Clinical and Radiological Outcome Analysis of Total Hip Replacement.

Sudharsan, A (2016) Clinical and Radiological Outcome Analysis of Total Hip Replacement. Masters thesis, Thanjavur Medical College, Thanjavur.

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Abstract

BACKGROUND: Fifteen adult cases of uncemented total hip replacements were assessed clinically (by Harris Hip Score) radiographically by serial radiographs and CT scan. In the postoperative Harris Hip Score the neck of femur groups and the arthritic hip groups had comparable results. Uncemented total hip replacement gives acceptable results in otherwise disabling condition of hip. MATERIALS AND METHODS : Prospective evaluation of 15 patients in the age group of 18 years to 60 years with good general condition and no septic foci underwent uncemented total hip replacement for various indications between June 2013 to March 2015. The periodic evaluation were done both clinically and radiologically with CT scan at regular intervals. RESULTS : Among the 14 patients with 15 hip replacements(one bilateral), the over all improvement in average Harris hip score was from 29.9 pre operatively to 91.4 post operatively and only in 1 case we observed deterioration in Harris hip score by loosening, but it still gave fair result. CONCLUSION : This is a short term study of one particular type of uncemented Total Hip Replacement system without comparison with matched or randomized group. In this study clinical assessment correlated well with radiographic apperance and CT scan. There were no evidences of osteointegration in any case possibly because of short duration of study. There was evidence of loosening in only one case. In the postoperative Harris Hip Score the neck of femur groups and the arthritic hip groups had comparable results.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Osteointergration-direct structural and functional connection between ordered living bone and the surface of a load carrying implant ; Bone ingrowth was evaluate radiologically by assessing radiodense regions and spot welds ; Loosening- Radiolucent linesof more than 2 mm at the bone - implant interface (in Gruen and DeLee and Chanley zones) with acetabular cup migration or femoral subsidence.
Subjects: MEDICAL > Orthopaedics
Depositing User: Subramani R
Date Deposited: 20 Dec 2017 23:52
Last Modified: 20 Dec 2017 23:52
URI: http://repository-tnmgrmu.ac.in/id/eprint/4609

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