A Clinico-Radiological Outcome of Total Hip Replacement – A Combined Retrospective and Prospective Study

Vol 34 | Issue 1 | Jan – April 2019 | page: 26-29 | Pratyush Parag, Najmul Huda, Ajay Pant, Pulkit Jain


Authors: Pratyush Parag [1], Najmul Huda [1], Ajay Pant [1], Pulkit Jain [1]

Address of Correspondence

Dr. Pulkit Jain,
Department of Orthopaedics,
Teerthanker Mahaveer Medical College and Research Centre,
Teerthanker Mahaveer University,
Moradabad, Uttar Pradesh India – 244 001.
E-mail: pjain1060@gmail.com


Abstract

Introduction: Total hip arthroplasty (THA) is one of the most common and effective forms of surgery, resulting in a generally excellent outcome. Conventional joint replacement implants are better suited for western lifestyles and needs. In the Indian scenario, patients expect a higher range of motion post-THA considering their routine cultural practices which involve floor seated positions (cross-legged sitting, squatting, and kneeling). Although there have been many studies on short- and medium-term outcome, studies pertaining to India are insufficient. The present study was undertaken to evaluate the clinical and radiological outcome of THA.
Materials and Methods: This was a combined prospective and retrospective study. The study commenced in January 2017. Operative records of all patients who underwent the procedure from 2010 until December 2017 was screened from the operating room registers and case files. Clinical assessment was done using Harris Hip Score (HHS). Radiological assessment was done using radiographs in anteroposterior and frog lateral view and the following parameters were assessed: Limb length, horizontal center of rotation, vertical center of rotation, inclination of acetabulum, positioning of femoral stem, anteversion of acetabulum, and cement mantle thickness.
Results: A total of 25 patients fulfilled the inclusion and exclusion criteria and were included in the study, of which 19 patients were male. The mean age of patients was 51.04 ± 14.79 years (range 27–40 years). Avascular necrosis of hip was the most common indication for THA, as seen in 80% of the patients (n = 21). Excellent outcome was seen in 11 patients based on HHS. On radiological evaluation, limb length discrepancy was seen in two patients, and osteolysis was seen in only one patient. None of the cases was infected. The mean duration of follow-up was 3.2 years (range 2–7 years).
Conclusion: Our study shows that of the patients who underwent THA, only two patients had poor outcome, excellent outcome was seen in 11 patients, good and fair results were seen in six patients each at a mean duration of follow-up of 3.2 years (range 2–7 years).
Keywords: Total hip arthroplasty (THA), Total Hip Replacement (THR), Harris Hip Score (HHS)


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How to Cite this Article: Parag P, Huda N, Pant A, Jain P. A Clinico Radiological Outcome of Total Hip Replacement – A Combined Retrospective & Prospective Study. Journal of Bone and Joint Diseases Jan-April 2019;34(1):25-28.


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