Volume : VIII, Issue : II, February - 2019

Functional Outcomes of Uncemented Total Hip Replacement Arthroplasty

Dr. Janak Rathod, Dr. Ankit Khodifad

Abstract :

Total hip arthroplasty is a well documented surgical procedure. It relieves pain and functional disability experienced by patients with moderate to severe arthritis of the hip, improving their quality of life. The success of Total Hip Replacement arthroplasty is its ability to relieve the pain associated with hip joint pathology, while maintaining the mobility and stability of the hip joint. The most common condition for which total hip arthroplasty is done is severe osteoarthritis of the hip, accounting for 70% of cases. The primary indication for this procedure is severe pain and the limitation in activities of daily living that it causes. To warrant doing total hip replacement, pain must be refractory to conservative measures such as oral nonsteroidal anti–inflammatory medication, weight reduction, activity restriction, and the use of supports such as a cane.The purpose of this study was to evaluate the clinical and functional outcomes of uncemented Total Hip Replacement using Modified Harris hip score and radiological assessment.

Methods The study was carried out on 42 hips of 32 patients of Total Hip Replacement operated in the Department of Orthopedics, Tertiary care Hospital from April 2016 to April 2018. Information on the patients was compiled from clinical details, case files and operation theater records. This was a retrospective as well as prospective study. Patient follow up was for a minimum of 6 months to a maximum of 24 months (2 years).

Results Excellent or good pain relief and function were obtained in 85.7% of patients after THR, which was performed in a population of active patients. The mean total pre operative score was 33.43, which improved post operatively to a mean score of 89.43. The most common complication noted was stress shielding (33.3%). Osteolysis and nerve injury were seen in 4 individual patients. 18 patients (42.9%) did not have any complications. 66.6% of the patients who had single or multiple complications showed good to excellent results

Conclusion Our study suggests that the current generation implants without cement can provide satisfactory clinical and radiographic outcomes after an intermediate duration of follow–up. Though the study was not free of complications, the overall functional and clinical outcome showed good results.

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Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

FUNCTIONAL OUTCOMES OF UNCEMENTED TOTAL HIP REPLACEMENT ARTHROPLASTY, Dr. Janak Rathod, Dr. Ankit Khodifad INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-8 | Issue-2 | February-2019

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