Difference in Patient Quality of Life after Hip Arthroplasty with a Minimally Invasive Approach or Classic Approach

The increasing rate of orthopedic procedures, hip arthroplasty in particular, requires improvement of surgical techniques, as well as of the respective rehabilitation protocols. The aim of the study was to assess differences in the quality of life and incidence of limping eight years after total...

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Main Authors: Mirela Vučković, Lana Ružić, Anton Tudor, Ivana Šutić
Format: Article
Language:English
Published: Sestre Milosrdnice University hospital, Institute of Clinical Medical Research 2021-01-01
Series:Acta Clinica Croatica
Subjects:
Online Access:https://hrcak.srce.hr/file/378036
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author Mirela Vučković
Lana Ružić
Anton Tudor
Ivana Šutić
author_facet Mirela Vučković
Lana Ružić
Anton Tudor
Ivana Šutić
author_sort Mirela Vučković
collection DOAJ
description The increasing rate of orthopedic procedures, hip arthroplasty in particular, requires improvement of surgical techniques, as well as of the respective rehabilitation protocols. The aim of the study was to assess differences in the quality of life and incidence of limping eight years after total hip arthroplasty performed with a minimally invasive or classic approach. This cross-sectional study included 68 patients, i.e. 32 operated with classic approach and 36 with minimally invasive approach during 2011. The following parameters were observed: anthropometric measurements, history of comorbidity, subjective assessment of limping, and SF-36 questionnaire (Short Form Survey Instrument). SF-36 testing, which consists of 8 domains, showed that 5 domains of the quality of life were statistically significantly better in the minimally invasive group (level of significance p<0.05). These domains were role of limitation due to physical health (p=0.01), energy (p=0.02), social functioning (p=0.02), pain (p=0.02) and general health (p=0.00). The minimally invasive group had a statistically significantly lower incidence of limping (p=0.032). Quality of life after hip replacement could be a decisive factor when choosing the type of orthopedic procedure. The higher number of limping patients in the classic approach group may have contributed to differences in the quality of life. In conclusion, the minimally invasive approach enables higher long-term quality of life and functional recovery.
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spelling doaj.art-ff2f064ff8e141d292e953be8d83287c2024-04-15T17:03:20ZengSestre Milosrdnice University hospital, Institute of Clinical Medical ResearchActa Clinica Croatica0353-94661333-94512021-01-0160.1.899510.20471/acc.2021.60.01.13Difference in Patient Quality of Life after Hip Arthroplasty with a Minimally Invasive Approach or Classic ApproachMirela Vučković0Lana Ružić1Anton Tudor2Ivana Šutić3Lovran Department of Orthopedic Surgery, School of Medicine, University of Rijeka, Lovran, CroatiaDepartment of Kinesiologic Anthropology, Faculty of Kinesiology, University of Zagreb, Zagreb, CroatiaLovran Department of Orthopedic Surgery, School of Medicine, University of Rijeka, Lovran, CroatiaHealth Center of Primorje-Gorski Kotar County, Rijeka, CroatiaThe increasing rate of orthopedic procedures, hip arthroplasty in particular, requires improvement of surgical techniques, as well as of the respective rehabilitation protocols. The aim of the study was to assess differences in the quality of life and incidence of limping eight years after total hip arthroplasty performed with a minimally invasive or classic approach. This cross-sectional study included 68 patients, i.e. 32 operated with classic approach and 36 with minimally invasive approach during 2011. The following parameters were observed: anthropometric measurements, history of comorbidity, subjective assessment of limping, and SF-36 questionnaire (Short Form Survey Instrument). SF-36 testing, which consists of 8 domains, showed that 5 domains of the quality of life were statistically significantly better in the minimally invasive group (level of significance p<0.05). These domains were role of limitation due to physical health (p=0.01), energy (p=0.02), social functioning (p=0.02), pain (p=0.02) and general health (p=0.00). The minimally invasive group had a statistically significantly lower incidence of limping (p=0.032). Quality of life after hip replacement could be a decisive factor when choosing the type of orthopedic procedure. The higher number of limping patients in the classic approach group may have contributed to differences in the quality of life. In conclusion, the minimally invasive approach enables higher long-term quality of life and functional recovery.https://hrcak.srce.hr/file/378036Arthroplasty, hip replacementOsteoarthritisQuality of lifeTransgluteal approach
spellingShingle Mirela Vučković
Lana Ružić
Anton Tudor
Ivana Šutić
Difference in Patient Quality of Life after Hip Arthroplasty with a Minimally Invasive Approach or Classic Approach
Acta Clinica Croatica
Arthroplasty, hip replacement
Osteoarthritis
Quality of life
Transgluteal approach
title Difference in Patient Quality of Life after Hip Arthroplasty with a Minimally Invasive Approach or Classic Approach
title_full Difference in Patient Quality of Life after Hip Arthroplasty with a Minimally Invasive Approach or Classic Approach
title_fullStr Difference in Patient Quality of Life after Hip Arthroplasty with a Minimally Invasive Approach or Classic Approach
title_full_unstemmed Difference in Patient Quality of Life after Hip Arthroplasty with a Minimally Invasive Approach or Classic Approach
title_short Difference in Patient Quality of Life after Hip Arthroplasty with a Minimally Invasive Approach or Classic Approach
title_sort difference in patient quality of life after hip arthroplasty with a minimally invasive approach or classic approach
topic Arthroplasty, hip replacement
Osteoarthritis
Quality of life
Transgluteal approach
url https://hrcak.srce.hr/file/378036
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