Kontakt 2011, 13(1):95-103 | DOI: 10.32725/kont.2011.012

Evaluation of the quality of life of patients one year after the implantation of the total replacement for the hip jointBiomedicine - Original article

David Musil^*, Libor Filip

Nemocnice České Budějovice, a. s., ortopedické oddělení

The purpose of the work was an assessment of the quality of life in patients one year after the implantation of the total replacement for the hip joint with the use of a new mini-invasive method. The assessment of the quality of life presents a supplementation to a method, which was first introduced in the Czech Republic in our institution.
For the assessment, we employed the SF-36 standardized questionnaire in a non-anonymous, correspondence form. The assessment was implemented after managing the surgery technique in 60 consecutively operated patients from autumn 2006 to summer 2007. Answers suitable for evaluation were received from 59 respondents at their average age of 66 years. There was a balanced relationship between numbers of men and women - 29 : 30. The patients were evaluated regardless the method of the endo-prosthesis fixation. The results obtained were compared with those published by Sobotík (1998) for the general population in the age category of 65-74 years, into which the patients followed fell in accordance with their average age. Given known differences between results in men and women, we provided their comparison. We furthermore provided a comparison with the Oxford study and normal values for the central-European region published by Petr et al. (2001), who evaluated the questionnaire in members of the Czech Police. Data from 60 patients operated by a standard technique in 2009 were also obtained for comparison.
The results acquired are surprisingly positive and better than results of the population 65-74 and even better than results of the general population regardless the age as published by Sobotík (1998). The results of mini-invasive and standard techniques exert no statistically significant differences. As expected, our results are worse than those in members of the Czech Republic Police.
There is still a limiting factor that with the help of the questionnaire, we evaluate rather effects of the implantation of the replacement for the joint on the quality of life and not the mini-invasive approach itself, which can be more properly evaluated by specific questionnaires. However, this fact does not reduce the importance of finding very positive effects of the surgical method on the quality of life of our patients and, in our opinion, following of this quality should form a part of all the studies implemented in this field.

Keywords: hip joint endo-prosthesis; TEP-MIS-AL; quality of life; SF-36

Received: October 4, 2010; Accepted: March 3, 2011; Published: March 28, 2011  Show citation