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Published in: Current Reviews in Musculoskeletal Medicine 1/2012

01-03-2012 | Hip Rehabilitation (J Edelstein, Section Editor)

Hip resurfacing: not your average hip replacement

Authors: Scott Siverling, Ioonna Felix, S. Betty Chow, Elizabeth Niedbala, Edwin P. Su

Published in: Current Reviews in Musculoskeletal Medicine | Issue 1/2012

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Abstract

Hip resurfacing (HR) has become a widely used surgical intervention for younger patients requiring hip joint arthroplasty. While case reports have been published describing rehabilitation programs following HR, there has yet to be established rehabilitation guidelines. Through experience and clinical reasoning, the following guidelines have been developed based on the patients at the Hospital for Special Surgery. The demographics of the typical HR patient, along with the surgical process are described. Current published literature reporting rehabilitation for patients with arthritic hip pathologies has been incorporated into the guidelines and is presented. The guidelines are divided into three phases, with goals for each phase explained. A progression through phases by way of reaching certain milestones and goals is advocated.
Literature
1.
go back to reference Lawrence RC, Felson DT, Helmick CG, et al. Estimates of the prevalence of arthritis and other rheumatic conditions in the united states. part II. Arthritis Rheum. 2008;58(1):26–35.PubMedCrossRef Lawrence RC, Felson DT, Helmick CG, et al. Estimates of the prevalence of arthritis and other rheumatic conditions in the united states. part II. Arthritis Rheum. 2008;58(1):26–35.PubMedCrossRef
3.
go back to reference Lee K, Goodman S. Current state and future of joint replacements in the hip and knee. Expert Rev Med Devices. 2008;5(3):383–93.PubMedCrossRef Lee K, Goodman S. Current state and future of joint replacements in the hip and knee. Expert Rev Med Devices. 2008;5(3):383–93.PubMedCrossRef
4.
go back to reference Kurtz S, Ong K, Lau E, Mowat F, Halpern M. Projections of primary and revision hip and knee arthroplasty in the united states from 2005 to 2030. J Bone Joint Surg Am. 2007;89(4):780–5.PubMedCrossRef Kurtz S, Ong K, Lau E, Mowat F, Halpern M. Projections of primary and revision hip and knee arthroplasty in the united states from 2005 to 2030. J Bone Joint Surg Am. 2007;89(4):780–5.PubMedCrossRef
5.
go back to reference Shimmin AJ, Bare JV. Comparison of functional results of hip resurfacing and total hip replacement: a review of the literature. Orthop Clin N Am. 2011;42(2):143–51. vii.CrossRef Shimmin AJ, Bare JV. Comparison of functional results of hip resurfacing and total hip replacement: a review of the literature. Orthop Clin N Am. 2011;42(2):143–51. vii.CrossRef
6.
go back to reference Eskelinen A, Remes V, Helenius I, Pulkkinen P, Nevalainen J, Paavolainen P. Total hip arthroplasty for primary osteoarthrosis in younger patients in the Finnish arthroplasty register. 4,661 primary replacements followed for 0–22 years. Acta Orthop. 2005;76(1):28–41.PubMedCrossRef Eskelinen A, Remes V, Helenius I, Pulkkinen P, Nevalainen J, Paavolainen P. Total hip arthroplasty for primary osteoarthrosis in younger patients in the Finnish arthroplasty register. 4,661 primary replacements followed for 0–22 years. Acta Orthop. 2005;76(1):28–41.PubMedCrossRef
7.
go back to reference •• Amanatullah DF, Cheung Y, Di Cesare PE. Hip resurfacing arthroplasty: a review of the evidence for surgical technique, outcome, and complications. Orthop Clin North Am. 2010;41(2):263–272. The authors review and discuss critically the literature and evidence regarding patient selection, surgical technique and outcomes. As popularity for this surgery grows it is important to be aware of the most current evidence regarding technique and selection. This may guide post-operative goals, outcomes and care.PubMedCrossRef •• Amanatullah DF, Cheung Y, Di Cesare PE. Hip resurfacing arthroplasty: a review of the evidence for surgical technique, outcome, and complications. Orthop Clin North Am. 2010;41(2):263–272. The authors review and discuss critically the literature and evidence regarding patient selection, surgical technique and outcomes. As popularity for this surgery grows it is important to be aware of the most current evidence regarding technique and selection. This may guide post-operative goals, outcomes and care.PubMedCrossRef
