Hakan USLU, Fırat SEYFETTİNOĞLU, Hasan Ulaş OĞUR, Osman ÇİLOĞLU, Oğuzhan ÇİÇEK, Hakan ÇİÇEK
Çukurova Anestezi ve Cerrahi Bilimler Dergisi - 2026;9(1):59-63
Aim: This study aimed to evaluate the impact of restoring femoral offset (FO), global offset (GO), and leg length discrepancy (VU) on clinical outcomes in patients undergoing total hip arthroplasty (THA) for primary coxarthrosis. Methods: A retrospective review was conducted on 100 patients who underwent THA at Adana City Training and Research Hospital between January 2015 and December 2018. Preoperative and postoperative Harris Hip Score (HHS) and radiological parameters (FO, GO, AO, VU, CDA) were compared. Correlations between postoperative parameters and HHS were analyzed using Spearman's correlation test. Results: Among the 100 patients, 60 were male (60%) and 40 were female (40%). Males had significantly higher height and weight (p<0.001), but BMI did not differ. Preoperatively, intact-side measurements were higher than those on the operated side. Postoperatively, the mean Harris Score significantly improved from 54.13 to 86.27 (p<0.001). FO and GO increased, whereas AO decreased. Significant negative correlations were found between postoperative HHS and GO (r= -0.663; p<0.001), FO (r= -0.437; p<0.001), and CDA (r= -0.632; p<0.001). Conclusions: Restoration of FO, GO, and VU in THA has a significant effect on postoperative functional outcomes. In particular, accurate GO restoration plays a crucial role in patient satisfaction and functional recovery.
