Abstract: Introduction: Osteoarthritis is the most common disorder associated with severe hip pain and disability in adult and elderly population. Total hip replacement (THR) has been termed as “the operation of the century†as it has revolutionised management of elderly patients crippled with arthritis, with very good long term results. Replacement of damaged cartilage surfaces with various artificial bearing materials has enabled surgeons to improve function and relieve pain in vast majority of patients [1]. At present THR is most commonly performed adult reconstructive hip procedure. The intend of the study was to evaluate the clinical as well as functional outcome of primary total hip replacement using modified harris hip score. All the patients were operated using posterior moore’s approach which is commonly employed in our institution.
Materials and Methods: A prospective study of 20 hips (20 patients) with primary or secondary osteoarthritis above the age of 30 years managed by both cemented and uncemented total hip replacement at basaveshwara teaching and general hospital attached to M.R Medical college kalaburagi from June 2016 to May 2018 were studied. Patient follow up was for a minimum period of 6 months.
Results: Patients were evaluated both functionally and radiologically. Functional evaluation with Modified Harris hip score showed excellent results in 12 hips, good in 6 hips, fair in 2 hips. We had complications in 3 patients, superficial infection in 1 patient and posterior dislocation in 2 patients. No poor results were noted. Radiological evaluation at the latest follow up of all cases showed no signs of aseptic loosening or implants failure.
Conclusion: Our study suggests that primary total hip replacement provides excellent functional outcome in osteoarthritis of hip. Though the study was not free of complications, the overall functional outcome showed good results and thus it confirmed the proven efficacy of total hip replacement in treatment of osteoarthritis.
