Association between femoral stem positioning and functional outcome in total hip arthroplasty
Journal Title: Medpulse International Journal of Orthopedics - Year 2018, Vol 8, Issue 2
Abstract
Background: The development of uncemented stems with hydroxyapatite (HA) coating may decrease the incidence of loosening, distal migration and may enhance integration and prosthetic stability. Aim: To evaluate the functional and radiological outcome in patients with primary ceramic-on-ceramic Total Hip Arthroplasty in the management of hip joint pathologies. Material and Methods: A total of 30 hips of either sex, undergoing ceramic on ceramic total hip arthroplasty were prospectively evaluated over a period of two years. All patients were examined radiologically and clinically post-operatively for functional outcome with Harris Hip score and Modified Merle d'Aubigné and Postel Score. Results: Stem alignment was central in 93.33 % of cases (28 cases) and valgus in 6.67 % cases. On comparison of post-operative Harris Hip Score among different alignment of stems, no significant association was found (p value = 0.246). On comparison of post-operative Modified Merle d’Aubigné and Postel Score among different alignment of stems, no significant association was found (p value=0.765). There were no major complications observed in any of our patient. Conclusion: Total Hip Arthroplasty with primary ceramic-on-ceramic technique provides excellent clinical outcome and provides early rehabilitation.
Authors and Affiliations
Aakarsh Mahajan, R N Shewale
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