The Journal of arthroplasty | 2020 | Gholson JJ, Wallace SS, Akram F, Gonzalez A
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[Indexed for MEDLINE] 18. J Orthop Traumatol. 2024 Sep 30;25(1):45. doi: 10.1186/s10195-024-00786-y. Enhancing recovery: surgical techniques and rehabilitation strategies after direct anterior hip arthroplasty. Di Martino A(1)(2)(3), Keating C(4), Butsick MJ(4), Platano D(5)(6), Berti L(5)(6), Hunter LN(4)(7), Faldini C(8)(5)(9). Author information: (1)1st Orthopedic and Traumatology Clinic, IRCCS Rizzoli Orthopedic Institute, Via Giulio Cesare Pupilli 1, 40136, Bologna, Italy. albertocorrado.dimartino@ior.it. (2)Department of Biomedical and Neuromotor Science-DIBINEM, University of Bologna, 40136, Bologna, Italy. albertocorrado.dimartino@ior.it. (3)Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, United States. albertocorrado.dimartino@ior.it. (4)Department of Physical Therapy, Jefferson College of Rehabilitation Sciences, Thomas Jefferson University, Philadelphia, PA, United States. (5)Department of Biomedical and Neuromotor Science-DIBINEM, University of Bologna, 40136, Bologna, Italy. (6)Physical Medicine and Rehabilitation Unit, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy. (7)Jefferson College of Health Professions, Thomas Jefferson University, Philadelphia, PA, United States. (8)1st Orthopedic and Traumatology Clinic, IRCCS Rizzoli Orthopedic Institute, Via Giulio Cesare Pupilli 1, 40136, Bologna, Italy. (9)Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, United States. Total hip arthroplasty (THA) is a common surgical procedure for hip joint pathologies, with the direct anterior approach (DAA) gaining popularity due to potential benefits in postoperative recovery. This review aims to provide a comprehensive analysis of rehabilitation strategies following DAA THA, focusing on surgical techniques, postoperative care, and outcomes. The evolution of the DAA to THA is discussed, highlighting historical advancements and comparisons with other surgical approaches. Surgical techniques and considerations specific to the DAA are detailed, including outcomes and complications compared to alternative approaches. The role of the surgical technique in influencing postoperative rehabilitation is explored, emphasizing the importance of optimizing surgical procedures for enhanced recovery. Postoperative care and rehabilitation models following DAA THA are examined, with a focus on the impacts of different rehabilitation protocols on patient outcomes. The review underscores the significance of tailored rehabilitation programs in promoting optimal recovery and patient satisfaction. Current evidence from recent studies, meta-analyses, and clinical trials is critically analyzed to provide insights into the effectiveness of postoperative rehabilitation strategies. The review identifies gaps in the existing literature and proposes recommendations for future research to improve rehabilitation protocols and enhance outcomes. In conclusion, this review highlights the importance of postoperative rehabilitation in the context of DAA THA. By synthesizing historical perspectives, current evidence, and future directions, the review offers a comprehensive understanding of rehabilitation strategies following DAA THA. The findings underscore the need for personalized rehabilitation programs and ongoing research to optimize postoperative recovery and improve outcomes in the field of THA. © 2024. The Author(s). DOI: 10.1186/s10195-024-00786-y PMCID: PMC11442739
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