A COMPARATIVE OBSERVATIONAL STUDY OF CEMENTED VS. UNCEMENTED TOTAL HIP ARTHROPLASTY: ASSESSING FUNCTIONAL OUTCOMES.

Abstract

Background

Total hip arthroplasty (THA) is a common surgical procedure to address hip joint degeneration and related conditions. The choice between cemented and uncemented THA is a matter of debate, influenced by patient characteristics and surgical preferences. This study aims to compare the functional outcomes of cemented and uncemented THA to provide insights into their effectiveness.

Methods

This hospital-based, comparative observational study included 50 cases randomized into Group A (cemented THA) and Group B (uncemented THA). Participants aged 50-80 years with THR indications were selected. Data on demographics, medical conditions, and surgical history were collected. Follow-up assessments were conducted at 6 weeks, 3 months, 6 months, and 2 years post-surgery, measuring pain scores and Harris Hip Scores (HHS). Statistical analysis was performed to compare outcomes.

Results

Group A showed superior early pain relief and function at 6 weeks and 3 months post-surgery, but these differences became statistically insignificant at 6 months. Both groups achieved comparable long-term hip function, with no radiological evidence of complications. Surgical complications were minimal, and a majority of patients in both groups achieved excellent or good HHS scores.

Conclusion

Cemented and uncemented THA approaches offer viable options for patients. While cemented THA initially provides advantages in pain relief and function, uncemented THA ultimately yields similar long-term outcomes. Individual patient factors and preferences should guide the choice between these techniques.

Recommendations

Surgeons and patients should consider individual factors, such as age and bone quality, when deciding between cemented and uncemented THA. Further research with extended follow-up periods is warranted to comprehensively assess long-term outcomes.