RETROSPECTIVE ANALYSIS OF HIP REPLACEMENT OUTCOMES IN A PRIVATE HOSPITAL IN FERGANA: IMPLICATIONS FOR ENHANCED PATIENT-CENTRED CARE AND TRAUMATOLOGY PRACTICE

Abstract

Objective: To evaluate outcomes and factors influencing patient recovery after hip replacement surgery in a private hospital in Fergana over the past five years, and to propose strategies for enhancing patient outcomes in the context of traumatology-oriented practice. Methods: We conducted a retrospective review of 42 patients who underwent hip replacement (elective and traumatic indications). Results: This five-year retrospective analysis of 42 hip replacement patients in a private hospital in Fergana showed substantial functional improvement at one year, with the Harris Hip Score rising from 45.2 to 85.7 (p < 0.001) and a low overall complication rate of 9.5%, including a 7.1% readmission rate. Poor outcomes occurred in 14.3% of patients and were independently associated with advanced age, diabetes mellitus, and postoperative stay longer than five days, suggesting that improved metabolic control, standardised perioperative protocols, and early rehabilitation may further enhance patient recovery. Conclusion: In the Fergana private-hospital setting, hip replacement can yield excellent functional improvement, but targeted protocols (prehabilitation, standardised rehabilitation, complication surveillance) may further enhance outcomes.