Comparative Study of Functional Outcomes Between Cemented and Uncemented Total Hip Replacement at a Tertiary Care Hospital in Odisha, India
Notice bibliographique
Résumé
Background This study aims to assess the clinical and functional outcomes of cemented and uncemented total hip replacement (THR) by comparing the two surgical techniques in Odisha. Also, it aims to assess complications of THR/total hip arthroplasty (THA) by comparing two surgical techniques as well. Materials and methods This prospective observational study was conducted in the Department of Orthopedics and Trauma, Institute of Medical Sciences and SUM Hospital, Bhubaneswar, from March 2022 to September 2023. A total of 60 patients undergoing primary THR were enrolled and categorized into cemented and uncemented groups. Clinical evaluations were conducted using the Visual Analogue Scale (VAS), Harris Hip Score (HHS), and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) at six weeks, three months, six months, and 12 months. Results The mean age of patients in the cemented THR group was 55.53 years, while the uncemented group had a mean age of 52.60 years. Pain levels, assessed using the VAS, were similar between groups at the six-week follow-up. However, at three months (p ≤ 0.0001) and six months (p = 0.0001), the cemented group reported significantly lower VAS scores, indicating more effective early pain control and likely improved initial osseointegration. Functional outcomes, measured by the HHS and the WOMAC, also favored the cemented group. Statistically significant differences were observed at three months (p = 0.001), six months (p ≤ 0.05), and at the one-year follow-up (p ≤ 0.05). There was one case of excessive blood loss during surgery in the uncemented group and one case of foot drop in the cemented group. Sixty-six patients were included, but six left the study - four did not meet the inclusion criteria, and two declined to provide consent. Conclusion Cemented implants are a more cost-effective option, offering improved short-term outcomes, and also allow for full weight-bearing activities with minimal discomfort. Early movement and mobilization are seen in cemented implants, while uncemented implants offer better durability and avoid cement-related complications, with stronger biological integration. Although the decision between cemented and uncemented THR depends on various patient-specific factors, including age, activity level, bone quality, and overall health, each method has its own risks and benefits that should be considered after detailed deliberation.
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Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,001 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,001 | 0,002 |
| Études des sciences et des technologies | 0,001 | 0,001 |
| Communication savante | 0,001 | 0,000 |
| Science ouverte | 0,000 | 0,001 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,001 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».