Abstract:

BACKGROUND: Hip replacement is a reconstruction of the hip joint function with a significant efficacy in orthopedic surgery. When lying in bed for a long period of time after replacement and failing to perform rehabilitation, the patients might have different degrees of motor weakness and joint contractures, affecting the restoration of joint function and surgical efficacy.
OBJECTIVE: To explore a return visit after hip replacement rehabilitation to continue the life activity and efficacy evaluation.
METHODS: A total of 28 patients, aged 78.2 (68-81) years, 16 males and 12 females, were selected, who were admitted for the hip joint replacement. The patients were randomly divided into treatment and control groups. Patients from the reatment group were discharged into the community health service centers at 15 days after hip replacement for rehabilitation exercise for 1 month, according to the stability of prosthesis, patient age, and physical condition, such as replacement time. The control group was only followed up without the associated rehabilitation. Two groups were followed up at 1 day, 1 and 6 months in the community health service centers subjected to Harris and Barthel assessment by muscle strength.
RESULTS AND CONCLUSION: Treatment group was followed up, but in the control group 1 case was admitted to the central hospital due to falling-caused fracture, 1 case died of heart attack, 2 cases did not go back or get in touch, and 4 were off return visit. The activities of daily living index, Harris Assessment and Barthel Index score significantly improved in two groups of patients at 1 day, 1 and 6 months in community health center, and 1, 6-month above parameters in the treatment group were significantly greater than the control group (P < 0.01). Results suggest that functional training in the community health service center improves of daily living activity and function efficacy of patients after total hip replacement.