Physical therapy after total hip arthroplasty

The article deals with the problem of physical therapy after total hip arthroplasty. The urgent issue of early mobilization and activation of patients after total hip arthroplasty by means of physical therapy is raised. The purpose of the article is to evaluate the effectiveness of the proposed complex of means of physical therapy of patients after total hip arthroplasty. The study involved 16 patients at the Clinic of Orthopedics, Arthrology and Sports Injury, which were divided into two groups: control and primary, 8 people each.Empirical research methods were the WOMAC Western Ontario and Mc Master Universities osteoarthritis Index and the Leken algal function index. The main group was engaged in the method of N. Kehlet, active mobilization of patients began in the first day after surgery, the control group received traditional physical therapy with verticalization on the second day after surgery. The average hospital stay was 7 days. This is due to the requirements of the surgeons and does not depend on the functionality of the patient. Physical therapy after surgery was aimed at: reducing swelling; prevention of blood clots; pain control; prevention of constipation; improving sleep; improving postural control; increasing exercise tolerance. At the present stage, the method of total hip replacement is one of the progressive and widespread types of surgical treatment of coxarthrosis. Today, due to the introduction into clinical practice of high-efficiency technologies of prosthetics, the use of modern joint designs, orthopedic surgeons in most cases manage to achieve effective results and restore lost function. The patients of the main group had reached the functional criteria of discharge several days earlier. The study are presented, according to the results of which we believe that the work by the method of N. Kehlet is quite effective and that it should be used in working with middle-aged persons after total hip replacement due to deformable coxarthrosis.