Mahgoub H Kadagry¹, Baleegh Elsir Ahmed Mohammed², SharafEldin Elgizouli Mohamed³, Ammar Ibn Yasir⁴ and Dafaalla Salih⁵

¹Consultant Trauma and Arthroplasty Surgeon, Ribat University Hospital, Sudan
²Omdurman Islamic University, Sudan
³Consultant Orthopedic and Arthroplasty surgeon, Sharg Alneel Hospital, Sudan
⁴MBBS, Alzaiem Alazhari University, Sudan
⁵Medical Student at Alzaiem Alazhari University, Sudan

*Corresponding Author: Dafaalla Salih, Medical Student at Alzaiem Alazhari University, Sudan.

Received: December 29, 2023; Published: February 25, 2024

Abstract

Introduction: Primary total hip arthroplasty has increasingly been performed recently in many centres in Sudan. Patients are concerned mainly with the early return of function afier being handicapped by severe pain from their arthritic hip.

Objectives: To determine the gain of function and quality of life six weeks afier primary total hip arthroplasty (THA).

Methodology: This is a descriptive, prospective hospital-based study which was conducted in Sharg Alneel Hospital in Khartoum north of Sudan. We included all patients who underwent primary total hip arthroplasty during the period from July 2019 to June 2020. We used the Harris hip score (HHS) to describe the changes in hip function and quality of life between preoperative and six weeks afier primary total hip arthroplasty.

Results: Forty patients were involved in this study, their ages ranged from 58-80 years with a mean age of 68.63 ± 5.94 SD. Seventeen patients (42.5%) were males and 23 (57.5%) were females. Thirty-five (87.5%) had primary osteoarthritis and five patients (12.5%) had avascular necrosis of the head of the femur. HHS Score was improved from 38 points (25-55) pre-operatively to 75 points (59-89) post-operatively (P value <0.0001). Eight patients (20%) had poor scores (<70), 23 patients (57.5%) had fair scores (70-80) nine patients had good scores (80-90) and no patients had excellent scores (90-100). Younger patients (<69 years) scored higher HHS than older (⩾69) patients and this correlation was statistically significant (P value 0.009). Using HHS pain score improved significantly from 13.5 ± 4.8 SD pre-operatively to 41.2 ± 3.3SD post-operatively (P value <0.0001). Function score also improved from 18.6 ± 4.4 SD pre-operatively to 26.2 ± 5SD and our result was statistically significant (P value <0.0001). Moreover, the absence of deformity score improved from 3.5 ± 1.3 to 4 SD (P value 0.023). And the range of motion scores improved from 2.76 ± .6 SD pre-operatively to 3.76 ± .3SD post-operatively (P value <0.0001).

Conclusion: Eighty per cent of our patients had fair to good results and the age of ⩾69 years was significantly associated with poor scores post-operatively.

Keywords: Total Hip Arthroplasty (THA); Osteoarthritis (OA)

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Citation

Citation: Dafaalla Salih., et al. “The Early Gain of Function and Quality of Life Afier Primary Hip Arthroplasty (July 2021-June 2022)".Acta Scientific Orthopaedics 7.3 (2024): 80-86.

Copyright

Copyright: © 2024 Dafaalla Salih., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.