International Journal of Research in Orthopaedics | October-December 2016 | Vol 2 | Issue 4 Page 269 International Journal of Research in Orthopaedics Kadam R et al. Int J Res Orthop. 2016 Dec;2(4):269-272 http://www.ijoro.org Original Research Article Study of functional outcome of total hip arthroplasty in a series of cases of hip pathologies done in rural population Rahul Kadam, Pankaj Bansal*, Abhay Chhallani INTRODUCTION Total hip arthroplasty (THA) is commonly performed in patients with hip pathologies. The goals of total hip arthroplasty are to relieve pain, to provide motion with stability and to correct deformity so that they could return to their normal daily activities. 1 The greatest amount of functional improvement is observed within 6 months postoperatively, with further improvements occurring for up to 2 years. 2,3 Due to rapid advancements in surgical techniques and other developments by healthcare professionals the number of patients undergoing THA has increased to achieve excellent outcomes, with early functional recovery and short hospital stays. 4 Since surgeons have tried to give better function to a painful, damaged joint through the stages of extraarticular pseudoarthrosis, simple resection arthroplasty, inter- positional arthroplasty, hemiarthroplasty and to the present era of total joint replacement. 1 THA originally was indicated for the alleviation of incapacitating pain in patients older than 65 years who could not be relieved sufficiently by nonsurgical means and for whom the only surgical alternative was resection of the hip joint (girdle stone resection arthroplasty). 5 THR involves surgically removing the arthritic parts of the joint (cartilage and bone) replacing the “ball and socket” part of the joint with artificial components made from metal alloys and placing high-performance bearing ABSTRACT Background: The objective of the study was to assess the functional outcome of total hip arthroplasty (THA) done in a series of cases of hip pathologies rural population. Methods: A retrospective randomized controlled study conducted in 50 cases of hip arthritis (38 males and 12 females) treated with uncemented THA for an average follow-up of 2 years at department of orthopedics MGM Medical College, Kamothe, Navi Mumbai. Harris hip scoring system was used for the functional scoring and the postoperative radiographs were assessed by Gruen zones for the femoral component and DeLee and Charnley zones for the acetabular component. All patients were evaluated pre operatively and post operatively 3 months 6 months, 12months, 2years with Harris Hip score. Results: 81% of our patients scored 85 points or better for a rating of excellent by Harris hip score system. 90% patients had little /no pain post operatively, whereas walking ability improved and was unlimited in 80% of the patients post operatively. Harris hip score improved from 40 to 80. 80.5% -excellent, 13.80% -good, 5.7% -fair results. Poor results were not seen in any patient. Conclusions: THR provided excellent pain relief, adequate stability, and remarkable range of motion in severely painful, refractory hip. A significant improvement was seen at two year follow-up. Keywords: Total hip arthroplasty, Hip arthritis, Harris hip score, Hip pathologies Department of Orthopaedics, M G M Medical College, Navi Mumbai, India Received: 28 September 2016 Accepted: 17 October 2016 *Correspondence: Dr. Pankaj Bansal, E-mail: manishkkn1120@gmail.com Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. DOI: http://dx.doi.org/10.18203/issn.2455-4510.IntJResOrthop20163755