Functional Outcome Of primary Total Hip Arthroplasty using Harris Hip Score in Arthritic Hip

Abstract

Introduction: Total hip arthroplasty (THA) is a well-established procedure for advanced arthritis of the hip joint. It significantly improves the quality of life by relieving pain and improving functional disability. The objective of this study was to evaluate the clinical and functional outcome of primary total hip arthroplasty using the Harris Hip Score.
 Method: Prospective study was conducted in Civil Service Hospital. Out of 145 THA performed from Jan 2014 to Dec 2018, the first 100 cases that fulfilled the inclusion criteria were analyzed. Patient demographic and site, operative indication, and pre-operative Harris Hip Score was documented. Operative time, total intraoperative blood loss, and complications were noted. Patients were followed in 3 weeks, 6 weeks, 3 months, 6 months, and yearly. In each visit, clinical evaluation using Harris Hip Score and radiological evaluation was done and documented. The duration of follow up ranged from 12 months to 4.5 years.
 Results: Age varied from 21 to 75 years, 59% were male and 41% female, right side involvement was seen in 55% and left side in 45%. The major indication for surgery was avascular necrosis 46% and primary osteoarthritis in 24%. The average operative time was 65 minutes and the average intraoperative blood loss was 655 ml. Pre-operative Harris Hip Score ranged from 25 to 59 with a mean of 45.5. The mean Harris hip score in last follow up increased to 90.5 with a minimum of 76 and a maximum of 97. Our study found that 85% had excellent, 9% had good and 6% had fair results. Complications include 2% dislocation, 1% infection, 1% greater trochanter avulsion and 1% screw irritation.
 Conclusion: Primary THA is a safe and effective procedure. It improves pain and function hence improving the activity of daily living and has fewer complications.

Functional outcome after total hip replacement surgery

“…The demographic characteristics of the study population are consistent with those reported in other studies evaluating THR outcomes. The mean age of 65.3 years and the distribution of sexes (52.5% male and 47.5% females) are similar to those reported by Marahatta et al and Khan et al 15,16 The mean BMI of 28.4 (SD±3.8) kg/m 2 aligns with the findings of Wang et al 17 consistent with the findings of other studies. Fortin et al 18 also reported significant improvements in PCS scores and a slight decline in MCS scores after THR.…”

Functional Outcome of Primary Total Hip Arthroplasty

“…Avascular necrosis of hip (44%) was the major indication for total hip replacement, followed by primary osteoarthritis (25%) and post-traumatic osteoarthritis (25%). A study conducted by Marahatta SB et al also shows that avascular necrosis of hip (36%) and primary osteoarthritis (24%) are the is the major indications for total hip replacement [3].…”

“…These results are comparable to study conducted Marahatta SB et al according to this study 2 % of patient were having superficial skin infection postoperatively and 2% of patients were having postoperative hip dislocations. All these patients were conservatively managed [3]. other complications found on literature search in similar studies are aseptic loosening, osteolysis, and symptomatic failure of both acetabular and femoral components.…”

“…Besides pain relief it also restores functional anatomy of diseased hip joint, and the patients are able to gain normal or satisfactory equivalent to normal mobility. In recent era both functional capacity and durability of hip joint increased [3].…”

“…Unbearable pain may result due to end stage arthritis of the hip which greatly restrict daily living activities. When all the conservative measure fails to manage end stage arthritis of hip then hip joint replacement or arthroplasty is indicated [2,3].…”