STUDY OF FUNCTIONAL OUTCOMES OF TOTAL HIP ARTHROPLASTY THROUGH HARDINGE'S APPROACH

Abstract

Introduction: Degenerative hip disorders are one of the most common and debilitating musculoskeletal disorders with increased morbidity and decreased quality of life. Total hip arthroplasty is a modern surgical procedure which has relieved patients from incapacitating pain arising from the hip joint. Many surgical approaches to hip have evolved over the period of time for Total hip arthroplasty. Surgical approaches differs mainly in position of patient in supine or lateral and whether the hip is dislocated anteriorly or posteriorly. The choice of surgical approaches is largely depending on personal preference and training. Gibsons posterior and hardinges direct lateral approach are the two most commonly used surgical approaches. To evaluate the Clinical and Functional outcomes of Total Hip Replacement after Harding's approach Harris Hip Score and radiological assessment was used. Harris Hip Score comprised of Pain, Functional disabilities, Deformity, Range of movements Objective: To study the clinical, radiological and fuctional outcome and complications associated with total hip arthroplasty through hardinge approach. Materials And Methods: A Prospective study was carried out from July 2019 to December 2020 under Department of Orthopaedics, SRG Hospital and Medical College, Jhalawar including 58 patients who fullled the inclusion criteria operated for total hip arthroplasty through hardinge approach. Patient's follow up was up to 12 months. Results: The functional assessments were made with modied Harris Hip scores. The results showed excellent in 41 patients (70.68%), good in 15 patients (25.86%), Fair in 2 patients (3.44%). There are no poor results in our study. Hardinge's approach has no incidence of prosthesis dislocation. Conclusion: The Hardinge's approach provides easy access to the hip joint and provides excellent exposure of both acetabular and proximal femur. Hardinge's approach is a good approach for the outcome of the Harris hip score with no major complication with satisfactory clinical, functional and radiological outcomes. Hardinge's approach has no incidence of prosthesis dislocation.