9.
go back to reference Quesada MJ, Marker DR, Mont MA. Metal-on-metal hip resurfacing: advantages and disadvantages. J Arthroplasty. 2008;23(7 Suppl):69–73.PubMedCrossRef Quesada MJ, Marker DR, Mont MA. Metal-on-metal hip resurfacing: advantages and disadvantages. J Arthroplasty. 2008;23(7 Suppl):69–73.PubMedCrossRef
10.
go back to reference Crow JB, Gelfand B, Su EP. Use of joint mobilization in a patient with severely restricted hip motion following bilateral hip resurfacing arthroplasty. Phys Ther. 2008;88(12):1591–600.PubMedCrossRef Crow JB, Gelfand B, Su EP. Use of joint mobilization in a patient with severely restricted hip motion following bilateral hip resurfacing arthroplasty. Phys Ther. 2008;88(12):1591–600.PubMedCrossRef
11.
go back to reference • Dunleavy K. Outcomes of hip resurfacing in a professional dancer: a case report. Physiother Theory Pract. 2011. This article examined various treatment interventions on a post operative hip resurfacing patient. Treatment interventions emphasized the importance of strengthening hip abductors, extensors and external rotators as well as pelvic alignment and hip flexibility. A timeline of recovery and achievements of functional goals based on assessments and outcome measures were discussed. • Dunleavy K. Outcomes of hip resurfacing in a professional dancer: a case report. Physiother Theory Pract. 2011. This article examined various treatment interventions on a post operative hip resurfacing patient. Treatment interventions emphasized the importance of strengthening hip abductors, extensors and external rotators as well as pelvic alignment and hip flexibility. A timeline of recovery and achievements of functional goals based on assessments and outcome measures were discussed.
12.
go back to reference Treacy RB, McBryde CW, Pynsent PB. Birmingham hip resurfacing arthroplasty. A minimum follow-up of five years. J Bone Joint Surg Br. 2005;87(2):167–70.PubMedCrossRef Treacy RB, McBryde CW, Pynsent PB. Birmingham hip resurfacing arthroplasty. A minimum follow-up of five years. J Bone Joint Surg Br. 2005;87(2):167–70.PubMedCrossRef
13.
go back to reference Nunley RM, Della Valle CJ, Barrack RL. Is patient selection important for hip resurfacing? Clin Orthop Relat Res. 2009;467(1):56–65.PubMedCrossRef Nunley RM, Della Valle CJ, Barrack RL. Is patient selection important for hip resurfacing? Clin Orthop Relat Res. 2009;467(1):56–65.PubMedCrossRef
14.
go back to reference Carrothers AD, Gilbert RE, Jaiswal A, Richardson JB. Birmingham hip resurfacing: the prevalence of failure. J Bone Joint Surg Br. 2010;92(10):1344–50.PubMedCrossRef Carrothers AD, Gilbert RE, Jaiswal A, Richardson JB. Birmingham hip resurfacing: the prevalence of failure. J Bone Joint Surg Br. 2010;92(10):1344–50.PubMedCrossRef
15.
go back to reference Brown GD, Swanson EA, Nercessian OA. Neurologic injuries after total hip arthroplasty. Am J Orthop (Belle Mead NJ). 2008;37(4):191–7. Brown GD, Swanson EA, Nercessian OA. Neurologic injuries after total hip arthroplasty. Am J Orthop (Belle Mead NJ). 2008;37(4):191–7.
16.
go back to reference Back DL, Smith JD, Dalziel RE, Young DA, Shimmin A. Incidence of heterotopic ossification after hip resurfacing. ANZ J Surg. 2007;77(8):642–7.PubMedCrossRef Back DL, Smith JD, Dalziel RE, Young DA, Shimmin A. Incidence of heterotopic ossification after hip resurfacing. ANZ J Surg. 2007;77(8):642–7.PubMedCrossRef
17.
go back to reference Della Valle AG, Ruzo PS, Pavone V, Tolo E, Mintz DN, Salvati EA. Heterotopic ossification after total hip arthroplasty: a critical analysis of the brooker classification and proposal of a simplified rating system. J Arthroplasty. 2002;17(7):870–5.PubMedCrossRef Della Valle AG, Ruzo PS, Pavone V, Tolo E, Mintz DN, Salvati EA. Heterotopic ossification after total hip arthroplasty: a critical analysis of the brooker classification and proposal of a simplified rating system. J Arthroplasty. 2002;17(7):870–5.PubMedCrossRef
