[Rehabilitation after total knee and hip arthroplasty]. / Rehabilitace po totální náhrade kycelního a kolenního kloubu.

The main purpose of total hip replacement is to relieve hip pain and recover the lost mobility of the joint. The postoperative functionality of the hip endoprosthesis is closely related to proper physiotherapy. A good range of motion, sufficient pain reduction and minimum disruption to the muscle tissues are conditions allowing the patients to perform individualized muscle strengthening exercises and to exercise the newly gained mobility, following practice sessions during the early postoperative period still in hospital. The authors describe the individual fazes of the physiotherapy and summarize the principles, which lead to a successful rehabilitation of the patient and his early recovery as well as return to normal life activities.

Mid-term results of revision total hip arthroplasty using the oval-shaped uncemented Trc-Cingr cup.

PURPOSE: The aim of the present study was to introduce a novel oblong revision cup type TC for use in revision total hip arthroplasty (THA), and to evaluate mid-term results in terms of bone tissue remodelling in the immediate area of the implant. METHODS: The results of 31 patients that underwent revision THA between 2004 and 2008 are presented. The mean follow-up interval was 7.1 years (range 5.3-9.3 years, minimum of five years following revision). Osteointegration of the implant and bone tissue remodelling around the implant and ribs were assessed by X-ray and computed tomography (CT). RESULTS: The average Harris hip score increased from 39.8 to 85.3. Excellent results were achieved in nine patients, good in 16, fair in three and poor in three. According to X-ray results, 25 hips had a well-fixed, bone-ingrown cup and five had a stable fibrous union in the middle and the distal third of the implant. Proximal migration of the cup was noted in one case. Pelvic CT was additionally performed in ten patients. In all cases, we detected bone remodelling in the space between the implant ribs. Kaplan-Maier survivorship of the acetabular components was 94.2 % at 7.1 years. CONCLUSIONS: Our results show that the novel oblong revision cup type TC is relatively simple to implant, and is associated with reliable primary fixation and documented osteointegration and bone remodelling in the immediate area.