciminiello M, et al. The role of patient restrictions in reducing the prevalence of early dislocation following total hip arthroplasty. A randomized, prospective study. J Bone Joint Surg Am 2005;87–A:247–53.OpenUrlPubMed

    Q In patients who have had uncemented primary total hip arthroplasty (THA), does removal of several postoperative functional restrictions (PFR) reduce the risk of postoperative dislocation?

    METHODS

    Embedded ImageDesign:

    randomised controlled trial.

    Embedded ImageAllocation:

    not concealed.

    Embedded ImageBlinding:

    unblinded.

    Embedded ImageFollow up period:

    ⩾6 months

    Embedded ImageSetting:

    a university hospital in Philadelphia, Pennsylvania, USA.

    Embedded ImagePatients:

    265 patients (303 hips) (mean age 58 y, 52% men) who received uncemented primary THA through an anterolateral approach. Exclusion criteria included previous surgery on the ipsilateral hip, hyperflexibility syndromes, and neuromuscular compromise (eg, Alzheimer’s or Parkinson’s disease).

    Embedded ImageIntervention:

    PFR (n = 152) or no PFR (n = 151). All patients were expected to limit the range of motion of the hip for the first 6 weeks to <90° of flexion and 45° of external and internal rotation, and to avoid …

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    Footnotes

    • For correspondence: Dr J Parvizi, Rothman Institute, Philadelphia, PA, USA. parvjaol.com

    • Source of funding: no external funding.