Article

After total hip arthroplasty (THA), patients today (who tend to be
younger and more active than those who previously underwent this surgical
procedure) have high expectations regarding functional outcome. Therefore,
patients need to be well informed about recovery of physical functioning after THA. The purpose of this study was to review publications on recovery of physical functioning after THA and examine the degree of recovery with regard to
3 aspects of functioning (ie, perceived physical functioning, functional capacity
to perform activities, and actual daily activity in the home situation). DATA
SOURCES: Data were obtained from the MEDLINE and EMBASE databases from inception
to July 2009, and references in identified articles were tracked. STUDY SELECTION: Prospective studies with a before-after design were included. Patients
included in the analysis had to have primary THA for osteoarthritis. DATA
EXTRACTION AND SYNTHESIS: Two reviewers independently checked the inclusion
criteria, conducted the risk of bias assessment, and extracted the results. Data
were pooled in a meta-analysis using a random-effects model. RESULTS: A total of
31 studies were included. For perceived physical functioning, patients recovered
from less than 50% preoperatively to about 80% of that of controls (individuals
who were healthy) 6 to 8 months postsurgery. On functional capacity, patients
recovered from 70% preoperatively to about 80% of that of controls 6 to 8 months
postsurgery. For actual daily activity, patients recovered from 80%
preoperatively to 84% of that of controls at 6 months postsurgery. LIMITATIONS:
Only a few studies were retrieved that investigated the recovery of physical
functioning longer than 8 months after surgery. CONCLUSIONS: Compared with the
preoperative situation, the 3 aspects of physical functioning showed varying
degrees of recovery after surgery. At 6 to 8 months postoperatively, physical
functioning had generally recovered to about 80% of that of controls.

Langue : ANGLAIS