Problems Encountered in Uncemented THR in AVN of Hip Patients
Abstract
Background: Avascular necrosis of femoral head is a common problem. It mostly affects the femoral head (hip joint). Its management can be conservative or invasive. Total hip arthroplasty is the treatment of choice for third and fourth stage avascular necrosis. Problems and complications are associated with every surgery. Here, we will see the common problems and complications encountered in uncemented total hip replacement in avascular necrosis of hip patients.
Material and Method: Fifty patients of Avascular necrosis of femoral head of stage III and IV are operated in last three years by uncemented total hip arthroplasty and their results were assessed by Harris hip score. There are some problems which we encountered in preoperative, intraoperative and post operative period. Their assessment and solution are done in this study.
Results: The mean Harris hip score during preoperative stage was 52 and during postoperative stage was 94. Excellent results are seen in 43 patients, good results are seen in 6 patients and poor results are seen in one patient. Preoperative problems like protrusio acetabuli was seen in 5 hips and fixed flexion deformity is seen two patients. Intraoperative problem like periprosthetic fracture was seen in one patient. Postoperative complication like limb length discrepancy was seen in 6 patients, foot drop in one patient, posterior dislocation of hip in one patient, superficial infection in 3 patients, deep infection in one patient and periprosthetic fracture in one patient.
Conclusion: Problems and complications are the part and parcel of any surgery. we should not get panic and try to treat the problems and complications encountered in uncemented THR. If, properly treated any problem of the uncemented THR can be managed. Long learning curve and lot of patience is required to produce long term good results in uncemented THR in AVN of hip patients.
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References
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