Short term outcome of primary un-cemented total hip arthroplasty in osteonecrosis of femoral head

<p class="abstract"><strong>Background:</strong> Osteonecrosis of femoral head (ONFH) is characterised by cell death in the subchondral bone caused abnormalities blood flow to head. About 5% 13% arthroplasties are performed yearly for ONFH United States. Ficat and Arlet classification commonest system used grading ONFH. Advanced stages 3 4 best managed with total hip arthroplasty (THA). THA restores range movement allows early ambulation ONFH.</p><p class="abstract"><strong>Methods:</strong> After seeking approval from local institutional ethical committee 25 patients stage (Ficat Arlet) were admitted OPD SKIMS MC Hospital Bemina, Srinagar. The study was conducted February 2018 2020 department Orthopaedics mean age 50.64 years comprising 13 females 12 males unilateral osteonecrosis collapsed underwent uncemented followed up a minimum 1 year post-operatively.<strong></strong></p><p class="abstract"><strong>Results:</strong> Outcome evaluated comparing pre-operative post-operative Harris scores. average scores improved 65.87 group 96.54 at 1-year follow-up post-operatively. Marked improvement noted pain No revisions during study. One patient developed superficial surgical site infection which healed supervised dressings oral antibiotics.</p><p class="abstract"><strong>Conclusions:</strong> Uncemented has excellent short-term outcomes advanced It provides mobile joint free shortly after surgery.</p>