Complications and Functional Outcomes of Total Hip Arthroplasty

Mamunur Rashid Chowdhury, Md Nasir Uddin, Saiful Islam, Md. Sabbir Hasan
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Abstract

Introduction: Total Hip Arthroplasty is mainly seen in adult patients due to different reasons. This replacement has some adverse effects and complications. In this study, the complications and functional outcomes of THA has been discussed. Aim of the study: The aim of this study was to observe the complications that may arise after total hip arthroplasty. In this study, functional outcomes of THA was also another concern. Methods: This prospective observational study was conducted in the Department of Orthopedics in Community Based Medical College, Bangladesh and a private clinic during the period from January 2018 to July 2023 jointly. This study had institutional review board approval and informed consent for evaluation of study patients’ reports and outcomes. A general health questionnaire is used for data collection, the SF-8 Health Survey (SF-8), and a disease-specific health questionnaire, the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) to assess functional outcomes after THA. Result: The result to date show a general occurrence of both in-hospital and post-release difficulties of around 7% in THA patients. Fractures (0.6%) and cardiac events (0.4%) are the most common complications that occur in the hospital for THA patients. The most well-known post-release complications in THA patients are reoperation because of bleeding, wound necrosis, wound infection, or different causes. For both situations, the incidence of bleeding complications was lower than that of other adverse events. Conclusion: According to the observers, in both groups, in-hospital or after 3 months of surgery, the result was in expected improvements in functional outcomes. More youthful patients and patients who had been released straightforwardly to their homes appeared to have the best improvement in useful result after a surgery.
全髋关节置换术的并发症和功能结局
导读:由于不同的原因,全髋关节置换术主要见于成人患者。这种替代有一些副作用和并发症。在本研究中,讨论了THA的并发症和功能结局。研究目的:本研究的目的是观察全髋关节置换术后可能出现的并发症。在本研究中,THA的功能结局也是另一个值得关注的问题。方法:本前瞻性观察研究于2018年1月至2023年7月在孟加拉国社区医学院骨科和一家私人诊所联合进行。该研究获得了机构审查委员会的批准和知情同意,以评估研究患者的报告和结果。数据收集使用一般健康问卷SF-8健康调查(SF-8),以及疾病特异性健康问卷西安大略和麦克马斯特大学骨关节炎指数(WOMAC)来评估THA后的功能结果。结果:迄今为止的结果显示,THA患者住院和出院后困难的发生率约为7%。骨折(0.6%)和心脏事件(0.4%)是THA患者在医院最常见的并发症。THA患者释放后最常见的并发症是因出血、伤口坏死、伤口感染或其他原因而再次手术。两种情况下,出血并发症的发生率均低于其他不良事件。结论:根据观察,在两组中,在住院或手术后3个月,结果是预期的功能预后改善。更年轻的患者和直接出院回家的患者似乎在手术后的有用结果上有最好的改善。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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