Do lifestyle restrictions and precautions prevent dislocation after total hip arthroplasty? A systematic review and meta-analysis of the literature

Abstract

A more liberal lifestyle restrictions and precautions protocol will not lead to worse dislocation rates after total hip arthroplasty, but will lead to earlier and better resumption of activities and higher patient satisfaction. These results appear to hold up for various surgical approaches.

Patient sexual function and hip replacement surgery: A survey of surgeon attitudes

“…One third of the respondents indicated that resuming was permitted whenever the patient felt ready, and this was unrelated to the surgical technique. This seems in line with a recent review stating that Ba more liberal lifestyle restrictions and precautions protocol will not lead to worse dislocation rates, but instead will lead to earlier and better resumption of activities and higher patient satisfaction^ [24].…”

“…It covers demographic questions (questions 1-7) and questions on the three objectives: (i) surgeons' views on patients' perspectives of SF related issues (questions 8-11); (ii) surgeons' practises in addressing SF issues and perceived barriers to communication (question [12][13][14][15][16]; and (iii) surgeons' opinions on safe return to sexual activity after THA (question [17][18][19][20][21][22]. Finally, there were some additional questions (questions [23][24][25][26]). An in English translated version can be found in Appendix 1.…”

Limited benefits of the direct anterior approach in primary hip arthroplasty: A prospective single centre cohort study

“…They concluded that restrictions are not effective in any approach after THR. 26 Pre-and postoperative tests were conducted by an independent physical therapist. Patients were allowed to choose their own physical therapist.…”

Status of Healthcare

“…supine lying position, using walking aids, avoiding bending the hip joint by over 90 degrees) do not lead to lower rates of luxation. On the contrary, patients who were given more lenient behavioral restriction recommendations (»not sitting with crossed legs«) or none at all resumed activities earlier and showed a greater level of satisfaction (van der Weegen et al 2015). The 2010 Barmer GEK Hospital Report investigated the quality of life of selected insured patients and their level of outcome satisfaction following THA or TKA treatment by means of a written, retrospective and multidimensional survey.…”