Total hip arthroplasty in patients with chronic autoimmune inflammatory arthroplasties
Objective: Patients with systemic lupus erythematosus (SLE), rheumatoid arthritis (RA) and ankylosing spondylitis (AS) often require total hip arthroplasties. We present a retrospective review of 32 total hip arthroplasties (THA) performed for patients with SLE, RA or AS from 2003 to 2008 in a tert...
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| Veröffentlicht in: | International journal of rheumatic diseases 2010-08, Vol.13 (3), p.235-239 |
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| creator | CHONG, Roland Weng Wah CHONG, Choon Seng LAI, Choon Hin |
| description | Objective: Patients with systemic lupus erythematosus (SLE), rheumatoid arthritis (RA) and ankylosing spondylitis (AS) often require total hip arthroplasties. We present a retrospective review of 32 total hip arthroplasties (THA) performed for patients with SLE, RA or AS from 2003 to 2008 in a tertiary hospital in Singapore.
Materials and Methods: A total of 323 THAs performed between January 2003 to December 2008 were traced and cases of arthroplasties performed for such patients were isolated. Pre‐ and post‐operative range of motion, Harris hip score, limb length discrepancies and complications were studied.
Results: Twenty‐six patients aged 24–66 years (mean 47 years) were reviewed, with two AS patients (7.7%), 16 RA patients (61.5%), seven SLE patients (26.9%) and one patient (3.8%) with both RA and SLE. Thirty‐two THA operations were conducted with six patients requiring bilateral THAs. The average follow‐up was 3.3 years. Mean Harris hip score for 25 patients (one excluded due to patient expiry 2 month post‐surgery) improved from 41.3 to 86.53 (P |
| doi_str_mv | 10.1111/j.1756-185X.2010.01477.x |
| format | Article |
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Materials and Methods: A total of 323 THAs performed between January 2003 to December 2008 were traced and cases of arthroplasties performed for such patients were isolated. Pre‐ and post‐operative range of motion, Harris hip score, limb length discrepancies and complications were studied.
Results: Twenty‐six patients aged 24–66 years (mean 47 years) were reviewed, with two AS patients (7.7%), 16 RA patients (61.5%), seven SLE patients (26.9%) and one patient (3.8%) with both RA and SLE. Thirty‐two THA operations were conducted with six patients requiring bilateral THAs. The average follow‐up was 3.3 years. Mean Harris hip score for 25 patients (one excluded due to patient expiry 2 month post‐surgery) improved from 41.3 to 86.53 (P < 0.05). Mean pre‐operative hip flexion improved from 61.3 degrees (0–120) to 89.7 degrees (30–120) (P < 0.05). Seventeen cases had preoperative limb length discrepancies (median 1 cm) which were all corrected. There were no implants loosening, infective arthritis, dislocations or neurovascular injuries documented.
Conclusion: Our series demonstrated the excellent outcome of THA for patients with chronic autoimmune arthropathies at the time of follow‐up. Careful patient selection remains a priority as long‐term outcomes for such patients of a significantly younger population is yet to be determined.</description><identifier>ISSN: 1756-1841</identifier><identifier>EISSN: 1756-185X</identifier><identifier>DOI: 10.1111/j.1756-185X.2010.01477.x</identifier><identifier>PMID: 20704620</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adult ; Aged ; ankylosing lupus erythematosus ; Arthritis, Rheumatoid - surgery ; arthroplasty ; Arthroplasty, Replacement, Hip - adverse effects ; Autoimmune diseases ; Chronic Disease ; Female ; Hip Joint - physiopathology ; Hip Joint - surgery ; hip spondylitis ; Humans ; Joint surgery ; Leg Length Inequality - surgery ; Lupus Erythematosus, Systemic - surgery ; Male ; Medical treatment ; Middle Aged ; Patient Selection ; Patients ; Range of Motion, Articular ; Recovery of Function ; Retrospective Studies ; rheumatoid ; Singapore ; Spondylitis, Ankylosing - surgery ; systemic arthritis ; Treatment Outcome ; Young Adult</subject><ispartof>International journal of rheumatic diseases, 2010-08, Vol.13 (3), p.235-239</ispartof><rights>2010 Asia Pacific League of Associations for Rheumatology and Blackwell Publishing Asia Pty Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4667-1bf773af67f26e322155e00d9b744da973e892f8f4cb5ea0ca2651f1cac89d2c3</citedby><cites>FETCH-LOGICAL-c4667-1bf773af67f26e322155e00d9b744da973e892f8f4cb5ea0ca2651f1cac89d2c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1756-185X.2010.01477.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1756-185X.2010.01477.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20704620$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>CHONG, Roland Weng Wah</creatorcontrib><creatorcontrib>CHONG, Choon Seng</creatorcontrib><creatorcontrib>LAI, Choon Hin</creatorcontrib><title>Total hip arthroplasty in patients with chronic autoimmune inflammatory arthroplasties</title><title>International journal of rheumatic diseases</title><addtitle>Int J Rheum Dis</addtitle><description>Objective: Patients with systemic lupus erythematosus (SLE), rheumatoid arthritis (RA) and ankylosing spondylitis (AS) often require total hip arthroplasties. We present a retrospective review of 32 total hip arthroplasties (THA) performed for patients with SLE, RA or AS from 2003 to 2008 in a tertiary hospital in Singapore.
