CEMENTED TOTAL HIP REPLACEMENT IN PATIENTS YOUNGER THAN 50 YEARS OF AGE
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Abstract
Objective: The objective of this study was to evaluate the results of cemented total hip arthroplasty in
patients younger than 50 years of age, suffering from advanced secondary degenerative arthritis hip.
Material and Methods: This prospective observational study was conducted at department of
orthopedics, Hayatabad Medical Complex Peshawar from January 2000 to December 2000. Patients with
severe osteoarthrosis of hip joints were operated and cemented total hip arthroplasty was done. Patients
older than 50 years of age were excluded from the study. Patients were followed for an average period of
16 months to see the clinical and radiological outcome using Mayo clinic hip scoring system.
Results: Total patients operated during the time period were 19 (20 hips). Out of 20 hips, 14 (70 %) had
posttraumatic avascular necrosis head of femur secondary to non-union fracture neck of femur. The results
showed excellent outcome in 5 hips (25%), good in 9(45%), fair in 4(20%) and poor in 2(10%).
Complications noted were infection, fracture femur and dislocation in 5% (n=1/20) cases each.
Conclusion: Cemented total hip replacement in young patient has excellent to good results in majority of
cases making it appropriate treatment modality in young patients with osteoarthritis.
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