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Early recovery outcomes in patients undergoing total hip arthroplasty through a posterior approach with modified postoperative precautions

Journal of Arthroplasty Mar 27, 2021

Goeb Y, Krell E, Nguyen J, et al. - As per recent data, more patient movement and exercise are allowed in the immediate postoperative period following total hip arthroplasty (THA) performed through the posterolateral approach, in correlation with implementing a modified, more lenient set of precautions. Researchers herein hypothesized that: 1) patients undergoing THA given modified precautions will display a fast-track return to functional activity and 2) wrist-based activity trackers will yield useful information on post operative activity levels. They performed prospective enrollment of 82 patients undergoing THA. A wrist-based, commercially-available activity tracker was worn by patients 1 week preoperatively and 6 weeks postoperatively. In post-operative hip precautions, included was only the avoidance of the “leg-shaving” position of combined hip flexion, adduction and internal rotation. Return to work was reported by week-4 for 74%. Observations revealed significant association between increased weekly steps and improved HOOS-JR scores post-THA. Pre operative counselling will be aided by defining expected recovery timelines for patients undergoing THA. In this study, an expected pathway has been demonstrated for recovery following THA by using modified precautions that will be more clearly outlined with ongoing clinical data analysis.

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