Comparative Study of Functional Outcomes Between Cemented and Uncemented Total Hip Replacement at a Tertiary Care Hospital in Odisha, India
Bibliographic record
Abstract
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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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.002 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.001 | 0.000 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".