Primary Total Hip Replacement in A Military Hospital in Kathmandu

Introduction: Total hip replacement is one of the most widely performed and amongst the most successful orthopedic procedures performed worldwide. Even though it is a common orthopedic procedure in developed nations, it is performed only in selected centers in Nepal.  This study will review the fun...

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Main Authors: Pankaj Chand, Sushil Rana Magar, Bishnu Babu Thapa, Bikal Shrestha
Format: Article
Language:English
Published: Nepal Medical Association 2017-03-01
Series:Journal of Nepal Medical Association
Online Access:https://www.jnma.com.np/jnma/index.php/jnma/article/view/3033
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spelling doaj-de79b8abf1c84e2086ce9409f56817df2020-11-24T20:51:43ZengNepal Medical AssociationJournal of Nepal Medical Association0028-27151815-672X2017-03-015620510.31729/jnma.3033Primary Total Hip Replacement in A Military Hospital in KathmanduPankaj Chand0Sushil Rana MagarBishnu Babu ThapaBikal ShresthaAssociate Professor, NAIHS Introduction: Total hip replacement is one of the most widely performed and amongst the most successful orthopedic procedures performed worldwide. Even though it is a common orthopedic procedure in developed nations, it is performed only in selected centers in Nepal.  This study will review the functional outcome of total hip replacements carried out in Shree Birendra Hospital. Methods: We reviewed the records of total hip replacements, which were carried out in Shree Birendra Hospital, Kathmandu. Twenty-one hips were cemented and nineteen were uncemented.  Cases were followed up in six weeks, twelve weeks, six months and every year from then on. Outcome in terms of Harris hip score of 40 osteoarthritic hips were measured pre-operatively as well as post-operatively. Results: The mean age of the patients was 50.63 years (range 22-79 years). The commonest reason for the replacement was primary osteoarthritis of the hip. Thirty-nine patients underwent unilateral total hip replacement while in one patient both hips were replaced. The mean Harris hip score for the forty hips that were available at the latest follow-up examination at an average of five years (range two to six and a half years) after the operation was 85.2 ± 7.65 points as compared to the pre-operative mean Harris hip score of 32.38 ± 3.4. Conclusions: Based on improved Harris hip scores, we believe that THR is a good option in patients with end stage arthritis of the hip. Keywords: cemented; primary osteoarthritis; total hip replacement. https://www.jnma.com.np/jnma/index.php/jnma/article/view/3033
collection DOAJ
language English
format Article
sources DOAJ
author Pankaj Chand
Sushil Rana Magar
Bishnu Babu Thapa
Bikal Shrestha
spellingShingle Pankaj Chand
Sushil Rana Magar
Bishnu Babu Thapa
Bikal Shrestha
Primary Total Hip Replacement in A Military Hospital in Kathmandu
Journal of Nepal Medical Association
author_facet Pankaj Chand
Sushil Rana Magar
Bishnu Babu Thapa
Bikal Shrestha
author_sort Pankaj Chand
title Primary Total Hip Replacement in A Military Hospital in Kathmandu
title_short Primary Total Hip Replacement in A Military Hospital in Kathmandu
title_full Primary Total Hip Replacement in A Military Hospital in Kathmandu
title_fullStr Primary Total Hip Replacement in A Military Hospital in Kathmandu
title_full_unstemmed Primary Total Hip Replacement in A Military Hospital in Kathmandu
title_sort primary total hip replacement in a military hospital in kathmandu
publisher Nepal Medical Association
series Journal of Nepal Medical Association
issn 0028-2715
1815-672X
publishDate 2017-03-01
description Introduction: Total hip replacement is one of the most widely performed and amongst the most successful orthopedic procedures performed worldwide. Even though it is a common orthopedic procedure in developed nations, it is performed only in selected centers in Nepal.  This study will review the functional outcome of total hip replacements carried out in Shree Birendra Hospital. Methods: We reviewed the records of total hip replacements, which were carried out in Shree Birendra Hospital, Kathmandu. Twenty-one hips were cemented and nineteen were uncemented.  Cases were followed up in six weeks, twelve weeks, six months and every year from then on. Outcome in terms of Harris hip score of 40 osteoarthritic hips were measured pre-operatively as well as post-operatively. Results: The mean age of the patients was 50.63 years (range 22-79 years). The commonest reason for the replacement was primary osteoarthritis of the hip. Thirty-nine patients underwent unilateral total hip replacement while in one patient both hips were replaced. The mean Harris hip score for the forty hips that were available at the latest follow-up examination at an average of five years (range two to six and a half years) after the operation was 85.2 ± 7.65 points as compared to the pre-operative mean Harris hip score of 32.38 ± 3.4. Conclusions: Based on improved Harris hip scores, we believe that THR is a good option in patients with end stage arthritis of the hip. Keywords: cemented; primary osteoarthritis; total hip replacement.
url https://www.jnma.com.np/jnma/index.php/jnma/article/view/3033
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