Golden Jubilee National Hospital, Agamemnon Street, Clydebank, G81 4DY, UK.
Arch Orthop Trauma Surg. 2022 Oct;142(10):2429-2433. doi: 10.1007/s00402-021-03837-9. Epub 2021 Mar 12.
Patients are routinely advised to follow hip precautions following their total hip arthroplasty (THA) surgery. There is lack of evidence regarding compliance with these precautions and when patients return to activities of daily living following their surgery.
We designed a new questionnaire to discover when patients return to their activities of daily living. Two hundred and ninety seven consecutive patients who attended 12 week follow up arthroplasty clinic following their primary elective THA were asked to complete the questionnaire.
All patients who attended the follow up clinic at 12 weeks responded to the questionnaire. Only 6.3% (n = 19) of the patients reported that they restricted their daily activities, as prescribed for the full 12 week period, while 50% (n = 148) of patients stopped using prescribed adaptive equipment by 6 weeks after their operation. There were no dislocations recorded among the study group.
We found that the majority of patients do not adhere to hip precautions advice. They return to their activities of daily living prior to the end of prescription period based on their pain and activity level. Lack of adherence to hip precautions do not predispose to hip dislocation in the immediate post-operative period.
患者在接受全髋关节置换术（THA）后，通常会被建议遵循髋关节预防措施。然而，关于患者在术后何时恢复日常生活活动以及他们对这些预防措施的依从性，目前证据不足。
我们设计了一个新的问卷，旨在了解患者何时恢复日常生活活动。我们对 297 例在初次择期 THA 后 12 周接受随访关节置换门诊的连续患者进行了问卷调查。
所有在 12 周时参加随访诊所的患者都回答了问卷。只有 6.3%（n=19）的患者报告说他们在整个 12 周的时间内都按照规定限制了日常活动，而 50%（n=148）的患者在手术后 6 周时就停止使用规定的适应性设备。研究组中没有记录到脱位。
我们发现大多数患者并不遵守髋关节预防措施的建议。他们根据自己的疼痛和活动水平，在规定的期限结束之前就恢复了日常生活活动。髋关节预防措施的不遵守并不会导致术后即刻髋关节脱位。
