Implant Survival and Patient-Reported Outcomes After Total Hip Arthroplasty in Young Patients With Juvenile Idiopathic Arthritis

被引:33
作者
Swarup, Ishaan [1 ]
Lee, Yuo-yu [2 ]
Christoph, Ella I. [1 ]
Mandl, Lisa A. [3 ]
Goodman, Susan M. [3 ]
Figgie, Mark P. [1 ]
机构
[1] Hosp Special Surg, Dept Orthopaed Surg, New York, NY 10021 USA
[2] Hosp Special Surg, Dept Epidemiol & Biostat Core, New York, NY 10021 USA
[3] Hosp Special Surg, Div Rheumatol, New York, NY 10021 USA
关键词
total hip arthroplasty; juvenile idiopathic arthritis; survival analysis; revision total hip arthroplasty; outcomes; REPLACEMENT; SURVIVORSHIP;
D O I
10.1016/j.arth.2014.09.018
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Juvenile Idiopathic Arthritis (JIA) is a common rheumatologic disease that frequently involves the hip joint and requires treatment with total hip arthroplasty (THA). A retrospective study with prospective follow-up was conducted to determine implant survival and patient-reported outcomes in JIA patients aged 35 or younger treated with THA. This study included 56 patients, and the mean time to follow-up was 12 years. The 10-year implant survival was 85%, and implant survival was significantly longer in older patients (P value=0.04). Hip disability and osteoarthritis outcome(HOOS) scores were favorable at follow-up, but significantly worse in women and patients with custom implants or history of revision THA. Overall, patient factors and implant characteristics predict implant survival and outcomes after THA in young patients with JIA. (C) 2014 Elsevier Inc. All rights reserved.
引用
收藏
页码:398 / 402
页数:5
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