1Senior Professor, Pt. BD Sharma PGIMS, Rohtak, Haryana
2Senior Resident, Koppal Institute of Medical Sciences, Koppal
3Professor, Pt. BD Sharma PGIMS, Rohtak, Haryana
4Consultant Orthopaedic Surgeon, Dept. of Orthopaedics, CMC Hospital, Hisar, Haryana
*Corresponding Author: Email: jgndesai@yahoo.com
Online published on 14 October, 2017.
Total hip arthroplasty has been in constant change since its inception. Polymethylmethacrylate, a bone cement introduced by Haboush as a mecahanism for achieving rigid initial fixation have lost its popularity due to problems of loosening of stem and cup.
Evaluation the clinical and radiological outcome of uncemented large diameter head in total hip arthroplasty.
Out of twenty five hips, twenty four patients were operated upon for large diameter head in total hip arthroplasty in the Department of Orthopedics, Pt. B.D.S. P.G.I.M.S. Rohtak.
The cases studied included patients from age of 21 years to 60 years with an average age of 40.5 years. 14 cases (58.33%) had avascular necrosis of head of femur, 5 cases (20.83%) had osteoarthritis, one patient had rheumatoid arthritis. 15 patients (60%) were operated on left side, while 8 (32%) were operated on right side and 1 (8%) case was operated on both sides. Metal-on-metal THR was done in 8 cases (32%), Metal-on-polyethylene THR was done in 17 cases (68%) and Ceramic-on-ceramic was done in none. Postoperative pain was absent in 15 patients (60%), mild pain was seen in 9 patients (36%) and moderate pain in one patient (4%).
Total hip arthroplasty continues to be an ideal procedure for achieving painless, mobile, stable hip in cases with advanced hip disorders.
Total hip arthroplasty, Uncemented, Avascular necrosis, Clinical and radiological outcome
