Clinical Evaluation Of Posterior Approach In Primary Total Hip Replacement In A Short Term Period

Abstract

When performing total hip arthroplasty (THA), the posterior approach remains the most conventional and widely adopted method globally. In recent years, there has been a surge in research comparing various techniques and approaches for THA. A recent study has emphasized the clinical outcomes that favor the posterior approach, while also examining the functional results linked to reduced operative time, shorter hospital stays, decreased postoperative opioid consumption and pain levels, and a quicker transition to walking unaided.

Aim of the study: The aim of this study is to evaluate the patient’s functional outcome after total hip arthroplasty posterior approach regarding the (Harris hip score).

Patient & method: A follow up study on 32 patients (31 patients, one with bilateral hip replacement  ) in Al-Yarmouk teaching hospital a was conducted between  in the period of 1st February.  2020 and 30th of December. 2022, ranging in age between 30-82 years old with avascular necrosis or advanced osteoarthritis via posterior approach using  cementless total hip replacements.

Results: Using the Harris hip score as a determining factor for clinical evaluation in patients undergoing the posterior approach, we found the final result to be excellent in 24 (75%) of patients, good in 6 (18.7%), fair in 2 (6.3%), with no reported poor results