International Journal of Scientific & Engineering Research Volume 10, Issue 7, July-2019 829 ISSN 2229-5518 IJSER © 2019 http://www.ijser.org The influence of the rehabilitation on the patient recovery after total hip endoprostesis implantation Hadžan Konjo, Fuad Julardžija, Adnan Šehić, Amra Mačak Hadžiomerović, Amila Jaganjac, Samir Bojičić, Suada Branković, Jasmina Mahmutović, Edina Tanović Abstract- INTRODUCTION: Physiotherapy and rehabilitation of the patients after the implantation of total hip endoprosthesis have been equally important as the surgical intervention. The main aim of the rehabilitation presents the reducing of pain, renewal of function and muscle strength and achieving the optimal extent of the movement in hip joint necessary for the everyday activities. There are many rehabilitation protocols (kinesytherapy, training with weights, treadmill, conventional physiotherapy, bicycle ergometer, functional exercises etc.), individually adjusted to the patients based on the kind of implanted endoprosthesis. MATERIAL AND METHODS: The survey included 100 examinees with the disease of hip joint who had been treated surgically at the Clinics for orthopaedics and traumatology in Clinical center of Sarajevo University by implanting the total endoprosthesis. The examinees were questioned before and after the physiotherapy treatment that was conducted within the postoperative rehabilitation after the implanting the total hip endoprosthesis. The survey covered the period since 1st January 2014. to 31st December 2016. In the survey cross-sectional method of the survey was used where all the data were collected by the corresponding instrument tools of survey, in this case poll questionnaire, WOMAC. The mentioned questionnaire consists of 24 questions which analyse the pain, stiffness and body activity. The span of points is in the form of Likert scale RESULTS: Analysing the pain in the hip/groin during the last month while doing certain activities, before and after the conducted physiotherapy, statistically significant improvement was found, and that has been confirmed by Anova test, p=0.001. Analysing the stiffness in the hip/groin during the last month while doing certain activities, before and after the conducted physiotherapy, statistically significant improvement was found, and that has been confirmed by Anova test, p=0.001 CONCLUSIONS: This survey confirms the significance, not only of the surgical procedure of implantation of total hip endoprosthesis in the third age patients, but also the significance of the well organized physiotherapy and rehabilitation that has provided good results in our patients. The improvement degree of the functional status is considerably bigger after the surgery and conducted physiotherapy compared to the preoperative period. Index Terms— rehabilitation, hip, recovery, total endoprosthesis, WOMAC, orthopedics ——————————  —————————— 1 INTRODUCTION steoarthritis, fractures of femoral neck, rheumatoid arthritis, post traumatic arthritis and avascular necrosis are the most frequent indications for the implantation of total hip endoprosthesis. [1] This is the common surgical procedure that is considered effective and successful compared to complications, mortality and implant continuance. [2] For the qualitative surgical procedure it is very important to have adequate radiological diagnostics done before and after the implant has been embedded. Physiotherapy and rehabilitation of the patients after the implantation of total hip endoprosthesis have been equally important as the surgical intervention. The main aim of the rehabilitation presents the reducing of pain, renewal of function and muscle strength and achieving the optimal extent of the movement in hip joint necessary for the everyday activities. There are many rehabilitation protocols (kinesytherapy, training with weights, treadmill, conventional physiotherapy, bicycle ergometer, functional exercises etc.), individually adjusted to the patients based on the kind of implanted endoprosthesis. Some are conducted in the hospitals, some in ambulances, and some at home. [3] It should be mentioned that general rehabilitation principles are appliable after the implantation of total hip endoprosthesis, but in this case the rehabilitation presents special challenge because of the extent of manipulation in the surgical procedure – cutting out big parts of several muscles, reconnecting those muscles and replacing the hip joint. The workout programme has to be modified to adjust it to the limitations as the hip inactivity, abduction or knee flexion in order to protect muscle connection for several weeks. With the corresponding rehabilitation programme patients with the total hip endoprosthesis can achieve satisfying results and high level of functionality and independence. [4] The aim of this survey was to determine the existence of the improvement degree of functional status of the patients after the rehabilitation compared to the one before the surgical procedure. 2 MATERIAL AND METHODS The survey included 100 examinees above the age of 65, of both genders, with the disease of hip joint who had been O IJSER