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Difference in Patient Quality of Life after Hip Arthroplasty with a Minimally Invasive Approach or Classic Approach

Mirela Vučković ; Lovran Department of Orthopedic Surgery, School of Medicine, University of Rijeka, Lovran, Croatia
Lana Ružić ; Department of Kinesiologic Anthropology, Faculty of Kinesiology, University of Zagreb, Zagreb, Croatia
Anton Tudor ; Lovran Department of Orthopedic Surgery, School of Medicine, University of Rijeka, Lovran, Croatia
Ivana Šutić ; Health Center of Primorje-Gorski Kotar County, Rijeka, Croatia

Puni tekst: engleski pdf 237 Kb

str. 89-95

preuzimanja: 148



The increasing rate of orthopedic procedures, hip arthroplasty in particular, requires
improvement of surgical techniques, as well as of the respective rehabilitation protocols. The
aim of the study was to assess differences in the quality of life and incidence of limping eight years
after total hip arthroplasty performed with a minimally invasive or classic approach. This cross-sectional
study included 68 patients, i.e. 32 operated with classic approach and 36 with minimally invasive
approach during 2011. The following parameters were observed: anthropometric measurements,
history of comorbidity, subjective assessment of limping, and SF-36 questionnaire (Short Form Survey
Instrument). SF-36 testing, which consists of 8 domains, showed that 5 domains of the quality of
life were statistically significantly better in the minimally invasive group (level of significance p<0.05).
These domains were role of limitation due to physical health (p=0.01), energy (p=0.02), social functioning
(p=0.02), pain (p=0.02) and general health (p=0.00). The minimally invasive group had a statistically
significantly lower incidence of limping (p=0.032). Quality of life after hip replacement could
be a decisive factor when choosing the type of orthopedic procedure. The higher number of limping
patients in the classic approach group may have contributed to differences in the quality of life. In
conclusion, the minimally invasive approach enables higher long-term quality of life and functional

Ključne riječi

Arthroplasty, hip replacement, Osteoarthritis, Quality of life, Transgluteal approach

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Podaci na drugim jezicima: hrvatski

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