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Function and activity after minimally invasive total hip arthroplasty compared to a healthy population

Overview of attention for article published in International Orthopaedics, July 2017
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Title
Function and activity after minimally invasive total hip arthroplasty compared to a healthy population
Published in
International Orthopaedics, July 2017
DOI 10.1007/s00264-017-3541-z
Pubmed ID
Authors

Eberhard von Rottkay, Lars Rackwitz, Maximilian Rudert, Ulrich Nöth, Johannes Christian Reichert

Abstract

The aim of the present study was to compare the daily activity and functionality in a patient cohort 12 months after total hip arthroplasty (THA) using a direct anterior approach with a healthy non-operated control population. Sixty-four patients who underwent THA and 59 healthy individuals (control) were assessed regarding their daily activity and joint functionality utilizing the Harris hip score (HHS), the extra short musculoskeletal functional assessment questionnaire (XSFMA), the Short Form 36 (SF-36) health survey and a Stepwatch™ Activity Monitor (SAM). Post-operative x-ray images after THA were analysed regarding inclination and stem positioning. Twelve months after surgery, the average HHS showed no significant difference between both groups equalling 90.7 points in the THA patient group and 90.8 in the healthy volunteer group. The XSFMA functional index scores were 11.0 (THA) and 5.0 (control) while the bother index summed up to a score of 15.3 (THA) and 7.6 (control) respectively thus differing significantly (p < 0.001). Daily activity equalled 4227 (THA) and 4687 (control) load cycles per day (p = 0.327) while a number of 5658 (THA) and 6417 (control) steps per day (p = 0.011) was recorded. The SF-36 physical component scores were 47.3 (THA) and 50.6 (control) points while the psychometric properties added up to a score of 56.1 (THA) and 55.9 (control). The physical component was determined to be significantly different (p < 0.001) whereas no statistically significant difference could be shown for the psychometric properties (p = 0.511). The radiographic analysis revealed an average cup inclination of 39.9° without signs of migration. Stem positioning was neutral in 53% of all cases while 36% were graded varus and 11% valgus. In summary, our short-term results show an activity, functionality and quality of life for patients one year after THA comparable to healthy control individuals.

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Geographical breakdown

Country Count As %
Unknown 50 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 6 12%
Student > Master 5 10%
Other 4 8%
Student > Doctoral Student 4 8%
Researcher 4 8%
Other 12 24%
Unknown 15 30%
Readers by discipline Count As %
Medicine and Dentistry 22 44%
Nursing and Health Professions 4 8%
Business, Management and Accounting 1 2%
Agricultural and Biological Sciences 1 2%
Arts and Humanities 1 2%
Other 4 8%
Unknown 17 34%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 26 July 2017.
All research outputs
#18,563,836
of 22,992,311 outputs
Outputs from International Orthopaedics
#1,100
of 1,456 outputs
Outputs of similar age
#239,301
of 312,609 outputs
Outputs of similar age from International Orthopaedics
#16
of 24 outputs
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