Abstract

Objective: The objective of this study is to evaluate the early results of total hip arthroplasty in osteoarthritis of the hip.

Material and Method: This case series 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 patient cemented arthroplasty of Surgival manufacturer was done through direct lateral approach and patients were mobilized on first post operative day. Patients were followed up on three months, six months and one year duration.

Results: A total of fifty four patients were included in the study but at final follow up only thirty nine has been seen. So we analyzed only those thirty nine patients for any complication. Out of thirty nine patients, 13(33.3%) were female and 26(66.7%) were male. Mean age of the patients were 63.05(Std. Deviation 4.359) with minimum 55 years and maximum 70 years. We have lost 15 patients to follow up. The remaining thirty nine has dislocation in 1(2.6%), peri prosthetic fracture in 1(2.6%) and infection in 2(5.1%) patients. Two (5.1%) patients has severe pain and 3(7.7%) were not satisfied post operatively.

Conclusion: Total hip arthroplasty has best results in primary osteoarthritis of the hip in old age provided that the patient follows the post operative protocol for hip arthroplasty.

Keywords: Arthroplasty; Acetabulam; Activity of daily living; Hip; Osteoarthritis; Pain; Satisfaction