Short Term Analysis of functional results of Uncemented Total Hip Arthroplasty

Kannan, M (2006) Short Term Analysis of functional results of Uncemented Total Hip Arthroplasty. Masters thesis, Madras Medical College, Chennai.

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Abstract

INTRODUCTION: Arthroplasty is an operation to restore pain- free motion to a joint and function to the muscles, ligaments and other soft tissue structures that control the joint. The goals of total joint arthroplasty are to relieve pain, to provide motion while maintaining stability and to correct deformity. AIM: The aim of this study is to analyse the short-term followup of functional results of 31 porous-coated uncemented total hip replacement surgeries prospectively, done in our institution during the period September 2003 to February 2006. MATERIALS AND METHODS: This is a prospective study conducted at Department of Orthopaedic Surgery, Government General Hospital, Chennai-3 during the period from September 2003 to February 2006. We had done 31 porous-coated uncemented total hip replacement surgeries in 29 patients for a variety of indications. RESULTS: All patients were evaluated clinically and radiologically preoperatively and at various followup periods. All the patients were analysed using Harris Hip Score evaluation, preoperatively and post operatively. In our study, 15 hips showed excellent results, 10 hips showed good results, 3 hips showed fair results and 3 hips showed poor results. All the patients were analysed radiographically also during various follow up periods. The femoral stem and acetabular cup were assessed for its position, loosening, migration or implant failure. one patient had subsidence of femoral stem of 3 mm in the proximal portion and the patient had thigh pain. One patient had migration of acetabular cup medially through the floor of the acetabulum. CONCLUSION: The uncemented total hip arthroplasty is the best choice of surgery for hip diseases in younger individuals with good bone quality. The learning curve for the total hip arthroplasty to produce better results of this surgery is fairly big. The preferred surgical approach is by lateral Hardinge approach and the position is supine position, especially for the surgeons in the learning curve, since the surgeon will have better three-dimensional orientation. The success of hip arthroplasty is predicted on proper patient selection, use of well designed implants and skilled technical execution of the procedure.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Uncemented Total Hip Arthroplasty ; functional results ; Short Term Analysis.
Subjects: MEDICAL > Orthopaedics
Depositing User: Subramani R
Date Deposited: 14 Sep 2017 01:44
Last Modified: 14 Sep 2017 01:44
URI: http://repository-tnmgrmu.ac.in/id/eprint/3069

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