A study of functional outcome of total hip arthroplasty with bone grafting

Abstract

The effects of OA on large joints especially the lower extremities result in reduced mobility and marked physical impairment leading to loss of independence and an increase in use of health services. OA also leads to daily living activities and leads to substantial disability and dependence in walking, climbing stairs and rising from a seated position. THR is a successful and effective treatment option when symptoms deteriorate and is at an advanced stage of the disease. Bone grafts can be used in conjunction with cemented all polyethylene cups, cement less implants as well as reinforcement rings and cages. The use of bone grafts and its long-term survival in the acetabulum have been reported to vary from 84% at years to 52% at 25 years. This study used autogenous morselized impaction bone grafting with a cementless press-fitting cup, and the midterm results were excellent to good. Grafting aids in the stable installation of implants and the effective rebuilding of bone stock. With these fantastic outcomes, total hip arthroplasty with bone grafting can be thought of as offering complete relief, sufficient stability, and an amazing range of motion in extremely painful, refractory hips, provided that it is carried out with careful consideration for patient selection prior to surgery, intraoperative soft tissue balancing, proper overall alignment of the prosthesis, and postoperative patient rehabilitation. Complete hip replacement with bone grafting is a rather safe and certain operation when performed by a qualified professional or guide.