Retrospective analysis of the causes and course of rehabilitation of patients with total hip arthroplasty at the Department of Physical Medicine and Rehabilitation with Rheumatology at the Clinical Hospital Center Split

Abstract

Ovaj završni rad bavi se retrospektivnom analizom uzroka i tijeka rehabilitacije pacijenata s ugrađenom totalnom endoprotezom (TEP) kuka na Zavodu za fizikalnu medicinu i rehabilitaciju s reumatologijom u Kliničkom bolničkom centru Split tijekom 2023. godine. Istraživanje je obuhvatilo 109 pacijenata, od kojih je 54 imalo ugrađenu totalnu endoprotezu kuka. Glavni uzroci za ugradnju TEP-a kuka su degenerativne bolesti, posebno koksartroza, dok su traumatske ozljede rjeđe, ali zahtijevaju složeniji rehabilitacijski postupak. Analiza je pokazala da su žene češće podvrgnute ovoj operaciji, što može biti povezano s različitim životnim navikama i drugim bolestima. Rehabilitacija se pokazala ključnom za uspješan oporavak pacijenata, pri čemu su pacijenti s traumatskim ozljedama imali dulji boravak u bolnici. Prosječne vrijednosti Barthelovog indeksa i opsega pokreta značajno su se poboljšale nakon rehabilitacije, što potvrđuje uspjeh rehabilitacijskih postupaka.This thesis presents a retrospective analysis of the causes and rehabilitation process of patients with total hip arthroplasty (THA) at the Department of Physical Medicine and Rehabilitation with Rheumatology at the Clinical Hospital Center Split during 2023. The study included 109 patients, of whom 54 underwent total hip arthroplasty. The main causes for THA were degenerative diseases, particularly coxarthrosis, while traumatic injuries were less common but required more complex rehabilitation. The analysis showed that women were more frequently subjected to this surgery, which can be related to different lifestyle habits and other diseases. Rehabilitation was found to be crucial for the successful recovery of patients, with those suffering from traumatic injuries having a longer hospital stay. The average values of the Barthel Index and range of motion significantly improved after rehabilitation, confirming the effectiveness of the rehabilitation procedures