18.
go back to reference Corten K, MacDonald SJ. Hip resurfacing data from national joint registries: what do they tell us? what do they not tell us? Clin Orthop Relat Res. 2010;468(2):351–7.PubMedCrossRef Corten K, MacDonald SJ. Hip resurfacing data from national joint registries: what do they tell us? what do they not tell us? Clin Orthop Relat Res. 2010;468(2):351–7.PubMedCrossRef
20.
go back to reference MacDonald CW, Whitman JM, Cleland JA, Smith M, Hoeksma HL. Clinical outcomes following manual physical therapy and exercise for hip osteoarthritis: A case series. J Orthop Sports Phys Ther. 2006;36(8):588–99.PubMed MacDonald CW, Whitman JM, Cleland JA, Smith M, Hoeksma HL. Clinical outcomes following manual physical therapy and exercise for hip osteoarthritis: A case series. J Orthop Sports Phys Ther. 2006;36(8):588–99.PubMed
21.
go back to reference Maitland GD. Peripheral manipulation. 3rd ed. London: Butterworth-Heinemann; 1991. p. 322. Maitland GD. Peripheral manipulation. 3rd ed. London: Butterworth-Heinemann; 1991. p. 322.
22.
go back to reference Vicenzino B. Mobilisation with movement: the art and the science. Chatswood: Elsevier Australia; 2011. p. 228. Vicenzino B. Mobilisation with movement: the art and the science. Chatswood: Elsevier Australia; 2011. p. 228.
23.
go back to reference Cibulka MT, White DM, Woehrle J, et al. Hip pain and mobility deficits–hip osteoarthritis: clinical practice guidelines linked to the international classification of functioning, disability, and health from the orthopaedic section of the american physical therapy association. J Orthop Sports Phys Ther. 2009;39(4):A1–A25.PubMed Cibulka MT, White DM, Woehrle J, et al. Hip pain and mobility deficits–hip osteoarthritis: clinical practice guidelines linked to the international classification of functioning, disability, and health from the orthopaedic section of the american physical therapy association. J Orthop Sports Phys Ther. 2009;39(4):A1–A25.PubMed
24.
go back to reference • Hakkinen A, Borg H, Kautiainen H, et al. Muscle strength and range of movement deficits 1 year after hip resurfacing surgery using posterior approach. Disabil Rehabil. 2010;32(6):483–491. This article discusses and highlights the need for specific postoperative rehabilitation and care. The deficits in external rotation strength one year after surgery were noted along with a gradual increase in internal rotation strength. Without intervention, strength imbalances could affect function and long-term outcome.PubMedCrossRef • Hakkinen A, Borg H, Kautiainen H, et al. Muscle strength and range of movement deficits 1 year after hip resurfacing surgery using posterior approach. Disabil Rehabil. 2010;32(6):483–491. This article discusses and highlights the need for specific postoperative rehabilitation and care. The deficits in external rotation strength one year after surgery were noted along with a gradual increase in internal rotation strength. Without intervention, strength imbalances could affect function and long-term outcome.PubMedCrossRef
25.
go back to reference Le Duff MJ, Amstutz HC. Sporting activity after hip resurfacing: changes over time. Orthop Clin North Am. 2011;42(2):161–7. vii–viii.PubMedCrossRef Le Duff MJ, Amstutz HC. Sporting activity after hip resurfacing: changes over time. Orthop Clin North Am. 2011;42(2):161–7. vii–viii.PubMedCrossRef
26.
go back to reference Binkley JM, Stratford PW, Lott SA, Riddle DL. The lower extremity functional scale (LEFS): scale development, measurement properties, and clinical application. north american orthopaedic rehabilitation research network. Phys Ther. 1999;79(4):371–83.PubMed Binkley JM, Stratford PW, Lott SA, Riddle DL. The lower extremity functional scale (LEFS): scale development, measurement properties, and clinical application. north american orthopaedic rehabilitation research network. Phys Ther. 1999;79(4):371–83.PubMed
27.
