Short-term post-operative evaluation of young to middle age population following primary uncemented total hip arthroplasty
DOI:
https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20242908Keywords:
Total hip arthroplasty, Harris hip score, Visual analogue scale, Hip arthritis, Avascular necrosisAbstract
Background: Total hip arthroplasty (THA) is the most commonly performed adult reconstructive procedure. The most common indication is severe osteoarthritis of the hip. THA remains the treatment of choice for restoring in end stage hip arthritis. It aims for immediate and long-lasting effects on pain and function in osteoarthritic hip.
Methods: The study is a prospective observational study conducted on 30 patients enlisted in the inpatient department of orthopaedics at a rural tertiary health care centre (JIIU’S Indian Institute of Medical Sciences and Research, Warudi, Jalna). Only those patients satisfying the inclusion and exclusion criteria were included in the study. All the patients were explained about the surgical procedure, the purpose of the study and informed consent was taken. The patients were followed up at 1, 3 and 6-months post-operatively and the functional outcome was evaluated using Harris hip score and visual analogue scale (VAS).
Results: Among the 30 cases included in the study, subjects were between 22 to 60 years of age. The cases were of either gender, with predominance of male cases. The mean Harris hip score and the mean pain score (VAS) at post-operative 1-month, 3-month and 6-month follow-ups improved significantly compared to their respective values at the pre-operative stage (p value <0.05 for all).
Conclusions: The uncemented total hip replacement in young to middle-aged patients is an effective surgery which provides dramatic pain relief and excellent functional outcomes in majority of the subjects.
References
Lettich T, Tierney MG, Parvizi J, Sharkey PF, Rothman RH. Primary total hip arthroplasty with an uncemented femoral component: two- to seven-year results. J Arthroplast. 2007;22:4346.
Kawamura H, Dunbar MJ, Murray P, Bourne RB, Rorabeck CH. The porous coated anatomic total hip replacement. A ten to fourteen-year follow-up study of a cementless total hip arthroplasty. J Bone Joint Surg Am. 2001;83:1333-8.
Vidyadhara S, Rao S. Uncemented primary press-fit total hip arthroplasty: a 3 to 6 Years of experience. J Orthop Surg. 2007;15:50-5.
Bessette BJ, Fassier F, Tanzer M, Brooks CE. Total hip arthroplasty in patients younger than 21 years: a minimum, 10-year follow-up. Can J Surg. 2003;46:257-62.
D'Antonio JA, Capello WN, Manley MT, Feinberg J. Hydroxyapatite coated implants. Total hip arthroplasty in the young patient and patients with avascular necrosis. Clin Orthop Relat Res. 1997;12:124-38.
Dudkiewic I, Salai M, Ganel A, Blankstein A, Chechik A. Total hip arthroplasty in patients younger than 30 years of age following developmental dysplasia of hip (DDH) in infancy. Arch Orthop Trauma Surg. 2002;122:139-42.
National Institute of Health. Consensus Statement Total Hip Replacement. 1994;12(5).
Matthew S, Austin MD. Total Hip Arthroplasty at the Rothman Institute. HSSJ. 2012;8:146-50.
Bessette BJ, Fassier F, Tanzer M, Brooks CE. Total hip arthroplasty in patients younger than 21 years: a minimum, 10-year follow-up. Can J Surg. 2003;46:257-62.
Jacob MK, Reddy PK, Kuruvilla RS, John CV, Poonnoose PM, Oommen AT. Functional and clinical outcome with modified lateral approach total hip arthroplasty in stiff hips with ankylosing spondylitis. World J Orthop. 2022;13(8):714-24.
Krause PC, Braud JL, Whatley JM. Total hip arthroplasty after previous fracture surgery. Orthop Clin North Am. 2015;46(2):193-213.
Asati S, Wale N, Phuljhele S, Gurudatta HS, Asati P. The assessment of short-term functional outcomes after total hip arthroplasty: An original research. Int J Health Sci. 2022;6(S7):2285-93.
Wade R, Shah KA. Functional and radiological outcome of uncemented total hip arthroplasty in young adults - 5-year follow-up. J Orthop. 2019;18:237-9.
Prakashappa TH, Hanumaih YG, Shamsundar Y, Murugunde AJ. Functional outcome of uncemented total hip arthroplasty in degenerative arthritis of hip. Int J Orthop Sci. 2021;7(1):777-82.
Michael A, Mont M, Seyler TM, Johannes F, Plate B, Delanois RE, et al. With osteonecrosis of the femoral head: a comparative study. J Bone Jt Surg Am. 2006;88.
