Volume 24, Issue 102, March - April, 2020

Outcomes and complications of total hip arthroplasty and bipolar hemiarthroplasty with long and short stem prosthesis

Quang-Tri Lê^1♦, Minh-Hoang Nguyen²

¹Department of Orthopedics, 7A Military Hospital, 466 Nguyen Trai Street, Ward 8, District 5, Ho Chi Minh City, 72706, Viet Nam Email: lqtri@ntt.edu.vn; tsbstri@yahoo.com
²Department of Orthopedics, 7A Military Hospital, 466 Nguyen Trai Street, Ward 8, District 5, Ho Chi Minh City, 72706, Viet Nam Email: nthoang@ntt.edu.vn; hoangbss@gmail.com

^♦Corresponding author
Director of 7A Military Hospital, Head of Department of Orthopedics, Head of Department of High-Tech Diagnostics, 466 Nguyen Trai Street, Ward 8, District 5, Ho Chi Minh City, 72706, Viet Nam. Email: lqtri@ntt.edu.vn; tsbstri@yahoo.com

ABSTRACT

Aim: The study objective was the assessment of hip replacement outcomes with long-term monitor length over one year. Materials and Methods: Hip replacement was performed on 277 patients in 7A Military Hospital Ho Chi Minh City, Viet Nam, from Jun 2015 to Jun 2019. Total hip arthroplasty, short bipolar stem, and long stem hemiarthroplasty were performed on the patients, and specific damages of each patient served as the basis for chosen methods. This study made use of perspective and retrospective approaches. Results: “Good” functional outcome occurred in 90.0% of total hip arthroplasty, 92.0% of short stem bipolar hemiarthroplasty, and 71.7% of long stem hemiarthroplasty. The postoperative complication rate was 1.7 to 5.4% depends on the used techniques. Stem loosening occurred in 5.6% of old patients. Most patients were satisfied with the treatment outcome. Discussions: It could be considered that hip replacement meets the demands of promoting patient life quality, especially aged patients, enabled disabled patients to make a fast recovery and quickly resumed walking and daily activities, and mitigated care burden for the family and relatives. The mortality rate in the elderly was due to prolonged bedridden complications was also decreased.

Keywords: Hip Replacement, Femoral Neck, Femoral Head, Intertrochanteric, Long Stem Prosthesis.

Medical Science, 2020, 24(102), 935-944

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