SHORT TERM FUNCTIONAL OUTCOME OFREVISION TOTAL HIP REPLACEMENT

Dr.Abhijit Kale; Dr.Umesh Kanade; Dr.Siddharth Parekh; Dr.Apratim Deekshit; Dr.Pyntngen Kharbamon

Volume : VIII, Issue : II, February - 2019

SHORT TERM FUNCTIONAL OUTCOME OFREVISION TOTAL HIP REPLACEMENT

Dr. Abhijit Kale, Dr. Umesh Kanade, Dr. Siddharth Parekh, Dr. Apratim Deekshit, Dr. Pyntngen Kharbamon

Abstract :

Objective:The primary objective of this study is toassess various factors that lead to

revision THR in a tertiary careteaching hospital and Analyse the short term functional

outcome of the revision THR in atertiary care teaching hospital using HARRIS HIP SCORE

and haemato–radiological study.

Introduction: Total hip replacement (THR) is one of the most successful procedures carried out by orthopaedic surgeons worldwide. Conventional, primary total hip replacement is a durable operation in most patients. Over time, however, a hip replacement can fail for a variety of reasons, which include version, infections, periprosthetic fractures as well as aseptic loosening of the prosthesis. Revision hip replacement is a longer, more complex procedure. It requires extensive planning, as well as the use of specialized implants and tools, to achieve a good result. Controversy remains regarding the best method of fixation in total hip replacement (THR).

Methodology:A prospective and retrospective cohort of 30 patients with requirement of revision total hip replacement surgery from January 2016 to December 2017 were analysed for minimum of 1 year and final result were analysed with HARRIS hip score and haematological,clinico–radiological investigation

Result:

Majority of the patients undergoing revision THR are males.

 The most common indication for revision THR is version defect / instability followed by infection.

There was correction of version defects after revision THR

 Gradual decrease in the inclination angle was seen after revision THR

 There was statistically significant increase in Harris Hip Score after revision THR in all the patients

 In patients with infected primary THR prosthesis, there was normalization of the haematological parameters after revision THR.

 In patients needing revision THR due to infection, the surgical procedure was undertaken in two stages with heat stable antibiotic (vancomycin) impregnated cement spacer directed against most commonly isolated organism– Methicillin resistant staphylococcus aureus.