Đang chuẩn bị liên kết để tải về tài liệu:
báo cáo hóa học:" Bilateral hip arthroplasty: is 1-week staging the optimum strategy?"

Tuyển tập các báo cáo nghiên cứu về hóa học được đăng trên tạp chí sinh học quốc tế đề tài : Bilateral hip arthroplasty: is 1-week staging the optimum strategy? | Atkinson et al. Journal of Orthopaedic Surgery and Research 2010 5 84 http www.josr-online.eom content 5 1 84 JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH RESEARCH ARTICLE Open Access Bilateral hip arthroplasty is 1-week staging the optimum strategy Henry D Atkinson1 2 Christopher A Bailey2 Charles A Willis-Owen2 Roger D Oakeshott2 Abstract Seventy-nine patients underwent bilateral hip arthroplasty staged either at 1 week Group 1 or after greater intervals as suggested by the patients mean 44 weeks range 16-88 weeks Group 2 over a five year period at one Institution. Sixty-eight patients 29 bilateral hip resurfacings and 39 total hip replacements completed questionnaires regarding their post-operative recovery complications and overall satisfaction with the staging of their surgery. There was no significant age or ASA grade difference between the patient groups. Complication rates in the two groups were similar and overall satisfaction rates were 84 in Group 1 n 32 and 89 in Group 2 n 36 . Cumulative hospital lengths of stay were significantly longer in Group 1 patients 11.9 days vs 9.1 days p 0.01 this was true for both hip resurfacing and total hip arthroplasty patients however resurfacing patients stays were significantly shorter in both groups p 0.01 . Postoperative pain resolved earlier in Group 1 patients at a mean of 20.9 weeks compared with a cumulative 28.9 weeks 15.8 and 13.1 weeks for Group 2 patients p 0.03 . The mean time to return to part-time work was 16.4 weeks for Group 1 and a cumulative 17.2 weeks 8.8 and 8.4 weeks for Group 2. The time to return to full-time work was significantly shorter for Group 1 patients 21.0 weeks compared with a cumulative 29.7 weeks for Group 2 p 0.05 . The time to return to both full and part-time work was significantly shorter in total hip replacement patients with 1-week staging compared with delayed staging 22.0 vs 35.8 weeks p 0.02 and 13.8 vs 19.3 weeks p 0.03 respectively . Hip resurfacing patients in Group 2 had .