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Anterior Approach to Hip Arthroplasty with Early Mobilization Key for Reduced Hospital Length of Stay.
Bontea, Mihaela; Bimbo-Szuhai, Erika; Macovei, Iulia Codruta; Maghiar, Paula Bianca; Sandor, Mircea; Botea, Mihai; Romanescu, Dana; Beiusanu, Corina; Cacuci, Adriana; Sachelarie, Liliana; Huniadi, Anca.
Afiliación
  • Bontea M; Department of Morphological Disciplines, Faculty of Medicine and Pharmacy, University of Oradea, 1st December Square 10, 410073 Oradea, Romania.
  • Bimbo-Szuhai E; Department of Morphological Disciplines, Faculty of Medicine and Pharmacy, University of Oradea, 1st December Square 10, 410073 Oradea, Romania.
  • Macovei IC; Pelican Hospital, Corneliu Coposu Street 2, 410450 Oradea, Romania.
  • Maghiar PB; Pelican Hospital, Corneliu Coposu Street 2, 410450 Oradea, Romania.
  • Sandor M; Faculty of Medicine and Pharmacy, University of Oradea, 1st December Square 10, 410073 Oradea, Romania.
  • Botea M; Pelican Hospital, Corneliu Coposu Street 2, 410450 Oradea, Romania.
  • Romanescu D; Faculty of Medicine and Pharmacy, University of Oradea, 1st December Square 10, 410073 Oradea, Romania.
  • Beiusanu C; Faculty of Medicine and Pharmacy, University of Oradea, 1st December Square 10, 410073 Oradea, Romania.
  • Cacuci A; Pelican Hospital, Corneliu Coposu Street 2, 410450 Oradea, Romania.
  • Sachelarie L; Faculty of Medicine and Pharmacy, University of Oradea, 1st December Square 10, 410073 Oradea, Romania.
  • Huniadi A; Pelican Hospital, Corneliu Coposu Street 2, 410450 Oradea, Romania.
Medicina (Kaunas) ; 59(7)2023 Jun 28.
Article en En | MEDLINE | ID: mdl-37512027
Background and Objectives: This study aimed to explore the preoperative factors related to early mobilization and length of stay (LOS) after total hip arthroplasty and the benefits of the anterior approach over the traditional lateral approach. Materials and Methods: Every patient benefits from information regarding details of the surgery approach, possible intra, and postoperative complications, post-operator medical care, and steps in the early mobilization protocol. The patient underwent a pre-anesthetic evaluation, was checked for preoperatory vital function, and was reevaluated for mobilization at 6, 12, 24, 36, 48, and 96 h after total hip arthroplasty using the anterior versus lateral approach. Results: The result of the statistical calculations indicates the independent negative risk factors for reaching the mobilization target: age with a coefficient of -0.046, p = 0.0154 and lateral approach with a relative risk of 0.3802 (95% CI: 0.15-0.90), p = 0.0298. Statistical data concerning the length of stay (LOS) showed significant differences in the total days spent in the hospital. The patients who were operated on using the lateral approach presented a higher body mass index than those with the anterior approach, but this difference did not reach the threshold of statistical significance. Conclusions: In our study, patient mobilization is crucial to reduce LOS.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Artroplastia de Reemplazo de Cadera Tipo de estudio: Etiology_studies / Observational_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Medicina (Kaunas) Asunto de la revista: MEDICINA Año: 2023 Tipo del documento: Article País de afiliación: Rumanía Pais de publicación: Suiza
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Artroplastia de Reemplazo de Cadera Tipo de estudio: Etiology_studies / Observational_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Medicina (Kaunas) Asunto de la revista: MEDICINA Año: 2023 Tipo del documento: Article País de afiliación: Rumanía Pais de publicación: Suiza