Lychagin Alexey1,2, Cherepanov Vadim1, Lipina Marina1,2, Tselisheva Evgenia1, Yurku Kseniya3, Yavlieva H Roza1, Korkunov Alexey1, Vyazankin Ivan4. 1. Department of Traumatology, Orthopedics and Disaster Surgery, Sechenov University, Moscow, Russia. 2. Laboratory of Clinical Smart Nanotechnologies, Institute for Regenerative Medicine, Sechenov University, Moscow, Russia. 3. Department of Sports Medicine and Medical Rehabilitation, Sechenov University, Moscow, Russia. 4. Department of Traumatology, Orthopedics and Disaster Surgery, Sechenov University, Moscow, Russia. vzvzvzvan@mail.ru.
Abstract
INTRODUCTION: Degenerative changes in the hip joint as indications for operative treatment are observed in more than a third of the population over the age 50. In most cases, the development of a degenerative process in the hip joint is accompanied by changes in the sacroiliac joint. To improve the quality of life, relieve pain, and improve the clinical outcomes of rehabilitation after total hip arthroplasty (THA), an integrated approach should be chosen. MATERIALS AND METHODS: Eighty-four patients were enrolled in a prospective randomized study, between 2017 and 2020. The patients were randomly (with the use of computer) divided into two groups (42 to group I, 42 to group II). The first group of patients underwent surgery using a new technique that included intra-operative manual correction of iliosacral dislocation of the sacroiliac joint, whilst the second group of patients underwent THA according to the standard protocol. All groups of patients underwent THA. Clinical treatment outcomes were assessed with the use of the Visual Analogue Scale (VAS) and the Harris Hip Score (HHS). Kaplan-Meier estimator was constructed to determine the differences in the probability of recurrence of pain syndrome depending on the side of the dislocated sacroiliac joint. NCT04673747 (ClinicalTrials.gov identifier). RESULTS: There was a significant pain relief and an improvement in the quality of life of patients who underwent intra-operative manual correction of sacroiliac joint dislocation compared with the group of patients who underwent standard THA. CONCLUSION: The use of intra-operative manual correction of sacroiliac joint dislocation can lead to a pronounced improvement in the quality of life of patients, pain decrease, and an improvement in rehabilitation of patients after performing THA. According to the analysis of statistical data, a potential risk factor for recurrence of pain, is the presence of dislocation on the contralateral side from the operated joint.
INTRODUCTION: Degenerative changes in the hip joint as indications for operative treatment are observed in more than a third of the population over the age 50. In most cases, the development of a degenerative process in the hip joint is accompanied by changes in the sacroiliac joint. To improve the quality of life, relieve pain, and improve the clinical outcomes of rehabilitation after total hip arthroplasty (THA), an integrated approach should be chosen. MATERIALS AND METHODS: Eighty-four patients were enrolled in a prospective randomized study, between 2017 and 2020. The patients were randomly (with the use of computer) divided into two groups (42 to group I, 42 to group II). The first group of patients underwent surgery using a new technique that included intra-operative manual correction of iliosacral dislocation of the sacroiliac joint, whilst the second group of patients underwent THA according to the standard protocol. All groups of patients underwent THA. Clinical treatment outcomes were assessed with the use of the Visual Analogue Scale (VAS) and the Harris Hip Score (HHS). Kaplan-Meier estimator was constructed to determine the differences in the probability of recurrence of pain syndrome depending on the side of the dislocated sacroiliac joint. NCT04673747 (ClinicalTrials.gov identifier). RESULTS: There was a significant pain relief and an improvement in the quality of life of patients who underwent intra-operative manual correction of sacroiliac joint dislocation compared with the group of patients who underwent standard THA. CONCLUSION: The use of intra-operative manual correction of sacroiliac joint dislocation can lead to a pronounced improvement in the quality of life of patients, pain decrease, and an improvement in rehabilitation of patients after performing THA. According to the analysis of statistical data, a potential risk factor for recurrence of pain, is the presence of dislocation on the contralateral side from the operated joint.
Authors: L Cánovas Martínez; J Orduña Valls; E Paramés Mosquera; L Lamelas Rodríguez; S Rojas Gil; M Domínguez García Journal: Rev Esp Anestesiol Reanim Date: 2015-11-28
Authors: William L Bargar; Carol A Parise; Andrea Hankins; Natalie A Marlen; Valentina Campanelli; Nathan A Netravali Journal: J Arthroplasty Date: 2017-10-06 Impact factor: 4.757
Authors: Laura Guidetti; Valerio Bonavolontà; Alessandro Tito; Victor M Reis; Maria Chiara Gallotta; Carlo Baldari Journal: Biomed Res Int Date: 2013-06-02 Impact factor: 3.411