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01-03-2013 | Original Article

Cementless total hip arthroplasty for osteonecrosis of the femoral head in systemic lupus erythematosus: a study with 10–16 years of follow-up

Authors: Tomonori Shigemura, Shunji Kishida, Satoshi Iida, Kazuhiro Oinuma, Junichi Nakamura, Kazuhisa Takahashi, Yoshitada Harada

Published in: European Orthopaedics and Traumatology | Issue 1/2013

Abstract

Objectives

The purpose of the present study was to describe the long-term results of total hip arthroplasty (THA) for osteonecrosis of the femoral head (ONFH) in patients with systemic lupus erythematosus (SLE).

Methods

From 1994 to 2001, 18 cementless THAs (14 SLE patients) were included in the present study. Four hips (three patients) were lost to follow-up. The remaining 14 hips (11 patients) were available for evaluation. The mean follow-up period was 13.1 (range, 10.0–16.4) years. The follow-up rate was 77.8 %. The mean age at the time of surgery was 35.2 (range, 27.4–51.0) years.

Results

Mean preoperative Harris Hip Score was 37.4 (range, 17.1–63.1) points, which improved to 94.5 (range, 73.9–100) points at final follow-up. Two hips had dislocation and were treated successfully with closed reduction. No patient in this study group had deep venous thrombosis or pulmonary embolism. One hip had peroneal nerve palsy. No superficial or deep wound infection was observed. Two hips of two patients required reoperation due to dislodgement of a polyethylene insert. With revision of the acetabular component for any reason considered to be a failure, the 10-year survival rate was 93 % (95 % CI, 0.79–1).

Conclusion

We have reported the long-term results of THA for ONFH with SLE. Although several reports have noted that the results of THA for ONFH are less favorable than those for osteoarthritis, the long-term results of THA for ONFH with SLE were acceptable. THA is an acceptable option for patients with advanced-stage or an extended region of ONFH.

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Title: Cementless total hip arthroplasty for osteonecrosis of the femoral head in systemic lupus erythematosus: a study with 10–16 years of follow-up
Authors: Tomonori Shigemura
Shunji Kishida
Satoshi Iida
Kazuhiro Oinuma
Junichi Nakamura
Kazuhisa Takahashi
Yoshitada Harada
Publication date: 01-03-2013
Publisher: Springer-Verlag
Published in: European Orthopaedics and Traumatology / Issue 1/2013
Print ISSN: 1867-4569
Electronic ISSN: 1867-4577
DOI: https://doi.org/10.1007/s12570-012-0149-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Cementless total hip arthroplasty for osteonecrosis of the femoral head in systemic lupus erythematosus: a study with 10–16 years of follow-up

Abstract

Objectives

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objectives

Methods

Results

Conclusion

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