1/2. Use of a prone transfer technique in patients with severe hip-flexion restrictions: a report of 3 cases.We report 3 cases in which the prone transfer technique improved the functional status of patients with postoperative restriction of hip flexion. All 3 patients, who had undergone a different type of surgery, were unable to get out of bed without a tilt table, and therefore could not be discharged home. The prone transfer technique enables patients to move from a lying to a standing position with or without the use of a flat board. All 3 patients were discharged home when they could perform this transfer without assistance. It required 10 to 18 sessions of therapy training, which took place in 5 to 9 days. With advancements in surgical techniques, postoperative joint-motion restriction may be seen more frequently in community settings. Prone transfer may provide a low-cost, low-technologic way to mobilize patients with hip-flexion restriction.- - - - - - - - - - ranking = 1keywords = motion (Clic here for more details about this article) |
2/2. Idiopathic chondrolysis of the hip: management by subtotal capsulectomy and aggressive rehabilitation.Three cases of idiopathic chondrolysis were treated by a subtotal circumferential capsulectomy with follow-up for 3 years and 1 month. Concomitant muscle releases were performed as necessary to relieve joint contractures. Surgery was followed by an aggressive rehabilitation effort. All patients were symptom-free and displayed an extremely satisfactory range of motion. Radiographs revealed reconstitution of the joint space in all cases. We believe that this aggressive management is well justified when one considers the results of previous published reports.- - - - - - - - - - ranking = 1keywords = motion (Clic here for more details about this article) |