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dc.contributor.authorGromov, Kirillen_US
dc.contributor.authorTroelsen, Andersen_US
dc.contributor.authorModaddes, Maziaren_US
dc.contributor.authorRolfson, Olaen_US
dc.contributor.authorFurnes, Oveen_US
dc.contributor.authorHallan, Geiren_US
dc.contributor.authorEskelinen, Anttien_US
dc.contributor.authorNeuvonen, Perttuen_US
dc.contributor.authorHusted, Henriken_US
dc.PublishedGromov, Troelsen A, Modaddes, Rolfson, Furnes O, Hallan G, Eskelinen A, Neuvonen, Husted. Varying but reduced use of postoperative mobilization restrictions after primary total hip arthroplasty in Nordic countries: a questionnaire-based study. Acta Orthopaedica. 2019;90(2):143-147eng
dc.description.abstractBackground and purpose — Mobilization has traditionally been restricted following total hip arthroplasty (THA) in an attempt to reduce the risk of dislocation and muscle detachment. However, recent studies have questioned the effect and rationale underlying such restrictions. We investigated the use of postoperative restrictions and possible differences in mobilization protocols following primary THA in Denmark (DK), Finland (FIN), Norway (NO), and Sweden (SWE). Patients and methods — All hospitals performing primary THA in the participating countries were identified from the latest national THA registry report. A questionnaire containing questions regarding standard surgical procedure, use of restrictions, and postoperative mobilization protocol was distributed to all hospitals through national representatives for each arthroplasty registry. Results — 83% to 94% (n = 167) of the 199 hospitals performing THA in DK, FIN, NO, and SWE returned correctly filled out questionnaires. A posterolateral approach was used by 77% of the hospitals. 92% of the hospitals had a standardized mobilization protocol. 50%, 41%, 19%, and 38% of the hospitals in DK, FIN, NO, and SWE, respectively, did not have any postoperative restrictions. If utilized, restrictions were applied for a median of 6 weeks. Two-thirds of all hospitals have changed their mobilization protocol within the last 5 years—all but 2 to a less restrictive protocol. Interpretation — Use of postoperative restrictions following primary THA differs between the Nordic countries, with 19% to 50% allowing mobilization without any restrictions. There has been a strong tendency towards less restrictive mobilization over the last 5 years.en_US
dc.publisherTaylor & Franciseng
dc.rightsAttribution CC BYeng
dc.titleVarying but reduced use of postoperative mobilization restrictions after primary total hip arthroplasty in Nordic countries: a questionnaire-based studyen_US
dc.typePeer reviewed
dc.typeJournal article
dc.rights.holderCopyright 2019 The Author(s)
dc.source.journalActa Orthopaedica

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