Online ISSN: 2515-8260

Keywords : Total hip replacement

A prospective clinical study of Limb Length Discrepancy in THR using lateral surgical approach

1Dr. Sarang Shete, 2Dr. Kiran Patil, 3Dr. S K Saidapur, 4Dr. Sandeep Chauhan .

European Journal of Molecular & Clinical Medicine, 2023, Volume 10, Issue 1, Pages 4577-4585

Total Hip Replacement surgery is a common surgery in end stage hip arthritis. Limb Length Discrepancy (LLD) in THR is an inevitable complication if not in all but few certain patients with THA. Also, it is an Important yet least studied aspect as a complication following this surgery. Hence to, understand the factors which cause & influence this condition, this study was conducted with an objective to know the implications of clinical parameters like hip movements & their range of motions, preoperative limb length measurements of affected arthritic hips & change in limb length after Total hip replacement surgery. Moreover LLD studies in Indian patients are very few.
This Study included 36 Total hip replacement surgeries from 34 patients (with 2 patients having bilateral involvement). Standard lateral surgical approach was used in all the patients.
Most common cause of pathology affecting the hip arthritis was AVN (osteonecrosis) of hips[3]. The definitive difference between preoperative and post-operative limb length was noted. Change in LLD from preoperative to postoperative interval was significant with p-value of 0.001 so the groups had a highly significant difference in LLD measurement. The change in all the movements of operated hips showed a gradual increase in further follow-ups and flexion component having better improvement in range of motions. Average Preop LLD of 15 mm was found and post-op, the median LLD noted was just 5mm which signifies good improvement.

Prospective study of functional outcome of total hip replacement at VIMS, Ballari

Dr. Shiva Naik R, Dr. Veeresh Gourshetty, Dr. Vinay Reddy S, Dr. Shivaji

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 7, Pages 2128-2140

Purpose: To study the functional outcome of Total Hip Replacement in primary and secondary osteoarthritis of hip.
Materials and methods: The study consisted of 20 patients with diseased hips treated with total hip replacement operated in the Department of Orthopaedics, Vijayanagar Institute of Medical Sciences, Ballari from August 2020 to August 2022. Information of the patients was compiled from clinical details, case files and operation theatre records. This was a prospective study. The patient follow up was for a minimum of 6 months to maximum of 24 months (2 years). Modified Harris hip score was used for evaluation of functional outcome.
Results: Functional outcome of the procedure was done by following Modified Harris hip score. The results showed excellent results in 10 (50%) diseased hips, good in 06(30%) hips, fair 04(20%) hips. No poor outcome was noted in the study.
Conclusion: Our study demonstrated that total hip replacement provides an overall satisfactory functional and clinical outcome. Even though the study was not free of complications, the overall functional and radiological outcome showed excellent results.


Dr. Ankit Verma, Dr. Nitin Wale, Dr. M. Shoaib Qureshi, Dr. Mohd Sameer Qureshi

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 2, Pages 2837-2841

Background & Method: The aim of this study is to analyse better procedure intra-operatively in various approaches for primary total hip replacement by functional scoring system & muscle charting. Total 40 patients were included in the study. All patients were avn hip or arthritic hip either unilateral or bilateral who had undergone total hip arthroplasty were included in study. On admission a careful evaluation of the hip was done which include the examination of neurovascular status, range of motion, various deformities and associated sysemic problems and health status of patient. 
Result: Total % improvement in oxford hip score was max in anterolateral approach (93.81%) & minimum in posterior (75.56%).
Conclusion: The question regarding which surgical approach to the hip to use to implant an artificial hip prosthesis has been debated extensively. Despite this, there is no consensus regarding which approach is best for primary THA. There are multiple surgical approaches for hip surgery & there r also multiple surgeons who advocate one particular approach over other. Best & preferable these two words r very different. There have been studies proving one approach superior than others but not a single approach has proved to be best.