EVALUATION OF THE EFFECTIVENESS OF THE THREE-STAGE COMPLEX APPROACH IN REHABILITATION OF PATIENTS AFTER TOTAL HIP ARTHROPLASTY
One of the most common pathologies of the musculoskeletal system in the adult population - osteoarthritis of large joints. They are the cause of disability of the population and occupy the third place among all causes, and the level of temporary disability - the fifth. Coxarthrosis is one of the most severe forms of osteoarthritis. Due to the low efficiency of many conservative treatments for advanced forms of Coxarthrosis, total hip replacement is mainly indicated. Rehabilitation after total hip arthroplasty (THA) is a very important part of patient care. The increase in the number of such patients led to the need for a new approach to rehabilitation, which quickening the restoration of the limb function after surgery and reduces the incidence of postoperative complications. The authors evaluated the effectiveness of the three-stage integrated approach in the rehabilitation of patients after THA, including early recovery in the post-operative period, rehabilitation in a health center and in outpatient setting. The study involved 92 patients whose condition was assessed by different scales (intensity of pain syndrome, amplitude of active and passive movements in the hip joint, etc.). The measurements were carried out before and after the operation, and also after 12 months (after a full course of rehabilitation). According to the results obtained, the applied approach of rehabilitation helps: to reduce the incidence of early postoperative complications, to restore the functionality of the hip joint and to improve the quality of life of patients.