Falls in patients after total hip arthroplasty in Japan

Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association
H IkutomoK Masuhara

Abstract

There have been few reports on falls in patients who have undergone total hip arthroplasty (THA). In the present study, we aimed to investigate the incidence and circumstances of falls in post-THA patients and to identify the factors associated with falling. After excluding comorbidities, osteoarthritis without THA, and patients who had undergone THA within the previous 1 year, 214 patients [11 males, 203 females; mean (SD) age, 66.0 (8.7) years] living independently for at least 1 year after THA were analyzed as available data. Using a self-administered questionnaire, we investigated the number and circumstances of falls in the preceding year, as well as functional outcome and ambulatory ability via the Oxford Hip Score. Multivariate logistic regression analysis was used to identify factors influencing falls in post-THA patients. The incidence of at least one fall in the past year was 36 %. Falls were most often caused by tripping and falling forward during the daytime. In the present study, 37.7 % of falls resulted in injuries and 5.2 % resulted in fractures. Experience of fall was significantly related to medication [odds ratio (OR) 4.09, 95 % confidence interval (CI) 1.90-8.80, P < 0.001] and postoperative duration (OR 0.89...Continue Reading

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Citations

May 26, 2016·Perioperative Medicine·Chen-Fuh LamTsung-Ying Chen
Dec 14, 2016·British Journal of Anaesthesia·V L KronzerM S Avidan
Mar 21, 2017·Musculoskeletal Care·Meredith Newman, Karen Barker
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Mar 21, 2019·Physiotherapy Research International : the Journal for Researchers and Clinicians in Physical Therapy·Nihal BukerGulsah Sutcu
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Dec 14, 2019·The Journal of the American Academy of Orthopaedic Surgeons·Adam DriesmanRan Schwarzkopf
Nov 13, 2020·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Anne-Marie HillLeanne Monterosso
Feb 10, 2021·International Journal of Environmental Research and Public Health·Isabella CampaniniAndrea Merlo
Sep 28, 2021·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Kazunari NinomiyaHirakawa Kazuo

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