Functional outcome after total hip replacement surgery

Authors

  • Syed Israr Kamal Department of Orthopaedics, Medical College for Women and Hospital, Uttara, Dhaka, Bangladesh
  • Lutfar Rahman Chowdhury Department of Orthopaedics, US Bangla Medical College Hospital, Dhaka, Bangladesh

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20232608

Keywords:

Functional outcome, THR surgery, Patient-reported outcome measures, Harris hip score, Western Ontario, McMaster universities osteoarthritis index

Abstract

Background: Total hip replacement (THR) surgery is a common and effective procedure to alleviate pain and improve function in patients with hip joint disorders, such as osteoarthritis. The aim of this study was to assess the functional outcome after THR surgery.

Methods: This cross-sectional study was conducted in department of orthopedics, medical college for women and hospital and other hospitals in Dhaka, Bangladesh, during the period from March 2017 to March 2022. The sample size was 120.

Results: In this study, mean age was 65.3 (SD±9.8) years and majority (52.5%) were male. At the 12-month follow-up, PCS scores improved, while MCS scores slightly decreased. Physical function, mental health, and PROM scores of Harris hip score (HHS), Western Ontario and McMaster universities osteoarthritis index (WOMAC), and EQ-VAS showed significant improvements. Gait speed exhibited a minor decrease. The complications observed included superficial infection in 6 patients (5.0%), femoral nerve palsy in 9 patients (7.5%), hip dislocation in 7 patients (5.8%) and etc. Overall, 81.67% had an excellent functional outcome, 11.67% had a good outcome, and 6.67% had a fair outcome after surgery.

Conclusions: The findings of our study demonstrate significant improvements in functional outcomes and PROMs following THR surgery.

 

References

Learmonth ID, Young C, Rorabeck C. The operation of the century: total hip replacement. The Lancet. 2007;370(9597):1508-19.

SC PR. Mont MA Hip arthroplasty. Lancet. 2012;380(9855):1768-77.

Ethgen O, Bruyère O, Richy F, Dardennes C, Reginster JY. Health-related quality of life in total hip and total knee arthroplasty: a qualitative and systematic review of the literature. JBJS. 2004;86(5):963-74.

Sloan M, Premkumar A, Sheth NP. Projected volume of primary total joint arthroplasty in the US, 2014 to 2030. JBJS. 2018;100(17):1455-60.

McConnell S, Kolopack P, Davis AM. The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC): a review of its utility and measurement properties. Arthritis Care Res. 2001;45(5):453-61.

Dawson J, Fitzpatrick R, Carr A, Murray D. Questionnaire on the perceptions of patients about total hip replacement. J Bone Joint Surg. 1996;78(2):185-90.

Foucher KC, Wimmer MA. Contralateral hip and knee gait biomechanics are unchanged by total hip replacement for unilateral hip osteoarthritis. Gait Posture. 2012;35(1):61-5.

Gandhi R, Tsvetkov D, Davey JR, Mahomed NN. Survival and clinical function of cemented and uncemented prostheses in total knee replacement: a meta-analysis. J Bone Joint Surg. 2009;91(7):889-95.

Singh JA, Lewallen D. Age, gender, obesity, and depression are associated with patient-related pain and function outcome after revision total hip arthroplasty. Clin Rheumatol. 2009;28:1419-30.

Putananon C, Tuchinda H, Arirachakaran A, Wongsak S, Narinsorasak T, Kongtharvonskul J. Comparison of direct anterior, lateral, posterior and posterior-2 approaches in total hip arthroplasty: network meta-analysis. Eur J Orthop Surg Traumatol. 2018;28:255-67.

Westby MD. Rehabilitation and total joint arthroplasty. Clin Geriatr Med. 2012;28(3):489-508.

Okoro T, Lemmey AB, Maddison P, Andrew JG. An appraisal of rehabilitation regimes used for improving functional outcome after total hip replacement surgery. Sports Med Arthroscopy Rehabil Therapy Technol. 2012;4(1):1-1.

Rooks DS, Huang JI, Bierbaum BE, Bolus SA, Rubano J, Connolly CE et al. Effect of preoperative exercise on measures of functional status in men and women undergoing total hip and knee arthroplasty. Arthritis Care Res. 2006;55(5):700-8.

Lukasiewicz AM, Grant RA, Basques BA, Webb ML, Samuel AM, Grauer JN. Patient factors associated with 30-day morbidity, mortality, and length of stay after surgery for subdural hematoma: a study of the American College of Surgeons National Surgical Quality Improvement Program. J Neurosur. 2016;124(3):760-6.

Marahatta SB. Functional outcome of primary total hip arthroplasty using Harris hip score in arthritic hip. Europasian J Med Sci. 2020;2(2):4-9.

Khan SK, Iqbal K. Functional Outcome of Primary Total Hip Arthroplasty. Ortho Res Online J. 2022;10(2).

Wang Y, Owen A, Franks A, Ackerman I, Fitzgerald SM, Liew S, Woods RL, Wluka AE, McNeil JJ, Cicuttini FM. Functional Outcomes Following Hip Replacement in Community-Dwelling Older Adults. J Clin Med. 2022;11(17):5117.

Fortin PR, Clarke AE, Joseph L, Liang MH, Tanzer M, Ferland D et al. Outcomes of total hip and knee replacement: preoperative functional status predicts outcomes at six months after surgery. Arthritis Rheumatism. 1999;42(8):1722-8.

Ng CY, Ballantyne JA, Brenkel IJ. Quality of life and functional outcome after primary total hip replacement: a five-year follow-up. J Bone Joint Surg. 2007;89(7):868-73.

Leiss F, Götz JS, Maderbacher G, Meyer M, Reinhard J, Zeman F et al. Excellent functional outcome and quality of life after primary cementless total hip arthroplasty (THA) using an enhanced recovery setup. J Clin Med. 2021;10(4):621.

Siwach RC, Kadyan VS, Sangwan SS, Gupta R. A retrospective study of total hip arthroplasty. Indian J Orthop. 2007;41(1):62.

Katchy AU, Katchy SC, Ekwedigwe H, Ezeobi I. Total hip replacement for management of severe osteoarthritis in a developing country: A 5-year assessment of functional outcome in 72 consecutive hip. Nig J Orthop Trauma. 2018;17(2):46.

Gupta DL, Lal DM, Aggarwal DV, Rathor DLP. Assessing functional outcome using modified Harris hip score in patients undergoing total hip replacement. Int J Orthop Sci. 2018;4(2):1015-7.

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Published

2023-08-28

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Original Research Articles