Arunim Swarup1, Sunil Malhotra2, Deepankar Verma3, Devendra Dave4, Abhay Shankar Dube5
INTRODUCTION
The total hip replacement (THR) has probably become the surgical procedure of choice for vide variety of hip joint disabling diseases. The prosthesis used for THR is often grouped into cemented, cement-less and hybrid ones. There has been increasing trends in use of cement-less components citing more number of complications namely loosening, increased infection rate etc. however with additional cost factors as well. We conducted this study to ascertain whether in a developing country like ours should we really switch over to un-cemented hip replacements dreading such complications or can we still use cemented prosthesis with equally good if not better results.
METHODS
A study of functional results of cemented total hip replacement was done in patients with varied age groups ranging from 40 years to 75 years with the average age being 54.8 years. 20 patients with 21 diseased hips were treated with cemented total hip replacement by Moore’s posterior approach at NSCB Subharti medical college, Meerut, UP from December 2010 to December 2013 and reviewed thereafter with an average follow-up period of 4.2 years. Average surgical time required was one and half hour. Patients were asked to come for follow up on 1st month, 3rd month and 6th month and then every 6 months and were assessed as per modified Harris Hip Score.
RESULTS
All the patients were evaluated according to the Modified Harris Hip Scoring system. The results showed 14(67%) hips with excellent results, 4(19%) with good results, and 3(14%) hips with fair results. No poor outcome was noted in this study. 2 cases of dislocation (10%) were noted one on the 5th post-operative day and the other occurred after the patient was discharged from the institution.
CONCLUSIONS
The management of diseased and destroyed hips with chronic pain with cemented total hip replacement is effective and gives stable, mobile and painless hip joint to the patient. Functional results are excellent and complications are minimal if done with utmost care and precision.
