Functional Outcome of Cemented Primary Total Hip Arthroplasty

Authors

  • Farmanullah Khan Khyber Teaching Hospital Peshawar
  • Kher Muhammad Lady Reading Hospital, Peshawar
  • Mian Waqas Khan Emergency Satellite Hospital Nahai Peshawar
  • Imtiaz Khyber Teaching Hospital Peshawar
  • Waseem Aviceena Hospital Lahore
  • Meer Wais Hayatabad Medical Complex Peshawar

DOI:

https://doi.org/10.35845/abms.2024.1.331

Keywords:

Harris Hip Score, Total Hip Arthroplasty, Osteoarthritis Hip, Osteonecrosis Hip

Abstract

Objective

To determine the efficacy of cemented primary total hip replacement in patients with end-stage hip disease.

Methods

The study was conducted at Khyber Teaching Hospital Peshawar, Pakistan, from March 2022 to January 2024. The study involved 50 males and 23 females and aged 40-80 years, who underwent cemented total hip arthroplasty for end-stage hip diseases. The participants underwent a thorough history, physical examination, and Harris hip score to evaluate their functional ability. All arthroplasties were performed through a modified Hardinge lateral approach using a cemented total hip prosthesis under spinal anesthesia. The patients were mobilized with crutches on the first postoperative day and received intravenous antibiotics for 3 days. The Harris hip score was monitored at 3 months postoperatively and analyzed using SPSS-23 and paired T-test keeping a p-value of ≤ 0.05 as significant.

Results

Most hip involvement was right, with 62% being right hip involvement. Hip pain was the main complaint. The Harris Hip Score was 10-32, with a mean value of 16.50±4.83 preoperatively while postoperatively, in the 3rd month, it was 86.34±9.84 with a p-value of <0.00001 which is significant. The Harris hip score was good to excellent at 82%, fair at 12%, and poor in 5% of cases in 3rd month postoperatively. Complications included skin surgical site infections and dislocations.

Conclusion:

Cemented total hip arthroplasty is a safe and successful treatment for end-stage hip joint diseases, providing patients with the possibility of regaining mobility, reducing discomfort, and improving quality of life with minimum risk of complications.

References

Raja BS, Gowda AK, Singh S, Ansari S, Kalia RB, Paul S. Comparison of functional outcomes and complications of cemented vs uncemented total hip arthroplasty in the elderly neck of femur fracture patients: A systematic review and meta-analysis. Journal of Clinical Orthopaedics and Trauma. 2022 Jun 1;29:101876.

Goyal D, Bansal M, Lamoria R. Comparative study of functional outcome of cemented and uncemented total hip replacement. Journal of Orthopaedics, Traumatology and Rehabilitation. 2018 Jan 1;10(1):23-8.

Marahatta SB. Functional outcome of primary total hip arthroplasty using Harris Hip Score in Arthritic Hip. Europasian Journal of Medical Sciences. 2020;2(2):4-9.

Yang C, Han X, Wang J, Yuan Z, Wang T, Zhao M, Han G. Cemented versus uncemented femoral component total hip arthroplasty in elderly patients with primary osteoporosis: retrospective analysis with 5-year follow-up. Journal of International Medical Research. 2019 Apr;47(4):1610-9.

Jafar O, Shaukat MK. Functional outcome of total hip. Journal of University Medical & Dental College. 2015 Sep 3;6(3):61-9.

Khan SK, Iqbal K. Functional Outcome of Primary Total Hip Arthroplasty.2022

Buirs LD, Van Beers LW, Scholtes VA, Pastoors T, Sprague S, Poolman RW. Predictors of physical functioning after total hip arthroplasty: a systematic review. BMJ open. 2016 Sep 1;6(9):e010725.

Al Zahhar M, Esmat E, El Gazzar A. Fixation of Unstable Peritrochanteric Fractures of Femur Using Gamma Nail. Benha Medical Journal. 2021 Sep 1;38(special issue (Orthopedic Surgery)):86-96.

Reddy MR, Shivakumar MS, Phad P. Study of clinical and functional outcome of total hip replacement in avascular necrosis of femoral head. Int J Orthop Sci. 2018;4(1):252-8.

Rashed RA, Sevenoaks H, Choudry QA, Kasem MS, Elkhadrawe TA, Eldakhakhny MM. Comparison of functional outcome of cemented total hip replacement versus cemented dual-mobility cup total hip replacement for the management of displaced femoral neck fractures in the active elderly patients. Hip International. 2021 Sep;31(5):683-90.

Shah KA, Desai MM. A study to assess functional outcome of cemented and uncemented total hip replacement in a tertiary care center. International Journal of Research in Orthopaedics. 2019 Sep;5(5):828.

Lakhotia D, Agrawal U. Functional outcome of uncemented total hip replacement in low socioeconomic group using modified harris hip score: A prospective midterm Follow-Up study. Cureus. 2023 Dec;15(12).

Wignadasan W, Najefi A, Dewhurst M, Fazal MA. Cemented Versus Uncemented Hemiarthroplasty for Displaced Intracapsular Neck of Femur Fractures in the Elderly: Outcomes and Costings. Indian Journal of Orthopaedics. 2024 Apr 1:1-6.

Agarwala S, Vijayvargiya M, Mishra N. Correlation of Preoperative D-Dimer Levels and Postoperative Venous Thromboembolism in Patients Undergoing Total Hip Arthroplasty and Total Knee Arthroplasty. Open Journal of Orthopedics. 2021 Sep 6;11(9):269-77.

Matthias J, Bostrom MP, Lane JM. A comparison of risks and benefits regarding hip arthroplasty fixation. JAAOS Global Research & Reviews. 2021 Nov 1;5(11):e21.

Published

2024-06-21

How to Cite

Khan, F., Kher Muhammad, Waqas Khan, M. ., Ur Rehman, I. ., Akbar, W. ., & Meer Wais. (2024). Functional Outcome of Cemented Primary Total Hip Arthroplasty. ADVANCES IN BASIC MEDICAL SCIENCES, 8(1), 34–38. https://doi.org/10.35845/abms.2024.1.331