Short-Time Influence of Total Hip Arthroplasty on Patients with Sever Hip Ostheoarthritis

Document Type : Original Article (s)

Authors

1 Associate Professor, Department of Orthopedic Surgery, School of Medicine, Isfahan University of Medical Science, Isfahan, Iran

2 Student of Medicine, School of Medicine AND Students Research Committee, Isfahan University of Medical Sciences, Isfahan, Iran

3 Resident, Department of Orthopedic Surgery, School of Medicine AND Students Research Committee, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

Background: Osteoarthritis is a common illness in elderly people and hip joint is one of the most common sites of osteoarthritis. Total hip arthroplasty (THA) is an accepted treatment in these patients, nowadays. The aim of this study was short-time evaluation of THA in patients with hip osteoarthritis.Methods: This clinical trial evaluated 40 patients with hip osteoarthritis undergone total hip arthroplasty in Kashani hospital, Isfaha, Iran. Severity of pain was measured by the visual analogue scale (VAS) and function was assessed by Harris hip scale (HHS) before operation and 6 and 12 months after it.Findings: The mean score of VAS was 6.71 before operation, and 4.62 and 3.38 at 6 and 12 month after it, respectively; the difference was significant (P < 0.0001). The mean of HHS was 47.3, 79.8, 91.2 before operation and 6 and 12 month after it, respectively with a significant difference (P = 0.0110).Conclusion: Our findings showed that total hip arthroplasty, in short-time, decrease pain reduction and improve hip function in patients with hip osteoarthritis.

Keywords

References

  1. Huo MH, Gilbert NF, Parvizi J. What's new in total hip arthroplasty. J Bone Joint Surg Am 2007; 89(8): 1874-85.
  2. McAuley JP, Szuszczewicz ES, Young A, Engh CA, Sr. Total hip arthroplasty in patients 50 years and younger. Clin Orthop Relat Res 2004; (418): 119-25.
  3. Kim YH, Kim JS, Park JW, Joo JH. Contemporary total hip arthroplasty with and without cement in patients with osteonecrosis of the femoral head: a concise follow-up, at an average of seventeen years, of a previous report. J Bone Joint Surg Am 2011; 93(19): 1806-10.
  4. Zhan C, Kaczmarek R, Loyo-Berrios N, Sangl J, Bright RA. Incidence and short-term outcomes of primary and revision hip replacement in the United States. J Bone Joint Surg Am 2007; 89(3): 526-33.
  5. Siopack JS, Jergesen HE. Total hip arthroplasty. West J Med 1995; 162(3): 243-9.
  6. Mariconda M, Galasso O, Costa GG, Recano P, Cerbasi S. Quality of life and functionality after total hip arthroplasty: a long-term follow-up study. BMC Musculoskelet Disord 2011; 12: 222.
  7. Giannini S, Cadossi M, Chiarello E, Faldini C, Moroni A, Romagnoli M. Hip resurfacing arthroplasty: a series of 140 consecutive hips with a minimum five year follow-up. A clinical, radiological and histological analysis. Hip Int 2011; 21(1): 52-8.
  8. Harkess JW. Arthroplasty of the hip. In: Canale ST, Beatty JH, editors. Campbell 's operative orthopaedics. 11th ed. Philadelphia, PA: Mosby Elsevier; 2007. p. 331-4.
  9. Wiklund I, Romanus B. A comparison of quality of life before and after arthroplasty in patients who had arthrosis of the hip joint. J Bone Joint Surg Am 1991; 73(5): 765-9.
  10. Mancuso CA, Salvati EA. Patients' satisfaction with the process of total hip arthroplasty. J Healthc Qual 2003; 25(2): 12-8.
  11. Blomfeldt R, Tornkvist H, Ponzer S, Soderqvist A, Tidermark J. Comparison of internal fixation with total hip replacement for displaced femoral neck fractures. Randomized, controlled trial performed at four years. J Bone Joint Surg Am 2005; 87(8): 1680-8.
  12. Madadi F, Eajazi A, Kazemi SM, Aalami HA, Madadi F, Sharifzadeh SR. Total hip arthroplasty in advanced osteonecrosis: the short-term results by metal-on-metal hip resurfacing. Med Sci Monit 2011; 17(2): CR78-CR82.
  13. Bhandari M, Devereaux PJ, Swiontkowski MF, Tornetta P, III, Obremskey W, Koval KJ, et al. Internal fixation compared with arthroplasty for displaced fractures of the femoral neck. A meta-analysis. J Bone Joint Surg Am 2003; 85-A(9): 1673-81.
  14. Lievense AM, Bierma-Zeinstra SM, Verhagen AP, Verhaar JA, Koes BW. Influence of hip dysplasia on the development of osteoarthritis of the hip. Ann Rheum Dis 2004; 63(6): 621-6.
  15. Rogmark C, Carlsson A, Johnell O, Sembo I. Costs of internal fixation and arthroplasty for displaced femoral neck fractures: a randomized study of 68 patients. Acta Orthop Scand 2003; 74(3): 293-8.
  16. Pietrzak K, Strzyewski W, Kaczmarek W, Pucher A, Ciesielczyk B. Total hip replacement for acetabular protrusion in patients with osteoarthritis. Chir Narzadow Ruchu Ortop Pol 2010; 75(6): 357-64. [In Polish].
  17. Heiberg KE, Bruun-Olsen V, Ekeland A, Mengshoel AM. Effect of a walking skill training program in patients who have undergone total hip arthroplasty: Followup one year after surgery. Arthritis Care Res (Hoboken) 2012; 64(3): 415-23.
  18. Edmunds CT, Boscainos PJ. Effect of surgical approach for total hip replacement on hip function using Harris Hip scores and Trendelenburg's test. A retrospective analysis. Surgeon 2011; 9(3): 124-9.
  19. Sander K, Layher F, Babisch J, Roth A. Evaluation of results after total hip replacement using a minimally invasive and a conventional approach. Clinical scores and gait analysis. Z Orthop Unfall 2011; 149(2): 191-9. [In German].
Journal of Isfahan Medical School
Volume 31, Issue 237 - Serial Number 237
March and April 2013
Pages 684-689

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History

  • Receive Date: 07 May 2012
  • Revise Date: 01 November 2024
  • Accept Date: 06 April 2022

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