Rehabilitation approaches and outcomes following hip surgery for coxarthrosis

Arsovski, Denis and Lozanoska, Gordana and Stojchevska-Prodanovska, Viktorija and Jankulovska, Angelka and Petkovska, Daniela (2025) Rehabilitation approaches and outcomes following hip surgery for coxarthrosis. Romanian Medical Journal, 72 (2). pp. 190-196. ISSN 1220-5478

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Abstract

Background and objectives. Coxarthrosis is a chronic degenerative condition that affects mobility and quality of life. Total hip arthroplasty is an effective surgical intervention for advanced cases, but its success depends on both pre- and postoperative rehabilitation. This study aimed to evaluate the outcomes of early postoperative rehabilitation protocols in patients undergoing hip arthroplasty at the General Hospital Borka Taleski in Prilep, North Macedonia, between 2019 and 2024.
Materials and methods. This longitudinal observational study used a mixed-methods approach. Data were collected from
140 participants who underwent hip arthroplasty, based on medical records and patient-reported outcomes. Rehabilitation protocols included therapeutic massage, passive and active-assisted exercises, and verticalization. Pain levels, functional recovery, and demographic trends were analyzed using descriptive and inferential statistics.
Results. The rehabilitation protocols led to a reduction in postoperative pain levels, as indicated by the visual analog
scale. Functional recovery, assessed through mobility and patient-reported satisfaction, improved in 50% of patients. A total of 30.7% of patients required contralateral hip surgery, indicating a predisposition to bilateral hip degeneration. Urban patients generally accessed treatment later than rural patients, as reflected by higher mean ages.
Conclusions. Early postoperative rehabilitation enhances pain management and functional outcomes following hip
arthroplasty. Variability in outcomes underscores the need for standardized yet personalized rehabilitation protocols.
Future research should examine long-term recovery and involve multicenter trials.

Item Type:	Article
Subjects:	Scientific Fields (Frascati) > Medical and Health Sciences > Health sciences Scientific Fields (Frascati) > Medical and Health Sciences > Other medical sciences
Divisions:	Higher Medical School
Depositing User:	MSc Denis Arsovski
Date Deposited:	04 Jun 2025 11:21
Last Modified:	04 Jun 2025 11:21
URI:	https://eprints.uklo.edu.mk/id/eprint/10965

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