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Hip arthroplasty is a frequent orthopedic surgery that revolutionized the treatment of degenerative and inflammatory joint diseases.
The purpose of this work is to know the functional outcome and to assess the quality of life after rehabilitation of a series of total hip arthroplasty and to compare them to literature.
Patients and methods
A prospective study involving 93 cases of total hip arthroplasty (including 15 bilateral) performed on 78 patients followed in the physical and rehabilitation medicine department at the university hospital Ibn Rochd of Casablanca in the postoperative outcome.
The evaluation was performed preoperatively, at 6 weeks and 3 months postoperatively, it consisted of an assessment of pain, active and passive joint mobility, function index Postel-Merle of Aubigné (PMA) and quality of life by Western Ontario and McMaster Universities Arthritis Index (WOMAC).
It is about 49 women and 29 men, mean age 47.23 years (20–75 years). The mean VAS score pain decreased from 67/100 to 12/100, six months after surgery (P = 4 × 10−4). The score for Postel-Merle d’Aubigné varied from 7.2 to 14.8 (P = 5 × 10−3). The WOMAC score for quality of life was significantly improved from 89 to 36. This improvement seems well correlated with decreased pain and improved score of PMA.
Our results confirm the reduction of disability of hip disease after total hip arthroplasty which impacts positively on the quality of life of patients.
Journal de Réadaptation Médicale Pratique et Formation en Médecine Physique et de Réadaptation 01/2014;