Abstract
Objective: To analyze the functional outcome of
conversion total hip arthroplasty (THA) using Harris
hip score and evaluate intraoperative difficulties faced
during conversion to THA.
Methodology: This prospective study evaluated fiveyear outcome of THA in patients with failed Austin
Moore hemiarthroplasty (AMH). From June 2014 to
November 2020 (by a nonrandom consecutive
sampling technique), all patients who had AMH were
evaluated and those with failed procedures were sorted
out. We selected patients for THA who were followed
up for five years. Harris Hip Scores (HHS) was
calculated for the functional outcomes.
Results: Out of 28 patients, 16 (57.14%) were
females and 12 (42.86%) males. Mean age was 61.1 ±
3.3 years. Excluding two patients who died (due to
systemic causes), HHS evaluation at one year15
(53.6%) showed excellent, 9 (32.1%) good, one (3.6%)
fair and one (53.6%) poor result. After 5-years, 6
(21.4%) showed excellent 18 (64.3%) good, one
(3.6%) fair, and one (3.6%) poor result. The mean
HHS was 84.7 ± 6.7 at the last follow-up.
Conclusion: THA after failed AMH is an excellent
treatment strategy to control pain and restore function.
Keywords: Arthroplasty (THA), hemiarthroplasty,
aseptic austin moore.