Total Hip Replacement; Results and Complications

Original article


Seddag Bendalla, Mohamed Rashed and Abdulhafed Abosnina

Department of Orthopaedic, Alkhadra Teaching Hospital, Tripoli, Libya

JMJ 2007,Vol.7, No.4:275-278


This retrospective study was carried out to review the results of (70) out of (92) patients operated in the orthopaedic department of Alkhadra hospital in the period from 1993 to 1997. Twenty two patients were excluded from this study because Of insufficient documents. Sixty three patients underwent unilateral total hip replacement while 7 patients underwent bilateral replacements. There were 34 males (49%) and 36 females (51%). The age of patients ranged between (20 and 80) years, the majority of patients were between 40-70 years, the mean age at time of surgery was 58 years. In 36 patients P.C.A prosthesis was inserted while the others underwent charnly müller or ABG Prosthesis. Cemented procedure was carried out in 51 hips, in 12 of them only the cup was cemented, and cementless procedure was carried out in 26 hips. Grafting of the acetabulum was carried out in 8 patients. Anterior approach to the hip was carried out in the majority of patient (67 hips); while posterior approach only in 8 hips. Lateral approach with trochanteric osteotomy was done in 2 hips. Postoperative hip dislocation occurred in 3 patients due to cup malalignment. Intraoperative fracture of the femoral neck in 2 patients, one patient developed superficial wound infection, another patient developed deep vein thrombosis, six patients underwent revision surgery because of cup loosening, and 3 of them due to fragmentation of the polyethylene cup insert (inner shell). The mean hospital stay was 29 day.

Keywords: Total hip replacement (THR), Deep vein thrombosis (DVT), Rheumatoid arthritis (RH. Arthritis)