FUNCTIONAL AND RADIOLOGICAL OUTCOMES OF UNCEMENTED TOTAL HIP ARTHROPLASTY: A PROSPECTIVE COHORT STUDY AT A TERTIARY CARE CENTER.

Authors

  • Dr. Mukara Prakash Associate Professor of Orthopaedics, Government medical College-Mulugu, Mulugu -Dist, Telangana, India
  • Banna Kiran Kumar Associate Professor of Orthopaedics, Gandhi Medical college, Secunderabad, Telangana, India
  • Dr. Nagaraju koppula Associate Professor of Orthopaedics, Government medical college, Nalgonda, Telangana, India
  • Dr. Badam Swikrutha Senior Resident, Government General Hospital/ Government Medical College Nizamabad, Telangana, India
  • Dr. Kannan Dinesh Senior Resident, Government General Hospital/ Government Medical College Kothagudem, Telangana, India

DOI:

https://doi.org/10.51168/sjhrafrica.v6i3.1744

Keywords:

Uncemented Total Hip Arthroplasty, Functional Outcome, Modified Harris Hip Score, Radiological Assessment, Osteointegration

Abstract

Background

Uncemented total hip arthroplasty (THA) is increasingly preferred in younger patients due to its potential for long-term biological fixation and reduced cement-related complications. This study aimed to evaluate the functional and radiological outcomes of uncemented THA performed for various hip pathologies at a tertiary care center.

Materials and Methods

This prospective observational cohort study was conducted at Mahatma Gandhi Memorial Hospital, Warangal, and included 30 patients aged 20–60 years who underwent uncemented THA between September 2022 and August 2024. The mean age was 43.6 ± 9.2 years, with 56.6% males and 43.3% females. Clinical indications included chronic arthritis (53.3%), avascular necrosis (23.3%), femoral neck fractures with or without implant failure (19.9%), and developmental dysplasia of the hip (3.3%). Functional outcomes were assessed using the Modified Harris Hip Score (MHHS), and radiological outcomes focused on implant positioning and osteointegration.

Results

The mean MHHS improved significantly from a preoperative score of 46.2 ± 5.8 to a postoperative score of 85.6 ± 7.4 (p < 0.001), indicating substantial functional recovery. At final follow-up, 10% of patients had excellent functional outcomes (MHHS 90–100), 63.3% had good outcomes (80–89), 20% had fair outcomes (70–79), and 6.3% had poor outcomes (<70). Radiologically, 76.6% showed neutral femoral stem alignment, and 83.3% had optimally placed acetabular cups. Complication rates were low and manageable.

Conclusion

Uncemented THA provides significant functional improvement and satisfactory radiological outcomes with minimal complications. Proper patient selection, surgical technique, and structured rehabilitation are critical for optimal results.

Recommendations

Uncemented THA should include careful patient selection, accurate implant placement, and long-term follow-up to ensure functional success and stability.

Author Biographies

Dr. Mukara Prakash, Associate Professor of Orthopaedics, Government medical College-Mulugu, Mulugu -Dist, Telangana, India

Dr. Mukara Prakash is an Associate Professor in the Department of Orthopaedics at Government Medical College, Mulugu, Telangana, India. He possesses extensive academic and clinical experience in the field of orthopaedics and has contributed significantly to both medical education and public healthcare services in Telangana. He completed his MBBS from Kakatiya Medical College, Warangal, under Dr. NTR University of Health Sciences, Vijayawada, during the period 1998 to 2004. He then underwent a compulsory rotatory internship at Mahatma Gandhi Memorial (MGM) Hospital, Warangal, from April 2004 to April 2005. Pursuing his passion for orthopaedics, Dr. Prakash later earned his M.S. in Orthopaedics from Chalmeda Anand Rao Institute of Medical Sciences (CAIMS), Karimnagar, under Dr. NTRUHS, between 2014 and May 2017. Following his postgraduate training, he served as an Assistant Professor of Orthopaedics at MGM Hospital, Kakatiya Medical College, Warangal, from 29th August 2019 to 9th July 2021. He was subsequently promoted to the post of Associate Professor and joined Government Medical College, Mulugu, on 10th July 2021, where he continues to serve to date. His combined teaching experience as Assistant and Associate Professor spans over 5 years and 10 months. Dr. Prakash has made remarkable contributions to academic activities. He has delivered over 150 undergraduate theory classes, conducted 240 National Emergency Life Support (NELS) training sessions, and actively guided postgraduate students through 280 case presentations and 260 seminars. His dedication to both undergraduate and postgraduate medical education is reflected in his structured and consistent academic engagement since 2019. In addition to teaching, Dr. Prakash is actively involved in research. He has published three international journal articles during his academic career. Among these, two were authored as the first author, and one as the corresponding author affiliated with Kakatiya Medical College, Warangal. His publications reflect his interest in contributing to the advancement of orthopaedic science and clinical practices. Dr. Mukka Prakash continues to uphold high standards in orthopaedic education and patient care, and his ongoing contributions play a significant role in strengthening orthopaedic services in the government healthcare sector of Telangana.

