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Neither pre-operative education or a minimally invasive procedure have any influence on the recovery time after total hip replacement

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Abstract

Purpose

The purpose of this study was to evaluate pre-operative education versus no education and mini-invasive surgery versus standard surgery to reach complete independence.

Methods

We conducted a four-arm randomized controlled trial of 209 patients. The primary outcome criterion was the time to reach complete functional independence. Secondary outcomes included the operative time, the estimated total blood loss, the pain level, the dose of morphine, and the time to discharge.

Results

There was no significant effect of either education (HR: 1.1; P = 0.77) or mini-invasive surgery (HR: 1.0; 95 %; P = 0.96) on the time to reach complete independence. The mini-invasive surgery group significantly reduced the total estimated blood loss (P = 0.0035) and decreased the dose of morphine necessary for titration in the recovery (P = 0.035).

Conclusions

Neither pre-operative education nor mini-invasive surgery reduces the time to reach complete functional independence. Mini-invasive surgery significantly reduces blood loss and the need for morphine consumption.

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Acknowledgments

This research was funded by the Programme Hospitalier de Recherche Clinique 2005 (DRCD P051040).

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Authors and Affiliations

  1. Service de chirurgie orthopédique; Hôpital Cochin, Assistance-Publique Hôpitaux de Paris, 27 rue du Faubourg Saint-Jacques, 75014, Paris, France

    David Jean Biau, Antoine Babinet & Philippe Anract

  2. Université Paris Descartes, Paris, France

    David Jean Biau, Raphael Porcher, Serge Poiraudeau & Philippe Anract

  3. INSERM U1153, Paris, France

    David Jean Biau, Raphael Porcher, Alexandra Roren, Sylvie Chevret, Serge Poiraudeau & Philippe Anract

  4. Centre d’épdiémiologie Clinique, Hôtel-Dieu, Assistance-Publique Hôpitaux de Paris, 1 Parvis de Notre Dame, 75001, Paris, France

    Raphael Porcher

  5. Service de rééducation et réadaptation de l’appareil locomoteur; Hôpital Cochin, Assistance-Publique Hôpitaux de Paris, 27 rue du Faubourg Saint-Jacques, 75014, Paris, France

    Alexandra Roren & Serge Poiraudeau

  6. Département d’anesthésie réanimation; Hôpital Cochin, Assistance-Publique Hôpitaux de Paris, 27 rue du Faubourg Saint-Jacques, 75014, Paris, France

    Nadia Rosencher

  7. Service de biostatistique et Informatique médicale, Hôpital Saint-Louis, Assistance-Publique Hôpitaux de Paris, 1 avenue Claude Vellefaux, 75010, Paris, France

    Sylvie Chevret

  8. Université Paris Diderot, Paris, France

    Sylvie Chevret

Authors
  1. David Jean Biau
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  2. Raphael Porcher
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  3. Alexandra Roren
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  4. Antoine Babinet
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  5. Nadia Rosencher
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  6. Sylvie Chevret
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  7. Serge Poiraudeau
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  8. Philippe Anract
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Corresponding author

Correspondence to David Jean Biau.

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Biau, D.J., Porcher, R., Roren, A. et al. Neither pre-operative education or a minimally invasive procedure have any influence on the recovery time after total hip replacement. International Orthopaedics (SICOT) 39, 1475–1481 (2015). https://doi.org/10.1007/s00264-015-2802-y

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  • DOI: https://doi.org/10.1007/s00264-015-2802-y

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