Analysis of functional and radiological outcomes in hybrid total hip replacement
Journal Title: Medpulse International Journal of Orthopedics - Year 2017, Vol 4, Issue 2
Abstract
Introduction: Arthroplasty is being widely used nowadays to restore the function of the hip following various conditions affecting the hip. The concept of replacing the head with an artificial head and socket thereby replacing the joint, had a profound impact on the treatment of painful hips especially associated with a degenerative process. Hybrid total hip replacement came about to minimise the complications that were associated with cemented and un-cemented total hip replacement. Materials And Method: Twenty two total hip replacements were carried out in 22 patients in the period from 2015 to 2017. All the patients were assessed functional and radiologically with a period 1-2 years using Harris hip score. All patients were operated through Moore southern approach. All these patients were assessed pre operatively and post operatively with the Harris hip score and radiograph in anteroposterior and lateral projections. Results: The age of patients at the time of surgery was years. Indications for the operation included avascular necrosis in 6, rheumatoid arthritis in 1, ankylosing spondylitis in 3, inter-trochanteric fracture in 3 and fracture neck of femur in 9 patients. The results evaluated according to the Harris classification system were excellent or very good in 84.23.%, satisfactory in 18 % and poor in 0% of the replacements. On subjective evaluation,4 patients presented with groin pain (18.18%). Aseptic loosening was developed in 4.5% and dislocation 4.5%. Discussion: Patients treated with Hybrid total hip arthroplasty shows remarkable improvement shown by our analysis of the harris hip score over the period of our study. Conclusions: Harris Hip score was found to be relatively equal in all patients with Hybrid Total Hip Replacement showing 84% of excellent/good results in our series. It leads us to believe that un-cemented acetabular cup with a cemented femoral stem is likely to last longer.
Authors and Affiliations
Bharath . , Vishnu Vijayaraghavan, Thirunthaiyan . , R Doraikumar
Keywords
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- EP ID EP469532
- DOI 10.26611/1020423
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