Efficacy of an Abduction Brace in Preventing Initial Dislocation in the Early Postoperative Period after Primary Total Hip Arthroplasty

Ishii, Yoshinori; Noguchi, Hideo; Takeda, Mitsuhiro; Sato, Junko; Domae, Yoichiro

doi:10.4236/ss.2012.33026

Cited by 3 publications

(7 citation statements)

References 32 publications

(55 reference statements)

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“…The drains were removed routinely during the first dressing change on POD 1. After drain removal, the patients were allowed full weight-bearing ambulation with a hip brace [10] to prevent initial hip dislocation. All patients received perioperative antibiotics for prophylaxis and analgesics for pain.…”

Section: Perioperative Treatment Protocolmentioning

confidence: 99%

“…In fact, Mitsuyasu et al [9] reported that the mean length of stay was 50.78 ± 30.34 days in high-volume hospitals and 70.61 ± 40.34 days in low-volume hospitals after THA in Japan. Because the average hospital stay was 40 ± 18 days after THA in our institute [10], we could investigate the various factors affecting POF and indicators of infection such as blood loss, transfusion, leukocytosis, and serum C-reactive protein (CRP) level during a longer period compared with previous studies. Most studies on POF after THA reported their findings from the immediate postoperative days (PODs) during patients' hospital stays [1][2][3].…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of Fever and Its Related Factors during 4 Weeks after Primary Total Hip Arthroplasty

Ishii¹,

Noguchi²,

Takeda³

et al. 2013

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The purpose of this study was to describe the incidence and characteristics of postoperative fever (POF; ≥38℃) and clarify the correlation between POF and febrile-related factors during 4 weeks after primary total hip arthroplasty (THA). A total of 56 patients were included in the study (67 THAs). The preoperative diagnosis for all patients was osteoarthritis. The average follow-up period was 90 months. No patients developed deep infection during the follow-up period. The maximum mean peak daily temperature was 37.7℃ on the day of the surgery and the next day. Fifty-two percent of patients experienced POF, with most developing a maximum temperature (MT) on the day of surgery and the latest occurring by postoperative day (POD) 3. Only C-reactive protein (R = 0.384, p = 0.001) among the febrile-related factors had a weak correlation with MT. Four hips showed a POF of >38℃ later than POD 7; all four of these patients were diagnosed with a urinary tract infection. POF is common and may be part of a normal inflammatory response to tissue injury after THA. More than half of patients may develop POF within 1 week, with most developing MT on POD 0 and the latest occurring by POD 3. In addition, urinary tract infections might be an initial reason for POF in the subsequent 3 weeks.

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Section: Perioperative Treatment Protocolmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Evaluation of Fever and Its Related Factors during 4 Weeks after Primary Total Hip Arthroplasty

Ishii¹,

Noguchi²,

Takeda³

et al. 2013

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“…Risk factors for a THA dislocation can be divided into surgery-dependent and patient-dependent factors. Among the most common surgery-dependent risk factors for THA dislocation are the surgical approach [8], soft tissue tensioning, component positioning [9], implant impingement, femoral head size and surgeon experience are among the most common causes [10].…”

Section: Introductionmentioning

confidence: 99%

“…First-time THA dislocations can often be managed non-operatively by closed reduction of the THA and the post-interventional use of a hip-abduction brace. Most physicians use a hip brace for 6–12 weeks post-reduction [ 10 , 13 ]. The small number of studies evaluating the use of hip abduction braces does, however, report controversial recommendations.…”

Section: Introductionmentioning

confidence: 99%

“…A study by Ishii et al showed a benefit of hip braces in preventing dislocation after primary THA. The authors indicate, that the brace helps patients recognizing provocative positions for dislocation and follow functional restrictions [ 10 ]. In contrast report, DeWal et al no difference in the re-dislocation rate of patients wearing or not wearing a brace after THA dislocation [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

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Do hip-abduction braces work?—A biomechanical evaluation of a commercially available hip brace

Michalik

Essing

Rohof

et al. 2021

Arch Orthop Trauma Surg

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Introduction Dislocations of the hip joint are a common and clinically relevant complication following total hip arthroplasty (THA). Hip-abduction braces are currently used following operative or non-operative treatment of THA dislocations to prevent re-dislocations. However, the clinical and biomechanical effectiveness of such braces is still controversial. Material and methods A total of 30 volunteers were measured during standing and during sitting up and down from a chair task wearing a hip brace set at 70°, 90° or no hip flexion limitation. Range of motion of the hip joint was measured in all directions by an inertial sensor system. Further it has been evaluated if the range of motion would be reduced by the additional use of an arthrodesis cushion. Results The use of a hip brace set up with flexion limitation did reduce hip ROM in all directions significantly compared to unhinged brace (p < 0.001–0.035). Performing the “sit down and stand-up task” the brace set up at 70° flexion limitation did reduce maximum hip flexion significantly (p = 0.008). However, in most cases the measured hip flexion angles were greater than the settings of the hip brace should have allowed. The additional use of a cushion can further limit hip motion while sitting up and down from a chair. Conclusion This study has demonstrated that hip-abduction braces reduce hip range of motion. However, we also found that to achieve a flexion limitation of the hip to 90°, the hip brace should be set at a 70° hip flexion limitation.

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Postoperative Brace Use After Hip Arthroscopy: A Systematic Review

Mavrommatis,

Feroe,

Fader

et al. 2023

HSS Journal®: The Musculoskeletal Journal of Hospital for Speci

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Background: Although hip bracing after hip arthroscopy is relatively common, it is not an evidence-based practice; no comparative studies or clinical trials exploring its effectiveness exist. Purpose: We sought to summarize the rates of and indications for hip bracing after hip arthroscopy, surgeons’ preferences on braces, and the types of braces used. Methods: A systematic review was conducted using the PubMed, Embase, and Medline databases to identify studies that examined hip bracing following hip arthroscopy. Two independent reviewers identified relevant studies with final inclusion determined by the senior author. Full-length, original research articles regarding relevant subject matter that were published prior to January 2022 were included in the analysis. Results: Of the 52 articles that underwent full-text review, 14 were included (10 clinical case series, comparative studies, or case-control studies and 4 cross-sectional studies of surgeon-specific postoperative rehabilitation protocols). These studies revealed that the practice of hip bracing after hip arthroscopy is relatively common among orthopedic surgeons, with up to 40% of surgeons using them. Surgical indications for postoperative brace use varied widely. Recommendations on the length of brace use varied, but range of motion restrictions were consistent. Conclusions: Although up to 40% of surgeons use post-hip arthroscopy bracing, there is insufficient evidence to determine whether it improves patient outcomes. Research producing higher levels of evidence regarding the efficacy of bracing following hip arthroscopy is necessary to understand the physical, mental, and economic costs and benefits to patients.

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Efficacy of an Abduction Brace in Preventing Initial Dislocation in the Early Postoperative Period after Primary Total Hip Arthroplasty

Cited by 3 publications

References 32 publications

Evaluation of Fever and Its Related Factors during 4 Weeks after Primary Total Hip Arthroplasty

Evaluation of Fever and Its Related Factors during 4 Weeks after Primary Total Hip Arthroplasty

Do hip-abduction braces work?—A biomechanical evaluation of a commercially available hip brace

Postoperative Brace Use After Hip Arthroscopy: A Systematic Review

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