Retrospective Study of Total Hip Arthroplasty with Minimum 5yr Follow Up

The aim of this study is to access in clinical and radiological outcome of uncemented total hip replacement with minimum 5 year of follow up. Uncemented total hip replacement is gold standard for management of hip arthritis. However long term reassessment is required to see consequences of uncemented total hip replacement. all the detail were collected from record section of hospital. This is a retrospective study of total hip replacement mid term (mean follow up of 5-8 years) follow up. A total of 48 patient were operated before January 2012. Thia procedure is more common in Malegreater thanFemale. Majority of patient were between 40 to 60 year (mean age is 55 year) Most common indication is osteonecrosis of femoral head. other being post traumatic, infection, idiopathic. A patient was operated with modified Gibson approach (posterolateral).20 % of patient were having post surgical complication ( infection, loosning, DVT, dislocation). About 90 % of patient having no pain, 7 % having slight pain, 2 % having moderat pain. Majority because of displacement of stem in varus and loosning, Moat of patient were ambulatory expect. Your 3 patient who walked with walker and 2 patient who walked with stick.8 % of patient is having lower limb shortning, 4 % patient having lower limb lengthening, on imagine none of patient show loosning or sinkingof implant this suggest uncemented total hip replacement is sound prosthesis in our study compairing the following procedure of fracture limb, ROM daily activity were examined with modified Harris Hip score. The Harris hip score give maximum of 100. A score 90-100 is an excellent result-36 patient.80-90 is good 6 patient.70-80 is considerd fair -5 patient. less than70 is considerd poor- 1 patient. overall revisonal score is very low. mostly due to psychiatrict disorder, old age, combined illness, Hence it suggest that uncemented total hip replacement is sound moderat to treat patient with advanced hip arthritis in your patient.