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Preventive effect of comprehensive rehabilitation nursing on early complications of total hip arthroplasty
Du X-L, Fang H-P, Fang Z, Li F
Zhongguo Zuzhi Gongcheng yu Linchuang Kangfu [Journal of Clinical Rehabilitative Tissue Engineering Research] 2011 Jun 25;15(26):4923-4926
clinical trial
5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

BACKGROUND: Although the early postoperative functional rehabilitation can effectively guarantee the results of operations, incidence rate of complications following total hip replacement is still high. OBJECTIVE: To evaluate preventive effect of comprehensive rehabilitation care of early complications of total hip arthroplasty. METHODS: Totally 90 total hip arthroplasty patients were randomly divided into control group and study groups equally. Both groups were given conventional treatment and care, of which the study group underwent comprehensive postoperative rehabilitation care. The control group received general procedure of rehabilitation care. RESULTS AND CONCLUSION: There was no difference in postoperative Harris score at 1, 2, 12 and 20 weeks after surgery between study group and control group (p > 0.05). Compared with control group, the incidence of joint dislocation, infection, deep vein thrombosis of study group post-surgery 2 and 12 weeks, and the heterotopic ossification at 12 weeks after surgery were significantly lower (p < 0.01). These suggest that comprehensive rehabilitation care significantly reduces early complications of total hip replacement surgery, and effectively promotes the functional recovery of hip joint.

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