Abstract: Introduction: Total hip replacement (THR) replaces damaged and worn hip joints with a smooth, artificial prosthesis. This low-risk procedure offers improved hip function and flexibility, reduced pain, and better stability in 95% of patients. The success of Total Hip Replacement arthroplasty is its ability to relieve the pain associated with hip joint pathology, while maintaining the mobility and stability of the hip joint.
Objective: Too assess the evaluation and outcome of total hip replacement with arthritis in adults patients.
Methods: A prospective study of clinical and radiological analysis of cemented total hip arthroplasties performed for various hip pathologies at Department of Orthopedic Surgery, Kurmitola General Hospital, Dhaka, Bangladesh from January to December 2023. 50 patients were included in our study in whom 50 arthroplasties were performed. All cases were done using Hardinge’s direct lateral approach. Clinical assessment was done using modified Harris Hip Score, preop and post op at 6 weeks, 3, 6, 12, 24 months and at latest follow up and points were given accordingly.
Results: This series consisted of 50 patients with 50 diseased hips treated with cemented total hip replacement. This study is conducted on patients with age ranging from 50 to 85 years with a mean age of 59.68 years at the time of surgery. The patients were followed post operatively at 6 weeks, 3,6,12, and 24 months. The average follow-up period was 18.8 months, minimum period of follow-up being 12 months and maximum period follow-up was 24 months postoperatively. Out of 50 patients, 34(68%) are males and 16 (32%) are females thus showing a male preponderance. 20 patients were operated on left side and 30 patients on right side. One patient had superficial infection who was treated with wound debridement, antibiotics and delayed suture removal. Two patients (8%) had leg length discrepancy(shortening) who were treated with shoe rise. The immediate mean postoperative modified Harris hip score was 88.44 with a minimum of 74 and maximum of 95. The mean follow-up Harris hip score increased to 91.28 with a minimum of 77 and maximum of 97. All patients who were included in our study had poor score preoperatively. In the follow up 42(84%) had excellent results, 4(8%) had good result and 4(8%) had fair results in the follow-up which is a significant improvement in the modified Harris hip score.
Conclusion: Total hip arthroplasty remains unchallenged because of its spectacular results- relief of pain, preservation or increase in mobility, range of motion and easy rehabilitation. Most of our patients were elderly active treated with cemented total hip replacement and have shown excellent clinical and radiological results after an intermediate period of follow-up.
