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Year : 2023  |  Volume : 38  |  Issue : 1  |  Page : 54-70

A functional and radiological outcome of uncemented total hip arthroplasty in young adults

1 Department of Orthopaedic of Rabindranath Tagore Medical College Hospital Udaipur, Udaipur, Rajasthan, India
2 Orthopaedic Department, Max Superspeciality Hospital Mohali, Mohali, Punjab, India

Correspondence Address:
Johney Juneja
Department of Orthopaedic of Rabindranath Tagore Medical College Hospital Udaipur, Udaipur 313001, Rajasthan
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jbjd.jbjd_7_23

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Background: End-stage arthritis in young patients requires surgical intervention. Total hip arthroplasty (THA) remains the treatment of choice for restoring function and activity in end-stage hip arthritis. The medium-term outcome of uncemented THA in the Indian population is less studied. Hence, this study was taken up with aim to study clinical and radiological outcomes of uncemented THA in patients with age less than 40 years. Materials and Methods: This study was a prospective study done on 50 patients admitted to RNT Medical College and M.B. Hospital Udaipur during December 2021 to September 2022 chosen based on the inclusion and exclusion criteria. Patients were informed about the study in all respects, and written informed consents were obtained. The follow-up period was at 12th day, 1 month, 3 months, 6 months, and 9 months for functional outcome assessment and radiological evaluation. Patients were evaluated preoperatively and postoperatively. Inclusion criteria: (1) adult age group 20–50 years; (2) patients with secondary arthritis of hip (posttraumatic, avascular necrosis of femoral head, or ankylosing spondylitis). Exclusion criteria: (1) active infection of the hip joint or any other active infection in body; (2) patient with uncontrolled diabetes mellitus, unstable cardiac disease, and with other grave medical concerns or severe comorbidity; (3) neuropathic joint; (4) not willing to participate; (5) with vascular insufficiency. Results: Bony ingrowth with no evidence of loosening was seen consistently both on femoral and acetabular side in all patients on X-ray. No statistically significant association was found between initial alignment of the femoral component and clinical outcome. Conclusions: Uncemented THA can be used in young patients with excellent to good functional and radiological outcome at mid-term follow-up, high satisfaction rate, and lower rate of complications.

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