Balance and functional disorders in geriatric patients after total hip prosthesis removal

J Back Musculoskelet Rehabil. 2021;34(3):491-496. doi: 10.3233/BMR-200204.

Abstract

Background: One of the most difficult complications of total hip arthroplasty is an infection in the area of the implant with an incidence of 0.5% to 2.5% resulting in the most severe situation in prosthesis removal.

Objective: The aim of the study was to assess postural stability and functional disorders in patients after hip prosthesis removal.

Methods: A group of 15 patients after hip prosthesis removal was compared to a control group of 15 healthy persons who were age-matched without any symptoms of degenerative disorders in the lower spine and lower extremities. The static balance test was conducted on a bi-modular stabilometric platform, registering the movement of the centre of foot pressure. The functional state of the patients was assessed on the basis of the Harris Hip Score (HHS).

Results: Patients had poor functional result (HSS mean 62.29 ± 12.92 points). Obtained results of postural stability of patients showed huge difficulties maintaining stability and showed statistically significant differences in a majority of the analysed parameters.

Conclusions: Several stability parameters showed significantly worse results in patients after hip prosthesis removal. Special attention should be paid and focused physiotherapy should be undertaken for patients with a stability disorder and functional status to prevent falls and improve functioning.

Keywords: Girdlestone procedure; Postural stability; hanging hip; hip.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Arthroplasty, Replacement, Hip*
  • Artificial Limbs
  • Device Removal*
  • Female
  • Hip Prosthesis / adverse effects*
  • Humans
  • Male
  • Postural Balance / physiology*
  • Reoperation / methods