Clinical and Radiological Evaluation of Early Postoperative Complications Following Total Hip Replacement (Uncemented or Hybrid)
N V P Patil1, Deepak M K2, Anand S R2, Suhas S Swamy3, Shreyas S Vastrad3
Author(s)2Assistant Professor, Department of Orthopaedics, Mysore Medical College and Research Institute, Mysore, Karnataka, India
3Post Graduate, Mysore Medical College and Research Institute, Mysore, Karnataka, India
Abstract
Background: Total hip replacement (THR) is a definitive solution for end-stage hip pathology, but early postoperative complications can significantly impact long-term outcomes. This study evaluates the clinical and radiological early postoperative complications in patients undergoing uncemented or hybrid THR. Material and Methods: A prospective analysis of 20 patients (15 uncemented, 5 hybrid) was conducted. Clinical outcomes were measured using the Harris Hip Score (HHS) and Visual Analogue Scale (VAS) for pain. Radiological assessments included component alignment and stability via AP radiographs. Results: The mean HHS at 6 months was 87.27 for the uncemented group and 82.40 for the hybrid group. The uncemented group showed significantly lower VAS pain scores (0.53 vs. 1.20, p=0.019). No statistically significant difference was found in surgical time or blood loss, though hybrid THR tended toward higher estimated blood loss (552.00 ml vs. 409.67 ml). Conclusion: Both uncemented and hybrid techniques provide excellent early functional outcomes. Early radiological surveillance is crucial for identifying asymptomatic complications like minor fractures or component migration.
Keywords: Total Hip Replacement, Uncemented THR, Hybrid THR, Early Complications, Clinical Evaluation, Radiological Evaluation.