Materials and Methods: A total of 323 THAs performed between January 2003 to December 2008 were traced and cases of arthroplasties performed for such patients were isolated. Pre‐ and post‐operative range of motion, Harris hip score, limb length discrepancies and complications were studied.
Results: Twenty‐six patients aged 24–66 years (mean 47 years) were reviewed, with two AS patients (7.7%), 16 RA patients (61.5%), seven SLE patients (26.9%) and one patient (3.8%) with both RA and SLE. Thirty‐two THA operations were conducted with six patients requiring bilateral THAs. The average follow‐up was 3.3 years. Mean Harris hip score for 25 patients (one excluded due to patient expiry 2 month post‐surgery) improved from 41.3 to 86.53 (P < 0.05). Mean pre‐operative hip flexion improved from 61.3 degrees (0–120) to 89.7 degrees (30–120) (P < 0.05). Seventeen cases had preoperative limb length discrepancies (median 1 cm) which were all corrected. There were no implants loosening, infective arthritis, dislocations or neurovascular injuries documented.
Conclusion: Our series demonstrated the excellent outcome of THA for patients with chronic autoimmune arthropathies at the time of follow‐up. Careful patient selection remains a priority as long‐term outcomes for such patients of a significantly younger population is yet to be determined.</description><subject>Adult</subject><subject>Aged</subject><subject>ankylosing lupus erythematosus</subject><subject>Arthritis, Rheumatoid - surgery</subject><subject>arthroplasty</subject><subject>Arthroplasty, Replacement, Hip - adverse effects</subject><subject>Autoimmune diseases</subject><subject>Chronic Disease</subject><subject>Female</subject><subject>Hip Joint - physiopathology</subject><subject>Hip Joint - surgery</subject><subject>hip spondylitis</subject><subject>Humans</subject><subject>Joint surgery</subject><subject>Leg Length Inequality - surgery</subject><subject>Lupus Erythematosus, Systemic - surgery</subject><subject>Male</subject><subject>Medical treatment</subject><subject>Middle Aged</subject><subject>Patient Selection</subject><subject>Patients</subject><subject>Range of Motion, Articular</subject><subject>Recovery of Function</subject><subject>Retrospective Studies</subject><subject>rheumatoid</subject><subject>Singapore</subject><subject>Spondylitis, Ankylosing - surgery</subject><subject>systemic arthritis</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>1756-1841</issn><issn>1756-185X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkUtvEzEUhS0EoqXlL6CRWLCa4LdnFixKBSkoahFqobsrx7EVh3nV9qjJv8fTlAixKd74yvc758r3IFQQPCP5vN_MiBKyJJW4nVGcXzHhSs22z9DxofH8UHNyhF7FuMFYEibVS3REscJcUnyMflz3STfF2g-FDmkd-qHRMe0K3xWDTt52KRb3Pq0Lk3udN4UeU-_bduxsZlyj21anPuz-VnsbT9ELp5toXz_eJ-jm86fr84tycTX_cn62KA2XUpVk6ZRi2knlqLSMUiKExXhVLxXnK10rZquauspxsxRWY6OpFMQRo01Vr6hhJ-jd3ncI_d1oY4LWR2ObRne2HyMowQUTUtZPk7yq8w4xzeTbf8hNP4YufwMIoxgLwR78qj1lQh9jsA6G4FsddkAwTCHBBqb9w5QFTCHBQ0iwzdI3jwPGZWtXB-GfVDLwYQ_c-8bu_tsYzr4tpirry73ex2S3B70Ov0AqpgT8vJzD18uPF98X7Bbm7DcMX7Ck</recordid><startdate>201008</startdate><enddate>201008</enddate><creator>CHONG, Roland Weng Wah</creator><creator>CHONG, Choon Seng</creator><creator>LAI, Choon Hin</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7T5</scope><scope>H94</scope><scope>7X8</scope></search><sort><creationdate>201008</creationdate><title>Total hip arthroplasty in patients with chronic autoimmune inflammatory arthroplasties</title><author>CHONG, Roland Weng Wah ; CHONG, Choon Seng ; LAI, Choon Hin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4667-1bf773af67f26e322155e00d9b744da973e892f8f4cb5ea0ca2651f1cac89d2c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adult</topic><topic>Aged</topic><topic>ankylosing lupus erythematosus</topic><topic>Arthritis, Rheumatoid - surgery</topic><topic>arthroplasty</topic><topic>Arthroplasty, Replacement, Hip - adverse effects</topic><topic>Autoimmune diseases</topic><topic>Chronic Disease</topic><topic>Female</topic><topic>Hip Joint - physiopathology</topic><topic>Hip