Indian Journal of Orthopaedics Surgery


To study the clinical outcome of total hip Arthroplasty


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Author Details: Swarn Gupta, Pradeep K. Singh, Kiran Saoji, Sanjay Deshpande, Sohael Khan

Volume : 3

Issue : 4

Online ISSN : 2395-1362

Print ISSN : 2395-1354

Article First Page : 350

Article End Page : 355


Abstract

Introduction: Total hip Arthroplasty is a surgical procedure, which relives pain related to hip joint. The success of Total Hip Arthroplasty is its ability to relieve the pain associated with hip joint pathology, while maintaining the mobility and stability of the hip joint. This study was undertaken to assess the Clinical outcome of the Total hip Arthroplasty in our institution.
Material & Methods: Retrospective and prospective study was carried out on 500 patients of Total Hip Replacement. All patients underwent a standard clinical and laboratory evaluation that includes briefly information about age, sex, address, clinical history and routine investigation which were done pre operatively. X-Ray of hip joint with AP view was done. Pre-op Range of Motion, deformities and its values were recorded for the study by clinical evaluation and Modified Harris hip scoring was done preoperatively and postoperatively with follow up at 4 weeks, 6 months, 1 year and at yearly intervals.
Results: This study was conducted on patients with age ranging from 20 to 75 years with a mean age of 40.50 ±12.15 years at the time of surgery. The main indication for surgery was AVN in 360 patients (72%). The mean total pre-operative harris hip score score was 49.74. The maximum score being, 73 and the minimum, being 37. Post operatively the total mean score was 85.12, with the 65 being the minimum and 96 being the maximum. The most common complication was stress shielding (24%). Acetabular component loosening was seen in 2% cases and femoral stem loosening was found in 12% cases. Calcar resorption was present in 8% cases.
Conclusion: In conclusion, Total hip Arthroplasty with or without cement gives good clinical and functional outcomes and is determined by multiple factors, like indication for total hip Arthroplasty, placement of prosthesis, and the operative technique. The results of the procedure must be evaluated in long-term studies. Our study suggests that the Total Hip Replacement can provide satisfactory clinical outcomes after short term duration of follow-up.

Keywords: Total Hip Replacement, Harris Hip Score, Clinical Outcome