[Prosthetic Hip Revision: Relationship Between Bone Stock and Quality of Life in Aseptic Loosening of the Femoral Component.]

[Prosthetic hip revision: relationship between bone stock and quality of life in aseptic loosening of the femoral component.]

Clin Ter. 2013 Jan; 164(1): e11-e15
Di Giorgio L, Attala D, Gurzì MD, Touloupakis G, Sodano L, Villani C

Objectives. We evaluated the clinical and radiographic results in the medium and long term in patients undergoing revision surgery for aseptic loosening with different bone quality at the time of the operation. We investigated how different bone quality shapes for a good clinical result. Materials and Methods. A total of 33 patients who underwent revision surgery of the hip (for aseptic loosening of the stem) evaluated radiographically and clinically at 1,6,12 and 18 months. The evaluation of clinical status preoperatively and at the end of follow-up was be made as questionnaires SF-36, Harris Hip Score and WOMAC; radiographic assessment was made using the scale of Paprosky. The data thus obtained have been related to complications arising and the status of femoral bone-loss before the surgery time. Results. The groups PI and PII (Paprosky) showed a high level of satisfaction with an average value of reference for the postoperative rated as excellent, the absence of complications and good functional recovery at the end of follow-up. The groups PIII and PIV showed increased incidence of complications and difficulties with rehabilitation clinics and SF-36 scores and HHS inferior to other classes. Conclusions. Our dates confirm that bone quality at the time of surgery affects the therapeutic target. All patients with good bone quality at the time of the revision surgery (groups PI and PII) showed a distinct advantage from surgical treatment. Revision surgery had not much effect in patients with high bone loss. Preservation of bone stock should be considered a good foundation for the success of a prosthetic reimplantation with better functional and radiographic out-come associated with greater satisfaction for the patient. Clin Ter 2013; 164(1):e11-15. doi: 10.7417/CT.2013.1514. HubMed – rehab


Fifth international ankle symposium: october 17-20, 2012, lexington, kentucky.

J Orthop Sports Phys Ther. 2013; 43(3): A1-A27
McKeon PO, Mattacola CG

The Fifth International Ankle Symposium (IAS5), a multidisciplinary conference focused predominantly on ankle injury evaluation, rehabilitation, and prevention, was held in Lexington, KY in October 2012. IAS5 brought together over 90 clinicians and scientists from disciplines such as athletic training, physical therapy, sports medicine, orthopaedics, and biomechanics. In this supplement, you will find a summary statement, keynote addresses from invited lectures and workshops, a program schedule, and the abstracts of the original research, both podium and poster presentations, from IAS5.J Orthop Sports Phys Ther 2013;43(3):A1-A27. doi:10.2519/jospt.2013.0301. HubMed – rehab


Workers with a chronic disease and work disability : Problems and solutions.

Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2013 Mar; 56(3): 406-414
Varekamp I, van Dijk FJ, Kroll LE

The prevalence of chronic diseases in the age group 18-65 years is high. Cardiometabolic conditions and musculoskeletal diseases are the most frequent chronic diseases. Depending on disease and comorbidity, the employment rates are considerably lower than for healthy individuals. Chronically ill workers may have problems in meeting job demands, they may experience physical, cognitive or sensory limitations, have fatigue or pain complaints or other disease symptoms. Psychological distress, depressive feelings, feelings of shame or guilt, lack of coping or communicative skills, and non-supportive colleagues and supervisors may add to work-related problems. The ICF Model (International Classification of Functioning, Disability and Health) of the WHO offers a framework for understanding and considering health-related problems at work and finding solutions. Interventions to prevent problems in functioning, sickness absence and work disability may focus on the worker, the workplace, or health care. Multidisciplinary vocational rehabilitation, exercise therapy, cognitive behavioural interventions, workplace interventions and empowerment are interventions with at least some evidence of effectiveness. Future policy could focus more on promotion of workers’ health and future research should include the interests and motivations of employers concerning disability management, skills of line managers, the feasibility of interventions to prevent work disability and the context sensitivity of study outcomes. HubMed – rehab