Functional outcome after total hip replacement surgery

Abstract

Background: Total hip replacement (THR) surgery is a common and effective procedure to alleviate pain and improve function in patients with hip joint disorders, such as osteoarthritis. The aim of this study was to assess the functional outcome after THR surgery. Methods: This cross-sectional study was conducted in department of orthopedics, medical college for women and hospital and other hospitals in Dhaka, Bangladesh, during the period from March 2017 to March 2022. The sample size was 120. Results: In this study, mean age was 65.3 (SD±9.8) years and majority (52.5%) were male. At the 12-month follow-up, PCS scores improved, while MCS scores slightly decreased. Physical function, mental health, and PROM scores of Harris hip score (HHS), Western Ontario and McMaster universities osteoarthritis index (WOMAC), and EQ-VAS showed significant improvements. Gait speed exhibited a minor decrease. The complications observed included superficial infection in 6 patients (5.0%), femoral nerve palsy in 9 patients (7.5%), hip dislocation in 7 patients (5.8%) and etc. Overall, 81.67% had an excellent functional outcome, 11.67% had a good outcome, and 6.67% had a fair outcome after surgery. Conclusions: The findings of our study demonstrate significant improvements in functional outcomes and PROMs following THR surgery.