Different surgical methods to manage avascular necrosis of head of femur

Abstract

A prospective study was carried out on 30 patients who underwent core decompression, bipolar hemiarthroplasty, cemented/uncemented Total Hip Replacement in Department of Orthopaedics, NRI Institute of Medical Sciences. This study has shown that, the mean age of patients in the study group was 42.30±11.43 years. About 43.3% of the avascular necrosis patients in the study group belonged to 31-40 years age group. The sex distribution of the study group has shown that, about 76.7% of the patients were males and 23.3% were females. The mean ROM score of study group during preoperative stage was 2.40±1.25 and postoperative stage was 4.63±0.49. The difference between the ROM scores during pre and postoperative stage was statistically significant. The type of implant used in eth study group. Stryker implant was used in 73.3% and Link implant was used in 26.7% of the study group. In the study group, most (93.3%) of the patients had no complications. The common complication in the study group was foot drop in 2 patients which is 6.7%. Analysis shows the complications of total hip replacement according to type of implants used in the study group. Most (93.3%) of the patients in the study group had no complications. But for 1 patient used link implant had foot drop and for 1 patient used stryker implant had foot drop. The outcome after total hip replacement was excellent in 80.0% of the study group. About 20.0% of the study group had good outcome.