go back to reference Marzke MW, Longhill JM, Rasmussen SA. Gluteus maximus muscle function and the origin of hominid bipedality. Am J Phys Anthropol. 1988;77(4):519–28.PubMedCrossRef Marzke MW, Longhill JM, Rasmussen SA. Gluteus maximus muscle function and the origin of hominid bipedality. Am J Phys Anthropol. 1988;77(4):519–28.PubMedCrossRef
28.
go back to reference Lieberman DE, Raichlen DA, Pontzer H, Bramble DM, Cutright-Smith E. The human gluteus maximus and its role in running. J Exp Biol. 2006;209(Pt 11):2143–55.PubMedCrossRef Lieberman DE, Raichlen DA, Pontzer H, Bramble DM, Cutright-Smith E. The human gluteus maximus and its role in running. J Exp Biol. 2006;209(Pt 11):2143–55.PubMedCrossRef
29.
go back to reference Nikolaou V, Bergeron SG, Huk OL, Zukor DJ, Antoniou J. Evaluation of persistent pain after hip resurfacing. Bull NYU Hosp Jt Dis. 2009;67(2):168–72.PubMed Nikolaou V, Bergeron SG, Huk OL, Zukor DJ, Antoniou J. Evaluation of persistent pain after hip resurfacing. Bull NYU Hosp Jt Dis. 2009;67(2):168–72.PubMed
30.
go back to reference Ala Eddine T, Remy F, Chantelot C, Giraud F, Migaud H, Duquennoy A. Anterior iliopsoas impingement after total hip arthroplasty: diagnosis and conservative treatment in 9 cases. Rev Chir Orthop Reparatrice Appar Mot. 2001;87(8):815–9.PubMed Ala Eddine T, Remy F, Chantelot C, Giraud F, Migaud H, Duquennoy A. Anterior iliopsoas impingement after total hip arthroplasty: diagnosis and conservative treatment in 9 cases. Rev Chir Orthop Reparatrice Appar Mot. 2001;87(8):815–9.PubMed
31.
go back to reference Della Valle CJ, Di Cesare PE. Complications of total hip arthroplasty: neurovascular injury, leg-length discrepancy, and instability. Bull Hosp Joint Dis. 2001;60(3–4):134–42. Della Valle CJ, Di Cesare PE. Complications of total hip arthroplasty: neurovascular injury, leg-length discrepancy, and instability. Bull Hosp Joint Dis. 2001;60(3–4):134–42.
32.
go back to reference Lachiewicz PF, Kauk JR. Anterior iliopsoas impingement and tendinitis after total hip arthroplasty. J Am Acad Orthop Surg. 2009;17(6):337–44.PubMed Lachiewicz PF, Kauk JR. Anterior iliopsoas impingement and tendinitis after total hip arthroplasty. J Am Acad Orthop Surg. 2009;17(6):337–44.PubMed
34.
go back to reference Travell JG, Simons DG. Myofascial pain and dysfunction: the trigger point manual. Baltimore: Williams & Wilkins; 1983; 1992. Travell JG, Simons DG. Myofascial pain and dysfunction: the trigger point manual. Baltimore: Williams & Wilkins; 1983; 1992.
35.
go back to reference Woodley SJ, Nicholson HD, Livingstone V, et al. Lateral hip pain: findings from magnetic resonance imaging and clinical examination. J Orthop Sports Phys Ther. 2008;38(6):313–28.PubMed Woodley SJ, Nicholson HD, Livingstone V, et al. Lateral hip pain: findings from magnetic resonance imaging and clinical examination. J Orthop Sports Phys Ther. 2008;38(6):313–28.PubMed
36.
go back to reference Chance-Larsen K, Littlewood C, Garth A. Prone hip extension with lower abdominal hollowing improves the relative timing of gluteus maximus activation in relation to biceps femoris. Man Ther. 2010;15(1):61–5.PubMedCrossRef Chance-Larsen K, Littlewood C, Garth A. Prone hip extension with lower abdominal hollowing improves the relative timing of gluteus maximus activation in relation to biceps femoris. Man Ther. 2010;15(1):61–5.PubMedCrossRef
37.
go back to reference Wagner T, Behnia N, Ancheta WK, Shen R, Farrokhi S, Powers CM. Strengthening and neuromuscular reeducation of the gluteus maximus in a triathlete with exercise-associated cramping of the hamstrings. J Orthop Sports Phys Ther. 2010;40(2):112–9.PubMed Wagner T, Behnia N, Ancheta WK, Shen R, Farrokhi S, Powers CM. Strengthening and neuromuscular reeducation of the gluteus maximus in a triathlete with exercise-associated cramping of the hamstrings. J Orthop Sports Phys Ther. 2010;40(2):112–9.PubMed
Metadata
Title
Hip resurfacing: not your average hip replacement
Authors
Scott Siverling
Ioonna Felix
S. Betty Chow
Elizabeth Niedbala
Edwin P. Su
Publication date
01-03-2012
Publisher
Current Science Inc.
Published in
Current Reviews in Musculoskeletal Medicine / Issue 1/2012
Electronic ISSN: 1935-9748
DOI
https://doi.org/10.1007/s12178-011-9103-x

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