Long-term Outcomes of Cemented Total Hip Arthroplasty in Patients with Ankylosing Spondylitis at a Minimum Follow-up of 10 Years / 대한고관절학회지
Hip & Pelvis
;
: 175-181, 2018.
Article
in English
| WPRIM
| ID: wpr-740429
ABSTRACT
PURPOSE:
This study was performed to evaluate long-term clinical and radiologic outcomes of cemented total hip arthroplasty in patients with ankylosing spondylitis. MATERIALS ANDMETHODS:
A retrospective study of 12 patients (16 cases) diagnosed with ankylosing spondylitis undergoing total hip arthroplasty with cemented femoral stem from November 2002 to January 2006 with a minimum follow up of 10 years. Clinical outcomes were assessed using Harris Hip Scores and measures of pain and range of motion. Radiologic outcomes were assessed with serial plain X-ray. Fixation and stability of implant, enthesopathy of ischium and development of heterotopic ossification were also evaluated.RESULTS:
Mean Harris Hip Scores significantly improved from pre-operative levels (58 points; range, 39–81 points) to post-operative (92 points; range, 68–100 points). Mean flexion contracture levels decreased from preoperative (13°) to post-operative (5°), and mean post-operative range of motion improved 106° compared to preoperative levels. No newly developed osteolysis lesions or implant loosening were observed in last follow up X-rays. One heterotopic ossification and one greater trochanter fracture were observed. Greater trochanter fracture was treated conservatively, and was resulted in bony union. No patients underwent revisions.CONCLUSION:
This study revealed positive long-term clinical and radiologic outcomes following total hip arthroplasty with cemented femoral stems in patients with ankylosing spondylitis patients.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Osteolysis
/
Spondylitis, Ankylosing
/
Rheumatic Diseases
/
Retrospective Studies
/
Follow-Up Studies
/
Range of Motion, Articular
/
Ossification, Heterotopic
/
Contracture
/
Arthroplasty, Replacement, Hip
/
Femur
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
Language:
English
Journal:
Hip & Pelvis
Year:
2018
Type:
Article
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