Anatomical alignment of hip allows mobility in three planes. Any derangement in this alignment affects the functioning and daily living of a person, which is most commonly either due to trauma or degenerative conditions like osteoarthritis (OA). Till date the most effective treatment of severely damaged joints is replacement. Uncemented Total hip replacement (THR) is commonly indicated in young patients, but the usage of uncemented THR in elderly population is of debate in the recent past. Though THR is a remarkable surgical procedure, its effectiveness in providing mobility, stability and better quality of life is time tested. This made us to analyze retrospectively the short term evaluation of functional and radiological outcome of uncemented THR in elderly arthritic patients.
Materials & Methods: A retrospective cum prospective study conducted at our center (Maharajahs institute of medical sciences, nellimarla, vizianagaram, A.P) in 20 hips (20 patients) from sep 2103 to sep 2017 among patients who met the inclusion criteria were admitted, operated with uncemented THR after consent for the procedure has been taken and followed up for a period of 36-40 months. All the patients were evaluated functionally (Harris hip score, VAS (visual analogue pain scale)) and radilogically (Andrew Whaley & Daniel et al. criteria-acetabular cup loosening, Engh’s criteria-femoral stem loosening)
Results: Mean age of study group-55 years, males are predominant in the study.18 out of 20 had good-excellent painless ROM.1 pt had posterior dislocation of prosthesis following trauma which was reduced immediately under GA, followed by supervised physiotherapy, following which patient had no complaints.1 patient had superficial skin infection, managed with iv antibiotics. No significant limb length discrepancies in the study.
Conclusion: Uncemented THR can be considered as better reproducible surgery in elderly arthritic patients.