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Comparative study of different approaches of Total Hip Arthroplasty based on inclination angle of acetabular cup and Post operative rehabilitation

Journal of Clinical Orthopaedics | Vol 10 | Issue 1 | January-June 2025 | page: 32-37 | Mohd Danish, Akhilesh Yadav, Ashutosh Karn

DOI: https://doi.org/10.13107/jcorth.2025.v10i01.710

Open Access License: CC BY-NC 4.0

Copyright Statement: Copyright © 2025; The Author(s).

Submitted Date: 11 Jan 2025, Review Date: 08 Mar 2025, Accepted Date: 10 Apr 2025 & Published Date: 30 Jun 2025


Author: Mohd Danish [1], Akhilesh Yadav [1], Ashutosh Karn [2]

[1] Department of Orthopaedics, Max Superspeciality Hospital, Vaishali, Ghaziabad, Uttar Pradesh, India,
[2] Department of Orthopaedics, Max Superspeciality Hospital, Saket, Delhi, India

Address of Correspondence

Dr. Mohd Danish,
Department of Othopedics, Max Superspeciality Hospital, Ghaziabad, Uttar Pradesh, India.
E-mail: danish.shan@gmail.com


Abstract

Introduction: Total hip arthroplasty (THA) is considered to be one of the most successful orthopaedic interventions of its generation. Joint replacement (arthroplasty) as a surgical option for end stage arthritis is well established now and millions of patients across the world have benefited. India is a country of 1.4 billion people with significant knee and hip arthritis population. According to Frost and Sullivan research, 70,000 joint replacement surgeries were performed in India in the year 2011. The most common cause of chronic hip pain and disability is arthritis. Osteoarthritis, rheumatoid arthritis, and traumatic arthritis are the most common forms of this disease.
Aims of Study: To compare post-operative outcome as implant positioning in terms of abduction angle of the cup & rehabilitation based on Harris Hip Score at 2 months and 4 months respectively in different approaches of approach of total hip replacement.
Materials and Methods: This study was conducted in the department of Orthopaedics at Max Super specialty hospital, Vaishali, Ghaziabad, UP after receiving clearance from the Ethical Committee of the institution. It was a randomized case control study. Two different groups of 32 patients each were evaluated and inclination of acetabular cup was calculated on plain radiograph, subsequently the rehabilitation was also evaluated on basis of Harris Hip score in these patients.
Results: In the present study, it was observed that mean postoperative abduction angle in Group A 47.82 ±6.87 and Group B was 51.19 ±7.21 degree respectively. The mean postoperative abduction angle in Group A was less compared to Group B with statistical significance. (P<0.05) In the present study, it was observed that intergroup comparison of mean Harris hip score post-operative at discharge, at 2 months & 4 months in Group A and Group B showed no statistical significance. (P>0.05) The intragroup comparison of mean Harris hip score post-operative at discharge, 2 months and 4 months in Group A and Group B showed statistical significance. (P<0.05)
Conclusion: Present study revealed a significant statistical difference on intragroup comparison of inclination angle and rehabilitation based on Harris Hip Score in both the groups.
Keywords: Arthroplasty, Harris Hip Score, Angle of Inclination


References

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How to Cite this article: Danish M, Yadav A, Karn A. Comparative study of different approaches of Total Hip Arthroplasty based on inclination angle of acetabular cup and Post operative rehabilitation. Journal of Clinical Orthopaedics January-June 2025;10(1):32-37.

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Comparing the Efficiency of the Femoral Neck System and the Cannulated Compression Screw in Treating Femoral Neck Fractures in Patients Who Are Young and Middle-aged Indian Population

Journal of Clinical Orthopaedics | Vol 8 | Issue 2 |  Jul-Dec 2023 | page: 16-20 | Arvind Vatkar, Sachin Kale, Gaurav Kanade, Ashok Godke, Joydeep K. Dey, Rahul Godke, Nrupam Mehta, Sonali Das

DOI: https://doi.org/10.13107/jcorth.2023.v08i02.584


Authors: Arvind Vatkar [1], Sachin Kale [1], Gaurav Kanade [2], Ashok Godke [3], Joydeep K. Dey [4], Rahul Godke [4], Nrupam Mehta [3], Sonali Das [4]

[1] Department of Orthopaedics, Apollo Hospital, Belapur, Navi Mumbai, Maharashtra, India.
[2] Department of Orthopaedics, MGM Hospital, Kamothe, Navi Mumbai, Maharashtra, India.
[3] Department of Orthopaedics, Dr. D. Y. Patil Hospital, Navi Mumbai, Maharashtra, India.
[4] Department of Orthopaedic, Matoshree Hospital, Panvel, Navi Mumbai, Maharashtra, India.

Address of Correspondence
Dr. Arvind Vatkar,
Consultant Spine Surgeon, Department of Orthopaedics, Apollo Hospital, Belapur, Navi Mumbai, Maharashtra, India.
E-mail: vatkararvind@gmail.com


Abstract

Background: There are no long-term studies regarding the clinical effectiveness of a novel fixation technique (femoral neck system [FNS]) for femoral neck fractures. The primary aim of this study was to compare the effectiveness of two internal fixation techniques (FNS and cannulated compression screw [CCS]) for treating femoral neck fractures in individuals between the ages of 20 and 40 years.
Materials and Methods: Data of patients who underwent internal fixation surgery for femoral neck fractures in our hospital between January 2018 and January 2020 with CCS and between January 2020 and January 2022 with FNS were retrospectively evaluated. The groups of CCS and FNS were separated based on the various internal fixation techniques. Demographics about all patients, including sex, age, body mass index, and fracture type were recorded. Pre-operative and 1-year post-operative follow-up of patients was to assess femoral neck shortenings and the Harris Hip score was used to evaluate joint function. Post-operative complications such as femoral head necrosis, non-union, and femoral neck shortening were noted.
Results: 30 patients each of CCS and FNS system fixation were enrolled in the study. The male-to-female ratio was 21:9 and 18:12 for CCS and FNS, respectively. The average age of both groups was around 30 years. Compared to patients treated with CC screws, patients who had FNS treatment required less time to recuperate and resume normal activities. The HSS score improvement at 2 weeks and 12 weeks was significantly better in the FNS system than CCS fixation. There was improvement in flexion, abduction, and external rotation range of motion in FNS compared to CCS. There was no statistically significant difference between the two groups in the incidence of femoral head necrosis or fracture non-union following surgery.
Conclusion: Patients treated with FNS for femoral neck fractures in the age range of 20–40 years can achieve better hip scores than CCS fixation and also have improved range of motion in flexion, abduction, and external rotation.
Keywords: Femoral neck system, cannulated cancellous screw, femoral neck fractures, harris hip score


References

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How to Cite this article: Vatkar A, Kale S, Kanade G, Godke A, Dey JK, Godke R, Mehta N, Das S. Comparing the Efficiency of the Femoral Neck System and the Cannulated Compression Screw in Treating Femoral Neck Fractures in Patients Who Are Young and Middle-aged Indian Population. Journal of Clinical Orthopaedics 2023;8(2):16-20.

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