MULTIMODAL PHYSICAL REHABILITATION IN THE RECOVERY PERIOD AFTER TOTAL HIP ENDOPROSTHESIS

To access the clinical effectiveness of comprehensive, stage-based rehabilitation programs following total hip replacement (THR), particularly in patients with comminuted subcapital femoral neck fractures and other hip joint pathologies. Methods: 126 patients (30-65 years, mean 48) underwent THR using Zimmer (88%) or Mur-CITO (12%) prostheses. A structured rehabilitation program was divided into preoperative, early, late and long-term recovery stages. Outcomes measured included range of motion, pain (VAS), use of walking aids, muscle tone and return to work. Results: 6 months postoperatively, 98% of patients under 50 years of age and 83% aged 51–60 years were able to walk without assistance. Flexion/extension improved from 68 to 92.3, and VAS scores dropped from 8.2 to 1.5. Few complications occurred. Conclusion: Early and individualized rehabilitation significantly improved physical function and quality of life after THR. Keywords: Rehabilitation, Hip Arthroplasty, Endoprothesis, Physiotherapy, Postoperative Recovery