Title: Various Approaches in Total Hip Replacement: Evaluation of Functional Outcome

Authors: Dr Ravindra Gupta, (M.S.), Dr Deepak Mantri  (M.S.), Dr Sunil Rajan (M.S.)

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i3.217

Abstract

Objectives & Aims: 1) To evaluate best approach for performing primary total hip replacement in view of functional improvement, intra-op minimal trauma, intra-op surgeon’s preference, post-op rehabilitation.

Various approaches available are Anterior approach, Antero-lateral approach, Lateral approach, Posterior approach, Trans trochanteric approach & Mini incision anterior approach. In our study only anterolateral (4 cases), lateral (12 cases) & posterior (7 cases) have been performed.

Evaluation of approach was based on Intra-op assessment by surgeon & Post-op assessment that included Subjective assessment by scoring system & Objective assessment by muscle charting.

Material & Methods: This Prospective study done at department of orthopaedics in M. Y. Hospital & M.G.M. Medical college INDORE from june 2010 to august 2012. All cases irrespective of cause admitted in routine opd for THR were included in study. All surgeries were elective & planned.

 Cases were studied by History, Intra-operative assessment of surgical approach used, implant details, Pre-op & post-op assessment of functional status with help of standard scoring systems. 

Conclusion: I-deal approach for total hip replacement should provide wide exposure, should be extensile, Minimal traumatic, Safe for neurovascular with Accurate Leg length & implant placement, Early & good Post-op rehabilitation, allows good post-op nursing care, Improvement in functional status etcin our study we found anterolateral approach to b superior than lateral & posterior approach

Keywords: Approach, Functional Outcome, Oxford Score, Total Score

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Corresponding Author

Dr Ravindra Gupta (M.S.)

Assist Prof. Index Medical College Indore (MP), India

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