FUNCTIONAL OUTCOME OF EARLY MOBILISATION AFTER TOTAL HIP ARTHROPLASTY

Abstract

Background : Total Hip Arthroplasty (THA) is a highly successful orthopedic procedure performed to relieve pain and restore function in patients with advanced hip disorders. Early mobilization has emerged as an important component of postoperative rehabilitation aimed at enhancing recovery and reducing complications. Aim : To evaluate the functional outcome of early mobilization after Total Hip Arthroplasty. Materials and Methods : This prospective observational study was conducted in the Department of Orthopaedics, Maharishi Markandeshwar Institute of Medical Sciences and Research, Mullana, Ambala, Haryana, over a period of 18 months. A total of 50 patients undergoing primary THA were included. Early mobilization protocols were initiated postoperatively whenever clinically feasible. Functional outcomes were assessed using the Harris Hip Score during follow-up. Data were analyzed using appropriate statistical methods, and a p-value <0.05 was considered statistically significant. Results : The majority of patients belonged to the 51–60 years age group (36%), and males constituted 64% of the study population. Osteoarthritis was the most common indication for THA (40%). Most patients (80%) achieved ambulation within 24 hours of surgery. At 3 months, 48% of patients had excellent and 32% had good Harris Hip Scores. The mean Harris Hip Score improved significantly from 42.68±8.45 preoperatively to 92.48±5.61 at 6 months postoperatively (p<0.001). Postoperative complications were minimal, with 84% of patients experiencing no complications. Conclusion : Early mobilization after Total Hip Arthroplasty significantly improves functional recovery, enhances Harris Hip Scores, promotes early independence, and is associated with a low complication rate. It should be considered an essential component of postoperative rehabilitation following THA.