Primary Total hip Arthroplasty and found no significant difference in pain or satisfaction between patients with loose and stable components. In this context, the present study objective is to analyse the radiographic variables following Total Hip Replacement and its correlation functionally with PROMs in hip pathology and also we know the version values using radiographs and its correlation functionally and clinically in patients undergoing THR.A Retrospective Study was adopted for the current study. The data registry of all patients who underwent THR in the last four years at our institute (2018–2021) was carefully scrutinised, and patients who fulfilled the following inclusion and exclusion criteria.Inclusion Criteria; age groups range from 18 to 80 years. All primary and secondary arthritis patients with HIP who underwent THR, All Neck and femur fractures who underwent THR and Cases that underwent bilateral THR. Exclusion criteria; complex Primary THR (using Cage/ or dual mobility cups), Revision THR and Primary THR done in less than 12 months. Postoperative radiographic features were relatively correlated with various parameters and the predisposing factor of gender. The results show that the mean inclination in males was 46.89 with SD 9.52 (P > 0.05); Females were 46.44 with SD 6.00; anteversion was (14.48) in males and females (18.59); and edited anteversion was (19.54) in males and females were (23.59). All three parameters were found to be statistically insignificant (p > 0.05), and the hypothesis was tested by the Mann-Whitney U test. The correlation was done on the post-op radiographic parameters based on the laterality using the Mann Whitney Test, the inclination of the R/L mean was 47.35/45.91; the anteversion R/L was 17.22/12.23) and the edited anteversion R/L mean was found to be (22.24/17.35). All parameters were found to be statistically insignificant with respect to laterality (p>0.05).A similar statistical method was used to test the hypothesis on the correlation between HHS and EQVAS. Patients can be them within one month of THA, PROMs improve most proportionally, although function exceeds preoperative baselines after three months, and gait quality may not improve until one year. By doing so, it will be easier to set reasonable expectations and focus therapies on patients who deviate from the norm.

PROMs, Total Hip Replacement, HIP, Womac Pain scale, pain score