Integrative Biomedical Research (Journal of Angiotherapy)
Integrative Biomedical Research (Journal of Angiotherapy) | Online ISSN  3068-6326
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Integrative Biomedical Research (Journal of Angiotherapy)
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Volume 9 Number 1 2025

Article Contents

RESEARCH ARTICLE   (Open Access)
Contents Vol 8 (7)

Comparative Analysis of Cemented vs. Uncemented Hip Prostheses in Elderly Bangladeshi Patients with Osteoarthritis

Mohammad Sazzad Hossain1*, Erfanul Huq Siddiqui2, Sharif Md. Musa1, Shaik Forhad1

+ Author Affiliations

Integrative Biomedical Research (Journal of Angiotherapy) 8 (7) 1-8 https://doi.org/10.25163/angiotherapy.8710295

Submitted: 14 May 2024 Revised: 01 July 2024  Published: 02 July 2024 

Abstract

Background: Total Hip Arthroplasty (THA) is a widely accepted treatment for end-stage hip osteoarthritis (OA), particularly among the elderly. The choice between cemented and uncemented prostheses remains controversial, especially in populations with varying bone densities and healthcare resources. This study compares functional outcomes, complication rates, and perioperative variables between cemented and uncemented THA in elderly Bangladeshi patients.Methods: This prospective observational study included 60 patients aged 65 years and above undergoing THA due to primary hip OA. Patients were divided into two groups: Group A (cemented, n=30) and Group B (uncemented, n=30). Outcomes were assessed using the Harris Hip Score (HHS), range of motion (ROM), intraoperative blood loss, surgery duration, hospital stay, and postoperative complications. Data were analyzed using SPSS v25.0 with p<0.05 considered statistically significant.Results: At six months, the cemented group demonstrated a significantly higher mean HHS (88.6 ± 6.3) compared to the uncemented group (85.2 ± 7.1, p=0.03). ROM improvement was also greater in the cemented group. Complication rates were higher in the uncemented group (10% vs 6.7%). No statistically significant difference was found in surgery time, blood loss, or hospital stay.Conclusion: Cemented THA yields better functional outcomes in elderly patients with OA in Bangladesh. Given its cost-effectiveness and lower complication profile, cemented prosthesis may be more suitable for this population.

Keywords: Total Hip Arthroplasty, Cemented Prosthesis, Uncemented Prosthesis, Osteoarthritis, Elderly, Bangladesh

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