Outcome of Total Hip Arthroplasty in Northern Iran: A Prospective Study RC01-RC04
Dr. Seyed Mokhtar Esmaeilnezhad Ganji,
Department of Orthopedics, Babol University of Medical Sciences, Ganjafrooz Street, Babol, Mazandaran, Iran.
Introduction: Total Hip Arthroplasty (THA) is one of the most frequent major surgical procedures in orthopedics.
Aim: To audit the results of THA in Babol, Northern Iran.
Materials and Methods: From 2014 to 2015, all patients with indication for THA referred to Shahid Beheshti and Rohani teaching hospitals in Babol were recruited in this prospective study. Patients with severe osteoarthritis of the knee, a psychiatric disorder, history of previous arthroplasty, bilateral osteoarthritis, contraindications to a major surgery, or failure to attend follow-up were excluded. The Harris Hip Score (HHS) was used to measure physical hip performance, ranging from 0 (poor) to 100 (excellent) points. All patients were followed for six months. Data were collected and analysed using SPSS with t-test analysis.
Results: A total of 58 patients were finally assessed, of whom 24 (41.4%) were male and others were female. The mean age was 56.8±16.56 years. The postoperative complications included infection (one case), posterior hip dislocation (two cases) and peroneal nerve paresis (one case). The mean HHS was 49.69±5 before the surgery, but it improved significantly to 88.02±4.04 at sixth months after THA (p<0.001).
Conclusion: According to this audit, THA is associated with a significant improvement and satisfactory outcome in the patients and the rate of complications was low.