Study of results of total hip replacement with indigenous ceramic components in combination

Abstract

Background: Total hip replacement (THR) arthroplasty at present it is the most commonly performed adult re-constructive hip procedure. Aims: To assess the clinical and functional outcome of the cementless ceramic THR. Materials and Methods: This pilot study was conducted in a tertiary care hospital of eastern India after taking institutional clearance and informed consent of the subjects. THR components were made from aluminum oxide from Central Glass and Ceramic Research Institute, Kolkata. During each visit, medical history was taken and physical examination was done. The deformity and range of motion (ROM) were measured with a goniometer. The clinical and functional outcomes were evaluated by modified Harris hip score. Results: 16 (80%) THR were on left and 4 (20%) were on left and age ranging from 34 to 66 years with a mean age of 52.2 years at the time of surgery. 14 (70%) were males and 6 (30%) females. At 2 years follow-up, the mean modified Harris hip score was 89.·With regards to the different parameters in the scoring system that is, pain, gait, functional activity, and ROM, there was significant improvement as per history. The results showed a significant improvement, wherein 33.33% had an excellent score and 50% showed good, and 16.7% had fair results. No patient had a poor score. Conclusion: Our study suggests that the current generation implants without cement can provide satisfactory clinical and radiographic outcomes after an intermediate duration of follow-up. Though the study was not free of complications, the overall functional and clinical outcome showed good results.