QUALITY OF LIFE AND FUNCTIONAL OUTCOME AFTER UNCEMENTED TOTAL HIP REPLACEMENT- A PROSPECTIVE CLINICAL TRIAL

Abstract

Background: Total hip arthroplasty (THA) is a most commonly performed adult reconstructive hip procedure to reduce pain and improve function in patients with different forms of osteoarthritis (OA), trauma, infection and other causes of the hip and almost one million are being implanted annually worldwide, and projected to grow at a faster rate
Objectives: This prospective study was conducted to evaluate the efficacy of uncemented prosthesis for total hip replacement and to study its functional outcome and effects on quality of life.
Methods: This was a prospective clinical trial performed on 20 patients were having femoral neck fracture in either leg of 40-65 year of age range in two years from June 2016 to June 2018. Uncemented Hip Prosthesis was surgically inserted by standard posterior approach to hip. Regular follow-up of all cases was done at 2 weeks, 3 months and 1 year. At each follow-up, patients were evaluated clinically using the Harris hip score and radiologically with appropriate X-rays.
Result: Harris hip score was rated as – excellent: 90-100 in 9 (45%); good: 80-89 in 6 (30%); fair: 70-79 in 3 (15%) and poor: <70 in 2 (10%) patients. All the results showed statistically significant. On average total hospital stay was 5-10 days. Functional outcome found to be statistically significant with very few and manageable complications.
Conclusion: Total hip arthroplasty is a relatively safe and sure procedure in the hands of the experienced surgeon with uncemented hip prosthesis which provided total relief, adequate stability, remarkable range of motion in severely painful, refractory hips, if performed taking into consideration pre-operation selection of patients, intra operative soft tissue balancing, correct alignment of prosthesis and postoperative proper rehabilitation of patients..
Keywords: Functional Outcome, Harris Hip Score, Total Hip Arthroplasty (THA), Uncemented Hip Prosthesis.