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International Orthopaedics

Published in:

01-04-2012 | Original Paper

Bilateral synchronous total hip arthroplasty for ankylosed hips

Authors: He Bangjian, Tong Peijian, Li Ju

Published in: International Orthopaedics | Issue 4/2012

Abstract

Purpose

We investigated the effect of bilateral total hip replacement (THR) for patients with ankylosed hip joints caused by late ankylosing spondylitis (AS) and to discuss its related pre- and postoperative problems.

Methods

Data of 12 patients with ankylosed hip joints caused by late AS who underwent THR (24 hips) were reviewed. Each patient had both hips replaced at the same time. We assessed joint pain, range of motion (ROM) and Harris hip score (HHS) to determine postoperative results.

Results

Mean follow-up was 4.2 years; all hip-joint function improved, and flexion deformity was corrected. Flexion ranges were 75–105°(average 84. 4°) extension 10°~20°(average 18. 7°). HHS ranged from 15.21 points preoperation to 86.25 points postoperation. No patient experienced hip pain postoperatively, and presurgery knee and lower back pain were clearly relieved postoperatively.

Conclusion

Bilateral THR is an effective treatment for the ankylosed hip joint caused by late ankylosing spondylitis. When considering this procedure, attention to related pre- and postoperative problems must be considered.

Calin A (1985) Ankylosing spondylitis. Clin Rheum Dis 111:41–48

Joshi AB, Markovic L, Hardinge K, Murphy JCM (2002) Total hip arthroplasty in ankylosing spondylitis: an analysis of 181 hips. J Arthroplasty 17:427–433PubMedCrossRef

Li J, Weidong Xu, Ling Xu, Liang Z (2009) Hip resurfacing arthroplasty for ankylosing spondylitis. J Arthroplasty 24:1285–1291PubMedCrossRef

Sweeney S, Gupta R, Taylor G, Calin A (2001) Total hip arthroplasty in ankylosing spondylitis: outcome in 340 patients. J Rheumatol 28:1862–1866PubMed

Tang WM, Chiu KY (2000) Primary total hip arthroplasty in patients with ankylosing spondylitis. J Arthroplasty 15:52–58PubMedCrossRef

Kilgus DJ, Amstutz HC, Wolgin MA, Dorey FJ (1990) Joint replacement for ankylosed hips. J Bone Joint Surg Am 72:45–54PubMed

Kim YH, Oh SH, Kim JS, Lee SH (2003) Total hip arthroplasty for the treatment of osseous ankylosed hips. Clin Orthop Relat Res 414:136–148PubMedCrossRef

Hamadouche M, Kerboull L, Meunier A, Courpied JP, Kerboull M (2001) Total hip arthroplasty for the treatment of ankylosed hips: a five to twenty-one-year follow-up study. J Bone Joint Surg Am 83-A:992–998PubMed

Kim YL, Shin SI, Nam KW, Yoo JJ, Kim YM, Kim HJ (2007) Total hip arthroplasty for bilaterally ankylosed hips. J Arthroplasty 22:1037–1041PubMedCrossRef

10.

Bhan S, Eachempati KK, Malhotra R (2008) Primary cementless total hip arthroplasty for bony ankylosis in patients with ankylosing spondylitis. J Arthroplasty 23:859–866PubMedCrossRef

11.

Hanssen AD, Mariani EM, Kavanagh BF, Coventry MB (1991) Resection arthroplasty (Girdlestone Proceedure), nerve palsies, limb length inequality, and osteolysis following total hip arthroplasty. In: Morrey BF (ed) Joint Replacement Arthroplasty. Churchill Livingsone, New York, pp 897–905

12.

Schmalzried TP, Amstutz HC, Dorey FJ (1991) Nerve palsy associated with total hip replacement: Risk factors and prognosis. J Bone Joint Surg Am 73:1074–1080PubMed

13.

Tang WM, Chiu KY, Kwan MF, Ng TP (2007) Sagittal pelvic mal-rotation and positioning of the acetabular component in total hip arthroplasty: three-dimensional computermodel analysis. J Orthop Res 25:766–771PubMedCrossRef

14.

Vosse D, de Vlam K (2009) Osteoporosis in rheumatoid arthritis and ankylosing spondylitis. Clin Exp Rheumatol 27:S62–S67PubMed

15.

Mertl P, Philippot R, Rosset P, Migaud H, Tabutin J, Van de Velde D (2011) Distal locking stem for revision femoral loosening and peri-prosthetic fractures. Int Orthop 35:275–282. doi:10.1007/s00264-010-1182-6 PubMedCrossRef

Title: Bilateral synchronous total hip arthroplasty for ankylosed hips
Authors: He Bangjian
Tong Peijian
Li Ju
Publication date: 01-04-2012
Publisher: Springer-Verlag
Published in: International Orthopaedics / Issue 4/2012
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-011-1313-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Bilateral synchronous total hip arthroplasty for ankylosed hips

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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