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Year : 1996  |  Volume : 30  |  Issue : 1  |  Page : 53-59

Functional Evaluation Of Cementless Total Hip Arthroplasty In India Patients : A Clinical Study


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C. S Yadav


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We reviewed 20 cementless total hip arthroplasties. The mean age of the patient at operation was 34.8 years (22 to 55 years). They were followed up for an average of 23.4 months (6 to 48). The diagnosis was avascular necrosis of femoral head in 25%, secondary osteo-arthritis in 40%, rheumatoid arthritis in 15%, miscellaneous 20%.The average Charnley’s modification of Merle D. Aubigne and Postel preoperative score for pain was 3.6, for function 1.7 and for function 2.9. The average post-operative score till latest follow up for pain was 5.4, for function 5.3 and for motion 4.8. Two hips had intraoperative fractures of greater trochanter. One screw which secured acetabular cup was broken during implantation. One patient had femoral and sciatic nerve palsy who was operated for neglected congenital dislocation of hip. There was no cases of deep infection, deep vein thrombosis or pulmonary embolism. Six patient experienced thigh pain, of which four had mild occasional pain with activity and two had occasional severe pain with activity and they took analgesic to control it. There were two cases of heterotropic ossification (Brooker et al grade I) till latest follow-up. One stem showed aseptic loosening. One hip showed definite wear of polyethylene. Our study demonstrated that cementless total hip arthroplasty is an excellent option for young patients suffering from painful dysfunctioning hips, not responding to conservative methods.


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