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    Cementless Total Hip Arthroplasty: Short And Mid-Term Results
    (2021) İpek, Deniz; Pestilci, Fatih İbrahim; Ateş, Yalım; Kovalak, Emrah
    Objective The destruction of the joint cartilage either by age or trauma can develop coxarthrosis limiting the motion of the patient, which is treated by the replacement of the whole joint with total hip arthroplasty. In this study, we aimed to report our short and mid-term results and discuss with the current literature on postoperative results of cementless total hip arthroplasty (THA) in patients with coxarthrosis. Material and Method One hundred thirty patients (86 female, 44 male) with a mean age of 54.1±9.6 years who underwent total hip arthroplasty with a cementless prosthesis included in the study. The outcomes and complications of the total hip arthroplasty were reviewed from patient’s counseling charts, laboratory tests and radiographs. retro Results There was a statistically significant difference between pre (41.75±9.62) and postoperative (90.44±7.51) mean modified Harris Hip Score measurements (p<0.001) indicating the successful outcome. Intraoperative femur fracture occurred in 10 patients (7.6%). Anterior thigh pain (26 patients, 20.0%) and extremity length difference (20 patients, 15.4%) were the most common complications observed. Although 13 patients (10.0%) had heterotopic ossification after total hip arthroplasty, none of the patients had limited motion associated with it. Malpositioning (7 patients, 5.4%), dislocation (3 patients, 2.3%), infection (2 patients, 1.5%) and deep venous thrombosis (1 patient, 0.8%) were among the other complications observed. There were no cases with acetabular cup migration or pain limiting hip movement. Conclusion The cementless THA provides improvement of hip function in patients with coxarthrosis. The preoperative risk assessment of the coxarthrosis patients is necessary to ensure patient’s satisfaction, minimize complications and provide long-term durability of the prosthesis