Functional Outcomes of Cementless Total Hip Arthroplasty in Avascular Necrosis of the Hip: A Prospective Study

Karimi, Sundas; Kumar, Suresh; Ahmed, Faheem; Khalid, Awais; Farooque, Umar; Shahzeen, Fnu; Memon, Muhammad Ayoob; Hussain, Tajammal; Basham, Maleeha Ali; Kumar, Naresh; Yasmin, Farah; Hassan, Syed Adeel

doi:10.7759/cureus.10136

Cited by 3 publications

(3 citation statements)

References 12 publications

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“…The final follow-up evaluation for HHS resulted in an improvement to 96.3 (64 out of 100 points). Additionally, Karimi et al (18) HHS was reported to be 100% in 27 (90%) patients, 96% in 2 (7%) patients, and 83% in 1 (3%) patient. We calculated an HHS average of 99.2%.…”

Section: Discussionmentioning

confidence: 96%

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Study of Early Clinical and Radiological Outcomes of Cementless Total Hip Arthroplasty in Young Adults

Hasanin¹,

Yousef²,

Soudy³

et al. 2023

The Egyptian Journal of Hospital Medicine

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Background: The majority of people with hip arthritis get significant pain alleviation after undergoing total hip replacement. Objective: Evaluation of both early clinical as well as radiological outcomes of cementless total hip arthroplasty in young adults. Subjects and Methods: This was an interventional clinical trial that included 18 patients who were recruited from Orthopedic Department and had osteoarthritic hip who were treated with total hip arthroplasty (THA). Harris hip score (HHS) was utilized for clinical evaluation at 6 weeks, 3 months, and 6 months after surgery, and radiographs were evaluated for loosening signals at the end of 3 months and 6 months. Results: All HHS items improved significantly from 28.3 ± 15.9 to become 85.9 ± 6.7 with a p-value < 0.001 and the percent of improvement (70.4%) ranged from 43.1% to 89.2%. Postoperative HHS was significantly higher in patients without complications compared to those with complications, among males when compared to females, in cases under the age of 60 compared to those over the age of 60, and in cases with osteoarthritis compared to those who had avascular necrosis. Conclusion: Cementless total hip arthroplasty (THA), offers promising outcomes where it led to pain reduction, functional recovery, and enhanced quality of life.

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Section: Discussionmentioning

confidence: 96%

“…This is in agreement with Reddy et al (17) who reported that the outcomes for everyone were quite excellent. Additionally, Karimi et al (18) reported that 29 (97%) patients had excellent and only 1 (3%) patient had a good outcome.…”

Section: Discussionmentioning

confidence: 99%

Study of Early Clinical and Radiological Outcomes of Cementless Total Hip Arthroplasty in Young Adults

Hasanin¹,

Yousef²,

Soudy³

et al. 2023

The Egyptian Journal of Hospital Medicine

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“…On the other hand, THA, commonly referred to as hip replacement surgery, is a more extensive procedure used when AVN has caused significant joint damage. The procedure entails the extraction of the affected hip joint, followed by the substitution with a synthetic joint [6]. THA is an effective solution for end-stage AVN, as it can alleviate pain and restore function, enabling patients to regain their quality of life (QOL) [7].…”

Section: Introductionmentioning

confidence: 99%

Rehabilitation to Complement Unique Single-Stage Core Decompression and Total Hip Arthroplasty in Bilateral Avascular Necrosis: A Case Report

Pakhan,

Phansopkar,

Boob

2024

Cureus

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Avascular necrosis (AVN), a debilitating condition characterized by bone tissue death due to inadequate blood supply, can severely impact the hip joint, leading to pain, limited mobility, and joint dysfunction. The complex blood supply and mechanical stress on the hip make it particularly vulnerable to AVN. Early detection is challenging as AVN may remain asymptomatic initially, but as it progresses, it results in severe joint degeneration. This case report outlines the management of a 38-year-old male patient with a dermatomyositis history who presented with bilateral hip pain attributed to AVN. Radiological investigations diagnosed grade 2 AVN in the left hip and grade 3 AVN in the right hip. The patient underwent core decompression for the left hip to halt disease progression and total hip arthroplasty (THA) for the right hip to alleviate pain and restore function. A structured three-week rehabilitation program was tailored to each surgical procedure, with pre-and post-treatment assessments revealing notable improvements in pain relief, range of motion (ROM), and muscle strength. This case underscores the importance of early diagnosis, personalized surgical interventions, and comprehensive rehabilitation in managing AVN in dermatomyositis patients. Physiotherapy is vital pre-and post-operatively to enhance physical function, strength, and mobility. Rehabilitation also plays a crucial role in postoperative recovery, early mobilization, and functional restoration. The multifaceted approach employed in this case highlights the need for a comprehensive strategy when managing AVN in dermatomyositis patients, providing valuable insights for similar cases.

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Augmentation of Autologous Platelet-Rich Plasma in Hip Salvage in Stages I and II of Avascular Necrosis: Randomized Blinded Trial Comparing 3 Surgical Techniques in 82 Patients

Palo,

Ray,

Lakhanpal

et al. 2024

JOIO

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Functional Outcomes of Cementless Total Hip Arthroplasty in Avascular Necrosis of the Hip: A Prospective Study

Abstract: Open Access Original Article

Cited by 3 publications

References 12 publications

Study of Early Clinical and Radiological Outcomes of Cementless Total Hip Arthroplasty in Young Adults

Study of Early Clinical and Radiological Outcomes of Cementless Total Hip Arthroplasty in Young Adults

Rehabilitation to Complement Unique Single-Stage Core Decompression and Total Hip Arthroplasty in Bilateral Avascular Necrosis: A Case Report

Augmentation of Autologous Platelet-Rich Plasma in Hip Salvage in Stages I and II of Avascular Necrosis: Randomized Blinded Trial Comparing 3 Surgical Techniques in 82 Patients

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