Sunday, July 13, 2014

July 9th Pelvic PT Distance Journal Club recording

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.

MJ Strauhal, PT, DPT, BCB-PMD
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

·         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.

MJ Strauhal, PT, DPT, BCB-PMD
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

·         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