Uncemented THR in The Treatment of Primary Osteoarthritis for Young Patients

Open Access

Abstract

Introduction: Primary hip osteoarthritis is a progressive degenerative disease-causing chronic pain, functional limitation, and reduced quality of life. Though common in older adults, younger individuals are increasingly affected. Total hip replacement relieves pain. This article aimed to study the clinical and X-ray results of uncemented total hip replacement in young patients with primary osteoarthritis. Methods & Materials: This prospective observational study was conducted to evaluate the clinical and radiological outcomes of uncemented total hip replacement (THR) in young patients with primary osteoarthritis. The study was carried out at Dhaka Community Medical College & Hospital from January 2025 to December 2025. A total of 65 patients with primary osteoarthritis of the hip, aged between 20 and 55 years and meeting the inclusion criteria, were enrolled. Data analysis was performed using the Statistical Package for Social Sciences (SPSS) version 25.0. Result: The largest group of patients aged 4049 years (38.5%), the next were 3039 years (27.7%), and 12.3% were below 30 years. Males accounted for 58.5% and females 41.5% of the cases. The average Harris Hip Score increased from 48.6 before operation to 89.7 after operation. Few patients (87.7%) experienced no complications; there was superficial infection (4.6%), dislocation (3.1%), and aseptic loosening (3.1%). Radiologically, 89.2% of patients had stable fixation, 7.7% had radiolucent lines, and 3.1% had loosening. Conclusion: Uncemented total hip replacement in young patients with primary osteoarthritis provides excellent functional outcomes, significant improvement in Harris Hip Score, stable implants, and minimal complications. It reliably relieves pain and enhances mobility, making it an effective and preferred treatment option for active individuals in this age group.