Abstract

Abstract

Background: Ceramic on ceramic total hip arthroplasty is now a standard procedure in the management of degenerative hip joint disorders. The new operative techniques has made the procedure an easy process to operate and with good results for young individuals.

Patients and Methods: Our study was performed on 24 patients that were operated at Orthopedic department, Zagazig university and Ain-Shams university hospital in the period between August 2014 to August 2016. All cases were treated by CoC THA. 11 males and 13 females with mean age of 33 years (range: 18-63). The etiology was femoral head avascular necrosis in 16 hips, and posttraumatic hip arthritis in 6 patients and ankylosing spondylitis in 2 hips. Clinically, the indications of operation were intolerable pain, limitation of hip motions and flexion adduction deformity. Clinical evaluation by Harris Hip Score. preoperatively, postoperatively and at follow up visits was done.

Results: The age of the patients was between 18 and 63 years with mean 33 years. Regarding sex distribution 54.2% were female. There were statistical significant increase in Harris score grading among the studied cases postoperative compared to pre. Excellent results were in 18 hips (75%), and good results in 2 (8.3%), fair in 3 hips (12.5%), and 1 hip (4.2%) had poor results. 33.3 % of the patients had complication, one case had linear breakage, 3 cases had head dislocation, two infected cases, one cases suffered from squeaking and one case revised.