Banna Kiran Kumar, Associate Professor of Orthopaedics, Gandhi Medical college, Secunderabad, Telangana, India

Dr. Banna Kiran Kumar is a dedicated orthopaedic surgeon and Associate Professor at Kakatiya Medical College (KMC), Warangal, Telangana, with significant expertise in trauma care, arthroplasty, and orthopaedic education. He completed his MBBS at KMC, Warangal (1998–2003), and subsequently served as a Civil Assistant Surgeon at MPHC, Bhopal Bhupalpally, from 2008 to 2012, gaining valuable clinical experience in primary healthcare and orthopaedic practice. Pursuing his passion for orthopaedics, he obtained his MS in Orthopaedics from KMC under Dr. NTR University of Health Sciences, Vijayawada (2012–2015), further honing his surgical skills and understanding of musculoskeletal disorders. Throughout his career, Dr. Kiran Kumar has performed numerous complex trauma surgeries and total knee replacement procedures, demonstrating proficiency in managing critical orthopaedic cases and improving patient outcomes. In addition to his clinical work, he has contributed significantly to medical education by teaching undergraduate and postgraduate students, focusing on non-traumatic orthopaedics, clinical examination techniques, and diagnostic skills. Actively involved in seminars, workshops, and CME programs, including TOSACON 2018 and events organized by the Warangal Orthopaedic Society, he remains committed to academic excellence and ongoing professional development. In recognition of his contributions, he was promoted to Associate Professor of Orthopaedics at KMC in August 2023, where he continues to advance orthopaedic care and education. ORCID iD: https://orcid.org/0009-0008-5476-538X.

Dr. Nagaraju koppula, Associate Professor of Orthopaedics, Government medical college, Nalgonda, Telangana, India

Dr. Nagaraju Koppula pursued his MBBS from 1999 to 2005 at Kakatiya Medical College, followed by postgraduate training in Orthopaedics at Prathima Institute of Medical Sciences from 2013 to 2016 under the in-service quota. He began his medical career as a Civil Assistant Surgeon at the Primary Health Centre (PHC) in Kothaguda, Warangal District, a designated tribal and hardship area. After rendering two years of dedicated service, he was selected for in-service postgraduate training in the Department of Orthopaedics. Following his postgraduation, Dr. Koppula was deputed to Area Hospital, Malakpet, under foreign service from the Directorate of Health to the Vaidya Vidhana Parishad. He was subsequently absorbed into the Vaidya Vidhana Parishad and continued to serve at the same hospital. In the 2018 recruitment by the Directorate of Medical Education (DME), he was selected as Assistant Professor of Orthopaedics and joined Government Medical College, Nalgonda, on 1st August 2018. He was promoted to Associate Professor in August 2023 and continues to serve in the same institution. As an orthopaedic surgeon, Dr. Koppula has consistently provided compassionate care to the underprivileged. He proudly initiated and successfully performed the first-ever arthroplasty surgeries—including both knee and hip replacements—in the history of Government Hospital, Nalgonda.

Dr. Badam Swikrutha, Senior Resident, Government General Hospital/ Government Medical College Nizamabad, Telangana, India

Dr. Badam Swikrutha is a Senior Resident in the Department of Orthopaedics at Government Medical College, Nizamabad, Telangana, India. She completed her MBBS from Government Medical College, Nizamabad, between 2014 and 2019, followed by her compulsory internship in 2020 at Government General Hospital, Nizamabad. She pursued her postgraduate training in Orthopaedics (M.S.) at Kakatiya Medical College, Warangal, from 2021 to 2024. Dr. Swikrutha is actively involved in clinical orthopaedic care, surgical training, and medical education. As part of her role, she contributes to the management of a wide range of musculoskeletal conditions and assists in mentoring undergraduate medical students and interns. Her dedication to patient care and continuous academic development reflects her strong commitment to the field of orthopaedics within the government healthcare system.

Dr. Kannan Dinesh, Senior Resident, Government General Hospital/ Government Medical College Kothagudem, Telangana, India

Dr. Kannan Dinesh is a Senior Resident in the Department of Orthopaedics at Government General Hospital and Government Medical College, Bhadradri Kothagudem, Telangana, India, serving in this role since April 2025. He completed his MBBS from Government Medical College, Thoothukudi, Tamil Nadu, between 2014 and 2020. Currently, he is pursuing his postgraduate training in Orthopaedics (M.S.) at Kakatiya Medical College, Warangal, for the academic term 2022–2025. Dr. Dinesh is actively engaged in clinical orthopaedic care, surgical training, and academic responsibilities. He contributes to the comprehensive management of orthopaedic cases and plays a vital role in teaching and mentoring undergraduate medical students. His dedication to patient care and ongoing professional development underscores his commitment to advancing orthopaedic services within the public healthcare system.

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Published

2025-03-31

How to Cite

Prakash, . M. ., Kumar, . B. K. ., koppula, N. ., Swikrutha, B. ., & Dinesh, . K. . (2025). FUNCTIONAL AND RADIOLOGICAL OUTCOMES OF UNCEMENTED TOTAL HIP ARTHROPLASTY: A PROSPECTIVE COHORT STUDY AT A TERTIARY CARE CENTER. Student’s Journal of Health Research Africa, 6(3), 10. https://doi.org/10.51168/sjhrafrica.v6i3.1744

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Section

Section of Orthopedics