Title

Effect of combined anteversion on outcomes in total hip replacement

Authors

Sanjul Bansal¹, Amol Kawde^1,*, Abhishek Keshav², Kartikeya Singh³, Pratima Nagale⁴ & Sachin Parmar⁵

Affiliation

¹Department of Orthopaedics, ABVGMC Vidisha, Madhya Pradesh, India; ²Department of Orthopaedics, AIIMS , Bhopal, Madhya Pradesh, India; ³Department of Orthopaedics, LNCT Medical College and Sevakunj Hospital, Indore, Madhya Pradesh, India; ⁴Department of Emergency Medicine, AtalBihari Vajpayee Government Medical College (ABVGMC),Vidisha, Madhya Pradesh, India; ⁵Department of Community Medicine, V.K.S. Government Medical College, Neemuch, Madhya Pradesh, India; *Corresponding author

Email

Amol Kawde - E-mail: kawdeamol1997@gmail.com
Sanjul Bansal - E-mail: bansal.sanjul4@gmail.com
Kartikeya Singh - E-mail: Drkartikeyasingh@gmail.com
Pratima Nagale - E-mail: Prratimaashokkumar@gmail.com
Abhishek Keshav - E-mail: abhishekforone@gmail.com
Sachin Parmar - E-mail: dr.sachinparmar@gmail.com

Article Type

Research Article

Date

Received February 1, 2026; Revised February 28, 2026; Accepted February 28, 2026, Published February 28, 2026

Abstract

Osteonecrosis of the femoral head is a debilitating disease where the bone tissue dies as a result of impaired blood flow, which affects young adults and in most cases, it leads to collapse in the absence of surgical intervention. In this analytical cross-sectional study, 30 patients with osteonecrosis of the femur head were compared to determine the treatment outcomes of operative management using total hip arthroplasty (THA) and conservative treatment over 18 months. Operative group showed considerably better results with a change in Modified Harris Hip Score of 457 to 756 at 6 months compared to 467 to 687 in the conservative group (p=0.02). At 6 months, the operative group (7.2+1.3 to 2.5+0.9) had lower pain than the conservative group (7.5+1.1 to 3.8+1.1) according to Visual Analog Scale (p=0.01). The rates of radiological union were higher in the operative group (95% vs 70% at 6 months, p=0.04), showing that THA offers a far better functional outcome, pain relief and bone healing than conservative treatment of osteonecrosis of the femoral head.

Keywords

Osteonecrosis, total hip arthroplasty, conservative treatment, modified harris hip score

Citation

Bansal et al. Bioinformation 22(2): 1103-1108 (2026)

Edited by

P Kangueane

ISSN

0973-2063

Publisher

Biomedical Informatics

License

This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.