Forskning
Udskriv Udskriv
Switch language
Region Hovedstaden - en del af Københavns Universitetshospital
Udgivet

Varying but reduced use of postoperative mobilization restrictions after primary total hip arthroplasty in Nordic countries: a questionnaire-based study

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  1. Fast-track hip and knee arthroplasty - have we reached the goal?

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Does the physical activity profile change in patients with hip dysplasia from before to 1 year after periacetabular osteotomy?

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  1. Mismatch 'never events' in hip and knee arthroplasty: a cohort and intervention study

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Incidence of surgical interventions for metastatic bone disease in the extremities: a population-based cohort study

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Vis graf over relationer

Background and purpose - Mobilization has traditionally been restricted following total hip arthroplasty (THA) in an attempt to reduce the risk of dislocation and muscle detachment. However, recent studies have questioned the effect and rationale underlying such restrictions. We investigated the use of postoperative restrictions and possible differences in mobilization protocols following primary THA in Denmark (DK), Finland (FIN), Norway (NO), and Sweden (SWE). Patients and methods - All hospitals performing primary THA in the participating countries were identified from the latest national THA registry report. A questionnaire containing questions regarding standard surgical procedure, use of restrictions, and postoperative mobilization protocol was distributed to all hospitals through national representatives for each arthroplasty registry. Results - 83% to 94% (n = 167) of the 199 hospitals performing THA in DK, FIN, NO, and SWE returned correctly filled out questionnaires. A posterolateral approach was used by 77% of the hospitals. 92% of the hospitals had a standardized mobilization protocol. 50%, 41%, 19%, and 38% of the hospitals in DK, FIN, NO, and SWE, respectively, did not have any postoperative restrictions. If utilized, restrictions were applied for a median of 6 weeks. Two-thirds of all hospitals have changed their mobilization protocol within the last 5 years-all but 2 to a less restrictive protocol. Interpretation - Use of postoperative restrictions following primary THA differs between the Nordic countries, with 19% to 50% allowing mobilization without any restrictions. There has been a strong tendency towards less restrictive mobilization over the last 5 years.

OriginalsprogEngelsk
TidsskriftActa Orthopaedica (Print Edition)
Vol/bind90
Udgave nummer2
Sider (fra-til)143-147
Antal sider5
ISSN1745-3674
DOI
StatusUdgivet - apr. 2019

ID: 56518815