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Patient compliance with hip precautions 12 weeks following primary elective total hip arthroplasty

  • Orthopaedic Surgery
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Introduction

Patients are routinely advised to follow hip precautions following their total hip arthroplasty (THA) surgery. There is lack of evidence regarding compliance with these precautions and when patients return to activities of daily living following their surgery.

Materials and methods

We designed a new questionnaire to discover when patients return to their activities of daily living. Two hundred and ninety seven consecutive patients who attended 12 week follow up arthroplasty clinic following their primary elective THA were asked to complete the questionnaire.

Results

All patients who attended the follow up clinic at 12 weeks responded to the questionnaire. Only 6.3% (n = 19) of the patients reported that they restricted their daily activities, as prescribed for the full 12 week period, while 50% (n = 148) of patients stopped using prescribed adaptive equipment by 6 weeks after their operation. There were no dislocations recorded among the study group.

Conclusion

We found that the majority of patients do not adhere to hip precautions advice. They return to their activities of daily living prior to the end of prescription period based on their pain and activity level. Lack of adherence to hip precautions do not predispose to hip dislocation in the immediate post-operative period.

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Funding

The authors did not receive support from any organization for the submitted work. No funding was received to assist with the preparation of this manuscript. No funding was received for conducting this study. No funds, grants, or other support was received.

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Authors and Affiliations

  1. Golden Jubilee National Hospital, Agamemnon Street, Clydebank, G81 4DY, UK

    Jamie McNaught, Deborah Davidson, Alistair Ewen, Findlay Welsh & Rohit Maheshwari

Authors
  1. Jamie McNaught
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  2. Deborah Davidson
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  3. Alistair Ewen
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  4. Findlay Welsh
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  5. Rohit Maheshwari
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Corresponding author

Correspondence to Jamie McNaught.

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Conflict of interest

The authors have no relevant financial or non-financial interests to disclose. The authors have no conflicts of interest to declare that are relevant to the content of this article. All authors certify that they have no affiliations with or involvement in any organization or entity with any financial interest or non-financial interest in the subject matter or materials discussed in this manuscript. The authors have no financial or proprietary interests in any material discussed in this article.

Ethics approval

This study was deemed to be a service evaluation, rather than research and ethical approval was not required. The study was submitted to the Golden Jubilee National Hospital Clinical Governance committee for approval.

Ethics

This study was submitted to our institutions Clinical Governance committee and was deemed to be a service evaluation, rather than research. It was explained to patients that no patient identifiable data would be held at any time in the study. No written consent was gained; however, verbal consent was gained and completion of the questionnaire confirmed patients’ consent to be included in study.

Informed consent

Verbal consent was gained and completion of the questionnaire confirmed patients’ consent to be included in study.

Consent to participate

Informed consent was obtained from all individual participants included in the study.

Consent to publish

No patient identifiable data or case reports were reported in this paper.

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McNaught, J., Davidson, D., Ewen, A. et al. Patient compliance with hip precautions 12 weeks following primary elective total hip arthroplasty. Arch Orthop Trauma Surg 142, 2429–2433 (2022). https://doi.org/10.1007/s00402-021-03837-9

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  • DOI: https://doi.org/10.1007/s00402-021-03837-9

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