Top

European Journal of Orthopaedic Surgery & Traumatology

Published in:

01-12-2015 | Original Article • HIP - ARTHROPLASTY

Does warming up improve surgical outcome in total hip arthroplasty?

Authors: Asim M. Makhdom, AbdulAziz Almaawi, Dylan Tanzer, Michael Tanzer

Published in: European Journal of Orthopaedic Surgery & Traumatology | Issue 8/2015

Abstract

Purpose

Warming up prior to surgery has been shown to enhance surgeons’ performance during laparoscopic procedures. It is unknown whether or not warming up prior to total hip arthroplasty (THA) will have a similar effect on surgical outcome.

Methods

We retrospectively evaluated the effect of warming up on the intraoperative outcome of 82 patients who underwent a primary THA with identical implants. The patients were divided equally into two groups. Group 1 (first case of the day) served as “warm-up procedure,” while Group 2 (second case of the day) was the “post-warm-up procedure.”

Results

We found no statistically significant difference when we compared cup abduction and anteversion angles, femoral offset, postoperative LLD, stem alignment, hip center of rotation and femoral stem canal fill between the two groups (p > 0.05).

Conclusion

Warming up prior to performing surgery does not make a difference for primary THA when performed by an experienced surgeon. However, these results may not reflect its effect on procedures that require fine motor skills or done by an orthopedic trainee or less experienced surgeons.

Ajemian R, D’Ausilio A, Moorman H, Bizzi E (2010) Why professional athletes need a prolonged period of warm-up and other peculiarities of human motor learning. J Mot Behav 42(6):381–388CrossRefPubMed

Motel T, Fisher KV, Leydon C (2003) Vocal warm-up increases phonation threshold pressure in soprano singers at high pitch. J Voice 17(2):160–167CrossRefPubMed

Neiva HP, Marques MC, Barbosa TM, Izquierdo M, Marinho DA (2014) Warm-up and performance in competitive swimming. Sports Med 44(3):319–330CrossRefPubMed

Neiva HP, Marques MC, Fernandes RJ, Viana JL, Barbosa TM, Marinho DA (2014) Does warm-up have a beneficial effect on 100-m freestyle? Int J Sports Physiol Perform 9(1):145–150CrossRefPubMed

Lazarus RS (1985) The psychology of stress and coping. Issues Ment Health Nurs 7(1–4):399–418CrossRefPubMed

Jalink MB, Goris J, Heineman E, Pierie JP, ten Cate Hoedemaker HO (2014) The effects of video games on laparoscopic simulator skills. Am J Surg 208(1):151–156CrossRefPubMed

Kroft J, Ordon M, Arthur R, Pittini R (2012) Does surgical “warming up” improve laparoscopic simulator performance? Simul Healthc 7(6):339–342CrossRefPubMed

Lendvay TS, Brand TC, White L, Kowalewski T, Jonnadula S, Mercer LD et al (2013) Virtual reality robotic surgery warm-up improves task performance in a dry laboratory environment: a prospective randomized controlled study. J Am Coll Surg 216(6):1181–1192PubMedCentralCrossRefPubMed

Chen CC, Green IC, Colbert-Getz JM, Steele K, Chou B, Lawson SM et al (2013) Warm-up on a simulator improves residents’ performance in laparoscopic surgery: a randomized trial. Int Urogynecol J 24(10):1615–1622CrossRefPubMed

10.

Abdalla G, Moran-Atkin E, Chen G, Schweitzer MA, Magnuson TH, Steele KE (2014) The effect of warm-up on surgical performance: a systematic review. Surg Endosc 29:1259–1269CrossRefPubMed

11.

Widmer KH (2004) A simplified method to determine acetabular cup anteversion from plain radiographs. J Arthroplasty 19(3):387–390CrossRefPubMed

12.

Lewinnek GE, Lewis JL, Tarr R, Compere CL, Zimmerman JR (1978) Dislocations after total hip-replacement arthroplasties. J Bone Joint Surg Am 60(2):217–220PubMed

13.

Eggli S, Pisan M, Muller ME (1998) The value of preoperative planning for total hip arthroplasty. J Bone Joint Surg Br 80(3):382–390CrossRefPubMed

14.

Wilson M, Coleman M, McGrath J (2010) Developing basic hand-eye coordination skills for laparoscopic surgery using gaze training. BJU Int 105(10):1356–1358CrossRefPubMed

15.

McCaskie AW, Kenny DT, Deshmukh S (2011) How can surgical training benefit from theories of skilled motor development, musical skill acquisition and performance psychology? Med J Aust 194(9):463–465PubMed

16.

Guidetti L, Emerenziani GP, Gallotta MC, Baldari C (2007) Effect of warm up on energy cost and energy sources of a ballet dance exercise. Eur J Appl Physiol 99(3):275–281CrossRefPubMed

17.

Small K, Mc Naughton L, Matthews M (2008) A systematic review into the efficacy of static stretching as part of a warm-up for the prevention of exercise-related injury. Res Sports Med 16(3):213–231CrossRefPubMed

18.

Purcell Jackson G, Tarpley JL (2009) How long does it take to train a surgeon? BMJ 339:b4260CrossRefPubMed

19.

Andrew JG, Palan J, Kurup HV, Gibson P, Murray DW, Beard DJ (2008) Obesity in total hip replacement. J Bone Joint Surg Br 90(4):424–429CrossRefPubMed

20.

Bennett D, Gibson D, O’Brien S, Beverland DE (2010) Hip arthroplasty in morbidly obese patients - intra-operative and short term outcomes. Hip Int 20(1):75–80PubMed

21.

Bradley BM, Griffiths SN, Stewart KJ, Higgins GA, Hockings M, Isaac DL (2014) The effect of obesity and increasing age on operative time and length of stay in primary hip and knee arthroplasty. J Arthroplasty 29(10):1906–1910CrossRefPubMed

22.

Xu R, Carty MJ, Orgill DP, Lipsitz SR, Duclos A (2013) The teaming curve: a longitudinal study of the influence of surgical team familiarity on operative time. Ann Surg 258(6):953–957CrossRefPubMed

Title: Does warming up improve surgical outcome in total hip arthroplasty?
Authors: Asim M. Makhdom
AbdulAziz Almaawi
Dylan Tanzer
Michael Tanzer
Publication date: 01-12-2015
Publisher: Springer Paris
Published in: European Journal of Orthopaedic Surgery & Traumatology / Issue 8/2015
Print ISSN: 1633-8065
Electronic ISSN: 1432-1068
DOI: https://doi.org/10.1007/s00590-015-1679-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Does warming up improve surgical outcome in total hip arthroplasty?

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

Please log in to get access to this content

Other articles of this Issue 8/2015

Resurfacing head size and femoral fracture: Are registry conclusions on head size justified?

Accuracy of CT-based patient-specific guides for total knee arthroplasty in patients with post-traumatic osteoarthritis

Revision hip arthroplasty using impacted cancellous bone and cement: a long-term follow-up study

Local infiltration analgesia versus continuous interscalene brachial plexus block for shoulder replacement pain: a randomized clinical trial

The service impact of failed locking plate fixation of distal tibial fractures: a service and financial evaluation at a major trauma centre

Erratum to: Salvage of failed hip osteosynthesis for fractures with modular hip prosthesis