Abstract: Background and Objectives: Pain in the hip joint is one of the most important causes in disabling human locomotion. Total hip arthroplasty represents the greatest single advance in modern orthopaedic surgery. Replacement of damaged cartilage surfaces with various artificial bearing materials has enabled surgeons to improve function and relieve pain in vast majority of patients. The present study was conducted to study functional outcome and the complications associated with cemented total hip replacement using modular prosthesis. All the cases are operated by Moore’s approach which is routinely used in our institution.
Methods: In this study 30 patients with diseased hips, aged above 40 years, with pathological hip joints were treated with cemented total hip replacement using modular prosthesis by Moore’s approach in our institution and followed up for a period of 1-24 months.
Results: Patients were evaluated both functionally and radiologically. Functional evaluation with Modified Harris hip score showed excellent results in 22 hips, good in 6 hips, fair in 2 hips. 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: This study shows that cemented total hip replacement using modular prosthesis is a rewarding procedure with absolute prevention of limb length discrepancies as a common complication of the total hip arthroplasty. With proper patient selection, adequate planning, armamentarium and meticulous surgical technique, we have achieved results comparable to other authors. In a nutshell, in our institute, this procedure done with utmost technical precision has provided us with very good clinical results. Functional results are excellent and complications are minimal if done with utmost care and precision. Long term studies are necessary to study the late complications and to prove the efficacy of the implants and procedure.
