Assessment of factors impacting outcome of primary total hip arthroplasty

Abstract

Introduction: Hip replacement is one of the most successful surgeries in the clinic for the removal of painful joints. Hip osteoarthritis and femoral head necrosis are the 2 main reasons for hip replacement. Several factors are associated with the outcomes of surgery. Nonsurgical factors include gender, age, body mass index, prosthetic material, and risk factors. Surgical factors are anesthesia, postoperative complications, and rehabilitation. Considering the increasing demand for hip arthroplasty and the rise in the number of revision operations, it is imperative to understand factor-related progress and how modifications of these factors promotes recovery following hip replacement. In this review, we first summarize recent findings regarding crucial factors that influence the outcomes of artificial hip replacement surgery. These findings not only show the time-specific effect for the treatment and recovery from hip arthroplasty in the clinic, but also provide suitable choices for different individuals for clinicians to consider. This, in turn, will help to develop the best possible postoperative program for specific patients.Material & Methods: Our's is a Cross-sectional study which included 32 individuals both male and female above the age of 20 years. All the patients who had undergone Primary Total Hip Replacement for isolated hip pathologies at our hospital; and all are evaluated for functional outcome using Harris Hip Score Pre-operatively, at 1 month, at 3 months, at 6 months and compared. Results: In our study there was a statistically significant association between BMI, Waist: Ratio, Comorbidity, Duration of surgery & Age and the outcome, which shows that the outcome is dependent on the BMI, Waist: Ratio, Comorbidity, Duration of surgery & Age of the patients. Conclusion:With the increasing numbers of patients receiving hip replacements every year, it is important to have a knowledge of the possible factors that may influence the outcomes of surgery in individual patients. However, how the novel findings of the factors are associated with the outcomes of surgery and how the variations should be assessed in different individuals are 2 main reasons for us to summarize the literature, and it is imperative to be aware of these factors for designing personalized therapy for individuals in the clinic.