UDC

[616.728.2:616-036.8]-055.1/.2

DOI

10.37482/2687-1491-Z229

Authors

Nadezhda I. Ishekova* ORCID: https://orcid.org/0000-0002-0506-4375
Aleksandr N. Ishekov* ORCID: https://orcid.org/0000-0001-7692-9818
Nadezhda A. Goryannaya* ORCID: https://orcid.org/0000-0002-6127-6540
*Northern State Medical University
(Arkhangelsk, Russia)

Abstract

Hip replacement is one of the common methods of treating hip osteoarthritis. Studying recovery in different gender groups will allow us to develop better methods for all stages of postoperative rehabilitation. The purpose of this research was to compare the functional state of men and women before hip replacement surgery as well as during the early and late rehabilitation periods. Materials and methods. The study was conducted at the Orthopaedics and Traumatology Department of the Northern Medical Clinical Centre named after N.A. Semashko of the Federal Medical and Biological Agency of Russia. The experiment involved 73 women and 67 men (mean age 57 ± 9 years). Patients’ cardiovascular and respiratory parameters, hip range of motion and psycho-emotional state were analysed in the preoperative period (day 1 at the hospital) as well as during the early (day 10–12 (depending on the fixation of the hip prosthesis)) and late (after 3 months of rehabilitation) periods of rehabilitation. The rehabilitation programme included physical therapy, instrumental physiotherapy, mechanotherapy and massage. Results. The analysis of the data obtained showed better recovery of flexion range in women, while men demonstrated greater strength endurance. We found no statistically significant differences in the level of pain between the groups at each stage of the experiment. Higher mean arterial pressure and higher tone of small and large vessels were recorded in men. According to spirographic data, forced vital capacity of the lungs in both sexes before and after hip replacement corresponded to the norm; however, values in women were lower than in men (рm–f = 0.001) during all stages. Interestingly, we found an increase in the percentage of patients with mild depression after 3 months, which in the late period of rehabilitation was more common for women (61.5 %) than men (47.1 %).

Keywords

hip replacement, postoperative rehabilitation, sex-related features of rehabilitation, haemodynamics, spirometry, psycho-emotional state of patients

References

1. Harris W.H. The First 50 Years of Total Hip Arthroplasty: Lessons Learned. Clin. Orthop. Relat. Res., 2009, vol. 467, no. 1, pp. 28–31. https://doi.org/10.1007/s11999-008-0467-1
2. Vzorova L.A. Psikhologicheskoe soprovozhdenie zhenshchin pozhilogo vozrasta s endoprotezirovaniem tazobedrennogo sustava [Psychological Support for Older Women with Hip Replacement]. Kotel’nikov G.P., Bulgakova S.V. (eds.). Klinicheskie i fundamental’nye aspekty gerontologii [Clinical and Fundamental Aspects of Gerontology]. Samara, 2017, pp. 115–119.
3. Barabash I.V. Izmeneniya v serdechno-sosudistoy sisteme posle total’nogo endoprotezirovaniya tazobedrennogo sustava [Changes in Cardio-Vascular System After Total Hip Joint Replacement]. Sibirskiy meditsinskiy zhurnal, 2000, vol. 23, no. 4, pp. 52–57.
4. Safarov D.M., Artykov K.P. Otsenka krovoobrashcheniya oblasti tazobedrennogo sustava do i posle operatsii endoprotezirovaniya pri vrozhdennom vyvikhe bedra [Evaluation of Circulation of the Hip Before and After Arthroplasty in Congenital Hip Dislocation]. Vestnik Avitsenny, 2016, no. 3, pp. 18−21.
5. Rybnikov A.V., Byalik E.I., Reshetnyak T.M., Makarov S.A., Khramov A.E. The Prevention of Venous Thromboembolism and the Risk of Postoperative Complications in Patients with Rheumatoid Arthritis and Osteoarthritis After Total Hip Arthroplasty. Nauchno-prakticheskaya revmatologiya, 2018, vol. 56, no. 6, pp. 797–804 (in Russ.).
6. Gudkov A.B., Popova O.N. Vneshnee dykhanie cheloveka na Evropeyskom Severe [External Respiration of Humans in the European North]. Arkhangelsk, 2012. 251 p.
7. Cherkasov M.A., Tikhilov R.M., Shubnyakov I.I., Kovalenko A.N., Mugutdinov Z.A. Patient Satisfaction Following Total Hip Replacement: Predictors of Success. Travmatologiya i ortopediya Rossii, 2018, vol. 24, no. 3, pp. 45–54 (in Russ.). https://doi.org/10.21823/2311-2905-2018-24-3-45-54
8. Min M., Du C., Chen X., Xin W. Effect of Subanesthetic Dose of Esketamine on Postoperative Rehabilitation in Elderly Patients Undergoing Hip Arthroplasty. J. Orthop. Surg. Res., 2023, vol. 18, no. 1. Art. no. 268. https://doi.org/10.1186/s13018-023-03728-2
9. Konnyu K.J., Pinto D., Cao W., Aaron R.K., Panagiotou O.A., Bhuma M.R., Adam G.P., Balk E.M., Thoma L.M. Rehabilitation for Total Hip Arthroplasty: A Systematic Review. Am. J. Phys. Med. Rehabil., 2023, vol. 102, no. 1, pp. 11–18. https://doi.org/10.1097/phm.0000000000002007
10. Sekirin A.B. Protokol ranney reabilitatsii posle endoprotezirovaniya krupnykh sustavov (obzor literatury) [Protocol of Early Rehabilitation After Endoprosthesis Replacement of Major Joints (Literature Review)]. Vestnik vosstanovitel’noy meditsiny, 2019, no. 2, pp. 51–57.