الفهرس 
IntroductionOnly 14 pages are availabe for public view
 |  | from | 157 |  |  |
| | | from | 157 | | |
Abstract
Modern total hip replacement can improve patient quality of life more
than any other elective surgical procedure. Due to the projected 172%
increase in demand for THA procedures over the next decade, it is critical
that clinicians continue to find ways to improve patients’ experiences.
Patient satisfaction is a cornerstone in healthcare that is now being used as a
metric in hospital reimbursement. Therefore, we performed this study to
assess patient satisfaction in accordance to harris hip score (HHS) after total
hip arthroplasty in osteoarthritic patients and in patients with fracture neck
of femur.
Patients and Methods
This study included 33patients in Menoufia University Hospital.
Inclusion criteria was elderly patients with BMI less than 40 who suffered
from Osteoarthritic joint or Fracture neck of femur. Exclusion criteria were
patients with chronic uncontrolled medical disorder, Revision arthroplasty
cases, associated knee pathology, associated actubular fracture.
Patients’ socio-demographic parameters were reported. General and
local examination, radiological investigation, laboratory investigation were
performed.
Patients was assessed with functional scoring systems (Harris Hip
Score). Patient was assessed in every post-operative visit which was
scheduled in one week, 2 weeks, 4 weeks, 12 weeks and 6 months.
The results could be summarized as follow:
The mean age of included patients in osteoarthritis group was 65 years
old. 62.5% of patients with fracture in femur neck were female. There
were no statistically significant difference between both groups
regarding age, gender and comorbidities.
51.51% of included patients suffered from osteoarthritis and 48.48% of
included patients suffered from fracture neck of femur. Cup of fixation
was cementless in 90.6% of included patients.
The type of femur fixation and cup type were cementless in the majority
of included patients in both groups. 70.6% osteoarthritis patients
underwent THR for right limb. There were no statistically significant
difference between both groups regarding side of injury, femur type and
cup type.
There were a statistically significant difference between both groups in
the improvement of ROM.
Worsened ROM were observed in the majority of patients with femur
neck fracture, while improved ROM were observed in the majority of
patients with osteoarthritis.
The improvement in HHS score after THR were higher in patients with
osteoarthritis than patients had femur neck fracture.
The majority of patients with femur neck fracture (68.8%) had poor HHS
score after THR, while the majority of patients with osteoarthritis
(58.8%) had excellent HHS score after THR.
There were a negative correlation between the improvement of HHS
grade and type of complain. The presence of femur neck fracture is
associated with lower improvement in HHS.
Radiological evaluation demonstrated that the majority of included
patients in both groups had accepted criteria. While one patients in each
group had varus stem and other in each group suffered from retroverted
cup. Cement mantle >2mm below stem was observed in one patients with
femur neck fracture.