Quality of Life in Patients Submitted to Arthroplasty Total Hip Resurfacing
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 Mário 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.
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