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Evaluation of total hip replacement.

F Rahman1, M A Salam, M I Ali

  • 1Orthopedic Surgery, Mymensingh Medical College, Mymensingh, Bangladesh.

Mymensingh Medical Journal : MMJ
|March 9, 2007
PubMed
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Total hip replacement surgery showed positive outcomes for most patients, significantly improving their quality of life. This study assessed hip replacement results for aseptic necrosis and osteoarthritis.

Area of Science:

  • Orthopaedic Surgery
  • Biomaterials Science

Background:

  • Aseptic necrosis of the femoral head and secondary osteoarthritis significantly impact hip joint function and patient quality of life.
  • Total hip replacement (THR) is a common surgical intervention for end-stage hip disease.

Purpose of the Study:

  • To evaluate the clinical outcomes of total hip replacement (THR) performed at Dhaka Medical College Hospital.
  • To assess the effectiveness of cemented THR using specific implant components for patients with femoral head necrosis and osteoarthritis.

Main Methods:

  • A prospective study involving eight patients (six male, two female) aged 22–67 years undergoing cemented THR.
  • Femoral heads were replaced with metallic components (C-stem) and acetabular cups made of Ultra-High density Polyethylene, cemented with methylmethacrylate.

Related Experiment Videos

  • Patient outcomes were assessed using the Harris Hip Score after a follow-up period of 4 months to 1 year (average 7.75 months).
  • Main Results:

    • 75% of patients achieved good to excellent results based on the Harris Hip Score.
    • 12.5% of patients had fair results, while one patient experienced dislocation, leading to a poor outcome.
    • A significant improvement in the quality of life was reported by 87.5% of the patients.

    Conclusions:

    • Cemented total hip replacement using metallic femoral components and Ultra-High density Polyethylene acetabular cups yields favorable outcomes for patients with aseptic necrosis and secondary osteoarthritis.
    • The procedure demonstrates a high success rate in improving functional status and quality of life, despite a low risk of complications like dislocation.