Abstract

Objective: The objective of this study is to determine post-operative hospital stay and complications of total hip replacement in a tertiary care hospital.

Material and Method: This Descriptive study was conducted in the Department of Orthopedic and Trauma, Medical Teaching Institute Lady Reading Hospital Peshawar from March 2017 to February 2018 on 39 consecutive patient of age 55 and above with primary osteoarthritis of the hip. In all these patients cemented arthroplasty of the same manufacturer was done through direct lateral approach and patients were mobilized on first post-operative day. Risk Assessment and Prediction Tool (RAPT) Score was calculated pre-operatively for every patient and hospital stay was arranged accordingly to avoid any complications.

Results: Out of thirty-nine patients, 13(33.3%) were female and 26(66.7%) were male. Mean age of the patients was 63.05(Std. Deviation 4.359) with minimum 55 years and maximum 70 years. Left side was affected in 17 (43.6%) patients, while right side was affected in 22(56.4%) patients. Pre-operatively the Risk Assessment and Prediction Tool (RAPT) Score was less than six score in 3(7.7%), score between 6-9 in 16(41.0%) and score more than 9 in 20(51.3%) patients. Average Post-operative hospital stay was 4.28 with minimum of 2days and maximum of 7 days with standard deviation of 1.654. Eleven (28.2%) patients have three days post-operative hospital stay, 8(20.5%) has five days and 7(17.9%) has six days post-operative hospital stay. The calculated predicted value in our study was 97.4%

Conclusion: Preoperative assessment of the patients undergoing Total Hip Replacement not only reduces complication rates but also reduces socioeconomic burden on hospital as well as on patients.

Keywords: Arthroplasty; Assessment; Hip; Hospitalization; Inpatient; Replacement