Evaluation of Extreme Hip Joint Movement after Total Hip Arthroplasty: A Retrospective Study

Iwan Budiwan Anwar; Emile van der Heide; J. Jamari; Eko Saputra; Asep Santoso; Denny Adriansyah; Zarkasyi Arimukti

doi:10.3889/oamjms.2021.6528

Authors

Iwan Budiwan Anwar Department of Orthopaedic and Traumatology, Universitas Sebelas Maret, Prof. Dr. R. Soeharso Orthopaedic Hospital, Surakarta, Indonesia; Laboratory for Surface Technology and Tribology, Faculty of Engineering Technology, University of Twente, Enschede, The Netherlands
Emile van der Heide Laboratory for Surface Technology and Tribology, Faculty of Engineering Technology, University of Twente, Enschede, The Netherlands
J. Jamari Department of Mechanical Engineering, Laboratory for Engineering Design and Tribology, Universitas Diponegoro, Semarang, Indonesia
Eko Saputra Laboratory for Surface Technology and Tribology, Faculty of Engineering Technology, University of Twente, Enschede, The Netherlands; Department of Mechanical Engineering, Laboratory for Engineering Design and Tribology, Universitas Diponegoro, Semarang, Indonesia
Asep Santoso Department of Orthopaedic and Traumatology, Universitas Sebelas Maret, Prof. Dr. R. Soeharso Orthopaedic Hospital, Surakarta, Indonesia
Denny Adriansyah Department of Orthopaedic and Traumatology, Universitas Sebelas Maret, Prof. Dr. R. Soeharso Orthopaedic Hospital, Surakarta, Indonesia
Zarkasyi Arimukti Department of Orthopaedic and Traumatology, Universitas Sebelas Maret, Prof. Dr. R. Soeharso Orthopaedic Hospital, Surakarta, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2021.6528

Keywords:

Total hip arthroplasty, Functional outcome, Extreme hip movement

Abstract

Introductions: The number of total hip arthroplasty (THA) is increased every year in our country. Mobility ofthe hip joint after THA is important to achieve. Subject’s expectation to perform daily activity, moreoverextreme hip movement are crucial for some particular populations. This study aimed to evaluate patient’s functional outcome and ability to peform extreme hip joint movement. Methods: This is a retrospective study of patients who received total hip arthroplasty in our center. Evaluated factors Include age, gender, body mass Index (BMI), socio-economic status, diagnosis, physical therapy, radiographic acetabular inclination, acetabular cup diameter, and head diameter. Clinical evaluation performed with Harris hip score (HHS). Extreme hip joint movement evaluation performed with patient’s ability to perform squatting and Salat (Muslim prayer). The chi-square and mann-whitney tests were used for data analysis. Results: We collected data from a total of 22 subjects. All patients (100%) could perform squatting postoperatively. Among the subjects, therewere 11 patients (11/22, 50%) could perform Salat activity in excellent manner, while the rest (11 patients)need some modification of movement during Salat activity. All patients have significant improvement of Harris hip score compared to preoperative condition. Further, we tried to compare factors between the two group for possible difference. No significant difference in age, gender, BMI, comorbidities, preoperative diagnosis between two group of patients. Conclusions: Subject receiving THA can be expected to perform extreme hip joint movement post-operatively. However, some patients still could not perform Salat activity in excellent manner. Age, gender, BMI, and comorbidities seem to be had no effect on the patient’s ability to performextreme hip movement post-operatively.

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