Sunday, July 13, 2014
July 9th Pelvic PT Distance Journal Club recording
http://rs2386.freeconferencecall.com:80/fcc/cgi-bin/play.mp3/2096471000-436790-44.mp3
Next call August 6, 2014
Hip dysfunction-related urinary incontinence: a prospective analysis of 189 female patients undergoing total hip arthroplasty. Tamaki T, Oinuma K, Shiratsuchi H, et al. International J Urol. 2014; DOI: 10.1111/iju.2014.
July 9, 2014 Pelvic PT Distance Journal Club
Purpose of the study: to evaluate the symptoms of urinary
incontinence (UI) before and after total hip arthroplasty (THA)
·
Study was done at the Funabashi Orthopedic
Hospital, Japan
Background:
·
Osteoarthritis (OA) of the hip is an important
cause of pain and disability
·
In Japan, prevalence of secondary OA from
congenital dislocation or acetabular dysplasia is high among elderly women
·
THA is one of the most frequent surgeries
carried out to improve QOL related to OA
·
In daily practice, patients report improvement
in UI post THA
Is urinary incontinence the hidden secret complications after total hip arthroplasty? Baba T, Homma Y, Takazawa N, et al. Eur J Orthop Surg Traumatol. 2014; DOI 10.1007/s00590-014-1413-4.
July 9, 2014 Pelvic PT Distance Journal
Club
Purpose of the study: to
investigate whether the posterior approach (PA) total hip arthroplasty (THA)
differs from the anterior approach (AA) THA in influence on urinary
incontinence (UI)
·
Study was
done at the Department of Orthopedic Surgery, Juntendo University School of
Medicine, Tokyo, Japan
Background:
·
PA
description
o
Patient
position is lateral recumbent
o
Surgical
method thought to be safer, provides wider visual field
o
Differences
in muscle strength and walking ability compared to the AP were limited to the
early post-op period; muscle strength at 6-12 months do not differ between PA
and AP
o
Gluteus
maximus is divided, short external rotators (ER) including the obturator
internus are detached
o
T-shaped
incision in the articular capsule, femoral head resected, prosthetic implanted
o
Short ER are
sutured to their original position as much as possible
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