Particular features of clinical symptomatology after the hip replacement for different techniques of implant fixation

Abstract

Purpose. To evaluate the dependence of clinical symptom manifestation on endoprosthesis fixation technique.
Materials and Methods. Patients operated for coxarthrosis and complaining during follow-ups (3-12 months after surgery) tested. 61 patients at the age of 29-78 years examined using Visual Analogue Scale, Lequesne index, WOMAC osteoarthritis questionnaire, Harris test, MacGill pain questionnaire. The assessment of pain syndrome intensity, constraint feeling and functional disorders made.
Results. The data evidence the absence of the influencing a technique of endoprosthesis fixation on the degree of functional disorders and constraint feeling. MacGill pain questionnaire established to be the most sensitive in case of the pain syndrome evaluation under these conditions. The following differences between groups revealed during the study: significantly less marked pain syndrome observed postoperatively in patients underwent the replacement using cement implant fixation (versus the cases of using cementless technology).
Conclusion. The studies demonstrated that a variant of endoprosthesis component fixation didn’t influence the functional result of treatment. The differences between groups noted for the pain syndrome scoring only.