Total hip arthroplasty in ankylosing spondylitis - An analysis of 181 hips

被引:85
作者
Joshi, AB [1 ]
Markovic, L [1 ]
Hardinge, K [1 ]
Murphy, JCM [1 ]
机构
[1] Wrightington Hosp, Ctr Hip Surg, Wigan, England
关键词
cemented total hip arthroplasty (THA); ankylosing spondylitis (AS); heterotopic ossification; hip function; hip pain;
D O I
10.1054/arth.2002.32170
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
The results of cemented total hip arthroplasty (THA) in patients with ankylosing spondylitis were Studied to determine the utility of THA for these patients. A total of 103 patients with ankylosing spondylitis underwent 181 THAs; 72 patients (69.9%) had bilateral surgery. The mean follow-tip was 10.3 years. The mean age of patients at Surgery was 47 years. Before surgery, 42 hips (23.2%) were ankylosed. Revision surgery was carried out in 25 hips (13.8%). Heterotopic ossification was present in 21 hips (11.6%): however, no patients had functional impairment or reankylosis. At final follow-up examination, 173 hips (96%) had an excellent down pain score, and 53 hips had a normal or near-normal function score (29.2%). The probability of survival of the implant was 71% at 27 years. THA provides long-term improvement in hip function for patients with ankylosing, spondylitis.
引用
收藏
页码:427 / 433
页数:7
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