Abstract: Aim: In order to ensure that patients undergoing the recovery program achieve the best possible functional outcome subsequent to the insertion of a primary total hip prosthesis, our objective is to forecast the various factors that may occur.
Materials and Methods: In this study, fifty consecutively included patients who had undergone primary total hip prosthesis surgery were provided with an immediate postoperative recovery program that incorporated an integrative component throughout their entire hospital stay. The individualized program was continued at home in accordance with the patients' specific characteristics, including gender, age, Body Mass Index (BMI), type of diagnosis necessitating prosthesis implantation, type of prosthesis implanted, and functional status of the contralateral hip. The Harris hip score was computed three months postoperatively, in comparison to the preoperative score, as well as the quality of life.
Results: Three months after the operation and recovery, the mean Harris hip score was more than double from its preoperative value of 30.01 to 85.79. Additionally, the patients, on average, reported a satisfactory quality of life. There were no statistically significant variations observed in the preoperative Harris hip score across various patient groups, with the exception of individuals aged 75 and above, for whom the score was significantly lower than that of the other age groups. The statistically significant differences between patient groups ceased to exist three months following the procedure. Three months after the procedure, the mean perceived quality of life was favorable.
Conclusion: The following elements contribute to a favorable functional outcome following primary total hip arthroplasty: initiation of a rehabilitation program promptly following the procedure, with its execution progressively progressing to resistance exercises, with its integrative component primarily focused on restoring walking independence and movement independence, and careful adaptation to the patient's unique characteristics, including but not limited to age, weight, and opposite hip condition. Gender, advanced age, the underlying condition necessitating prosthesis implantation, obesity, or a history of unoperated hip with functional impairment are not limiting factors and do not impede the achievement of favorable outcomes.
