Assessment of Functional Outcome between Cemented and Uncemented Total Hip Replacement: A Comparative Study

ABSTRACT

Introduction: Total hip arthroplasty (THA) or total hipreplacement is the most effective, economical surgicalprocedure for femoral neck fractures or hip joint diseasesamong elderly patients. The main purpose is to reduce painas well as reduce joint function. Hence, the aim of the presentstudy was to assess the functional outcome between cementedand uncemented total hip arthroplasty.Material and Methods: The present study was anobservational study which was hospital‑based conductedamong 140 cases divided into two groups with 70 cases ineach group. All the patients of 50–80 years in which THR wasindicated were taken in this study. Patients with neurovasculardeficit and active infection were excluded from this study.In Group 1, cemented THR was done while in Group 2uncemented THR was done. Pain was evaluated using Harriship score.Results: In cemented group, majority of the cases wereavascular necrosis 24(34%) followed by fracture neck offemur 10 (14%), fracture-dislocation of hip 6 (8%) and inuncemented group, maximum cases were avascular necrosis36 (51%) followed by fracture neck of femur 21 (30%) andfracture-dislocation of hip 14 (20%). mean difference amongcemented group was 82.41±7.2 at 6 weeks followed by81.31±7.5 in uncemented group and this difference was foundto be statistically significant at p value 0.001.Conclusion: Cemented implants showed better functionaloutcomes than uncemented in total hip arthroplasty at 6weeks, 3 months and at 6 months.