Joint - surgery</topic><topic>hip spondylitis</topic><topic>Humans</topic><topic>Joint surgery</topic><topic>Leg Length Inequality - surgery</topic><topic>Lupus Erythematosus, Systemic - surgery</topic><topic>Male</topic><topic>Medical treatment</topic><topic>Middle Aged</topic><topic>Patient Selection</topic><topic>Patients</topic><topic>Range of Motion, Articular</topic><topic>Recovery of Function</topic><topic>Retrospective Studies</topic><topic>rheumatoid</topic><topic>Singapore</topic><topic>Spondylitis, Ankylosing - surgery</topic><topic>systemic arthritis</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>CHONG, Roland Weng Wah</creatorcontrib><creatorcontrib>CHONG, Choon Seng</creatorcontrib><creatorcontrib>LAI, Choon Hin</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of rheumatic diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>CHONG, Roland Weng Wah</au><au>CHONG, Choon Seng</au><au>LAI, Choon Hin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Total hip arthroplasty in patients with chronic autoimmune inflammatory arthroplasties</atitle><jtitle>International journal of rheumatic diseases</jtitle><addtitle>Int J Rheum Dis</addtitle><date>2010-08</date><risdate>2010</risdate><volume>13</volume><issue>3</issue><spage>235</spage><epage>239</epage><pages>235-239</pages><issn>1756-1841</issn><eissn>1756-185X</eissn><abstract>Objective: Patients with systemic lupus erythematosus (SLE), rheumatoid arthritis (RA) and ankylosing spondylitis (AS) often require total hip arthroplasties. We present a retrospective review of 32 total hip arthroplasties (THA) performed for patients with SLE, RA or AS from 2003 to 2008 in a tertiary hospital in Singapore.
Materials and Methods: A total of 323 THAs performed between January 2003 to December 2008 were traced and cases of arthroplasties performed for such patients were isolated. Pre‐ and post‐operative range of motion, Harris hip score, limb length discrepancies and complications were studied.
Results: Twenty‐six patients aged 24–66 years (mean 47 years) were reviewed, with two AS patients (7.7%), 16 RA patients (61.5%), seven SLE patients (26.9%) and one patient (3.8%) with both RA and SLE. Thirty‐two THA operations were conducted with six patients requiring bilateral THAs. The average follow‐up was 3.3 years. Mean Harris hip score for 25 patients (one excluded due to patient expiry 2 month post‐surgery) improved from 41.3 to 86.53 (P < 0.05). Mean pre‐operative hip flexion improved from 61.3 degrees (0–120) to 89.7 degrees (30–120) (P < 0.05). Seventeen cases had preoperative limb length discrepancies (median 1 cm) which were all corrected. There were no implants loosening, infective arthritis, dislocations or neurovascular injuries documented.
Conclusion: Our series demonstrated the excellent outcome of THA for patients with chronic autoimmune arthropathies at the time of follow‐up. Careful patient selection remains a priority as long‐term outcomes for such patients of a significantly younger population is yet to be determined.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>20704620</pmid><doi>10.1111/j.1756-185X.2010.01477.x</doi><tpages>5</tpages></addata></record> |
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| source | MEDLINE; Access via Wiley Online Library |
| subjects | Adult Aged ankylosing lupus erythematosus Arthritis, Rheumatoid - surgery arthroplasty Arthroplasty, Replacement, Hip - adverse effects Autoimmune diseases Chronic Disease Female Hip Joint - physiopathology Hip Joint - surgery hip spondylitis Humans Joint surgery Leg Length Inequality - surgery Lupus Erythematosus, Systemic - surgery Male Medical treatment Middle Aged Patient Selection Patients Range of Motion, Articular Recovery of Function Retrospective Studies rheumatoid Singapore Spondylitis, Ankylosing - surgery systemic arthritis Treatment Outcome Young Adult |
| title | Total hip arthroplasty in patients with chronic autoimmune inflammatory arthroplasties |
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