Sleep improvement after hip arthroplasty: a study on short-stem prosthesis

Abstract

Purpose The purpose of this study was to evaluate sleep disturbance prospectively before and after short-stem hip arthroplasty. Methods A prospective study on 25 patients undergoing a primary unilateral total short-stem hip replacement was conducted. Patients were observed for six months. To evaluate the sleep quality and daytime sleepiness, the Pittsburgh Sleep Quality Index and Epworth Sleepiness Scale were used. To assess the general physical health status, we used the Short Form 36 Health Survey (SF-36). Pain was recorded on a visual analog scale. Results The physical health status of the patients improved significantly (p < 0.05) during the six month follow-up period in seven out of nine categories. During the first post-operative week, the sleep quality stayed on an equal level to the pre-operative state, following a steady improvement over the next months (6 months p = 0.00). The daytime sleepiness showed a significant improvement during all the follow-ups (6 months p = 0.00). Pain decreased significantly from baseline to six months postoperatively (p = 0.00). There was no correlation between pain and sleep quality or pain and daytime sleepiness. Conclusion According to our results, patients undergoing short-stem total hip arthroplasty can expect a 50% improvement of sleep quality and physical function six months after surgery.

Sleep Disturbance Trends in the Short-Term Postoperative Period for Patients Undergoing Total Joint Arthroplasty

“…There is a consensus in the current literature that TJA improves sleep quality > 3 months after surgery; however, some studies in THA and/or TKA have found that patients experience a transient period of worsened sleep in the immediate postoperative period, whereas others have found no such evidence. 9-11,20 Our study suggests that both scenarios are equally plausible and that patients' immediate postoperative sleep quality is related to their level of preoperative sleep impairment. To our knowledge, no other study has previously stratified patients according to their preoperative sleep quality, and our results may explain differences in findings in the current literature.…”

“…6,8 Indeed, there is no consensus in the current literature as to whether TJA negatively affects sleep in the short-term postoperative period or when patients with preoperative sleep disturbances experience improvements in their sleep. [9][10][11] Such data are important given the known potentially deleterious effect of sleep disturbances on perioperative functional surgical outcomes, such as range of motion. 12,13 Furthermore, short-term postoperative sleep data may be useful to effectively counsel patients and manage expectations.…”

Influence of Depression and Sleep Quality on Postoperative Outcomes after Total Hip Arthroplasty: A Prospective Study

“…To our knowledge, there are no previous studies discussing the role of sleep quality on THA outcomes. However, most of the other literature regarding sleep quality and THA focuses on the possible influence of surgery on sleep quality improvement [38][39][40].…”