Short-term Total Hip Replacement Outcomes in Ankylosing Spondylitis

Goodman, Susan M.; Zhu, Rebecca; Figgie, Mark P.; Huang, Wei-Ti; Mandl, Lisa A.

doi:10.1097/rhu.0000000000000138

Cited by 15 publications

(6 citation statements)

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“…The most common method for assessing satisfaction was the 10-point visual analog scale for satisfaction (7 studies, 29.2%). [20][21][22][23][24][25][26] Other methods included an ordinal scale (eg, very satisfied, satisfied, neutral, dissatisfied) (6 studies, 25.0%) [27][28][29][30][31][32] ; willingness to undergo surgery again (5 studies, 20.8%) 30,[32][33][34][35] ; and a binary scale (yes/ no for satisfied) (3 studies, 12.5%) (Table). [36][37][38] For the 3 studies reporting a binary (yes/no) result for patient satisfaction, all showed greater than 80% overall satisfaction.…”

Section: Resultsmentioning

confidence: 99%

“…Most of the studies examined satisfaction with the outcome of arthroplasty surgery (18 studies, 75.0%) 20,[22][23][24][25][26][27][28][29][30]32,[35][36][37][38][39][40][41] ; 2 studies (8.3%) examined satisfaction with cosmesis after THA 33,42 ; 3 studies (12.5%) considered satisfaction with the process of care 21,34,43 ; and 1 study evaluated satisfaction with physical therapy after THA. 31 Two studies (8.3%) measured satisfaction at multiple time points, 21,33 and the rest reported satisfaction only at 1 specific follow-up visit or at the final follow-up visit.…”

Section: Resultsmentioning

confidence: 99%

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Patient Satisfaction Reporting After Total Hip Arthroplasty: A Systematic Review

Kahlenberg¹,

Nwachukwu²,

Schairer³

et al. 2017

Orthopedics

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This review evaluated the quality of patient satisfaction reporting after total hip arthroplasty. The initial search of the MEDLINE database yielded 755 studies. Twenty-four met the inclusion criteria. Most studies provided level III or IV evidence (n=15, 62.5%). The most common method used to assess satisfaction was the 10-point visual analog scale (7 studies, 29.2%), followed by an ordinal satisfaction scale (6 studies, 25.0%). The quality of evidence was poor, and the methods used to assess satisfaction were not standardized. Further research is needed to define the factors that affect patient satisfaction after total hip arthroplasty and how satisfaction is best measured. [Orthopedics. 2017; 40(3):e400-e404.].

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Patient Satisfaction Reporting After Total Hip Arthroplasty: A Systematic Review

Kahlenberg¹,

Nwachukwu²,

Schairer³

et al. 2017

Orthopedics

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“…AS may affect hip joints and can cause painful restricted range of motion (ROM) in early stages of the condition, progressing to flexion contracture and complete stiffness depending on disease progression4567). Total hip arthroplasty (THA) can be considered for improvements in pain of the affected hip, correction of deformities and ROM of joints38). A wide range of attempts have been made to manage hip involvement in patients with AS, including cemented implants and recently used cementless components.…”

Section: Introductionmentioning

confidence: 99%

Long-term Outcomes of Cemented Total Hip Arthroplasty in Patients with Ankylosing Spondylitis at a Minimum Follow-up of 10 Years

et al. 2018

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PurposeThis study was performed to evaluate long-term clinical and radiologic outcomes of cemented total hip arthroplasty in patients with ankylosing spondylitis.Materials and MethodsA retrospective study of 12 patients (16 cases) diagnosed with ankylosing spondylitis undergoing total hip arthroplasty with cemented femoral stem from November 2002 to January 2006 with a minimum follow up of 10 years. Clinical outcomes were assessed using Harris Hip Scores and measures of pain and range of motion. Radiologic outcomes were assessed with serial plain X-ray. Fixation and stability of implant, enthesopathy of ischium and development of heterotopic ossification were also evaluated.ResultsMean Harris Hip Scores significantly improved from pre-operative levels (58 points; range, 39–81 points) to post-operative (92 points; range, 68–100 points). Mean flexion contracture levels decreased from preoperative (13°) to post-operative (5°), and mean post-operative range of motion improved 106° compared to preoperative levels. No newly developed osteolysis lesions or implant loosening were observed in last follow up X-rays. One heterotopic ossification and one greater trochanter fracture were observed. Greater trochanter fracture was treated conservatively, and was resulted in bony union. No patients underwent revisions.ConclusionThis study revealed positive long-term clinical and radiologic outcomes following total hip arthroplasty with cemented femoral stems in patients with ankylosing spondylitis patients.

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“…Hip involvement in AS is between 30% and 50%, and the disease may be bilateral in 47%–90% of patients. 14 15 16 17) However, most published studies have a small number of cases or a short follow-up.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Outcomes of Total Hip Arthroplasty between Patients with Ankylosing Spondylitis and Avascular Necrosis of the Femoral Head

Lee

Seol

et al. 2017

Clin Orthop Surg

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BackgroundThe objective of this study was to compare clinical and radiological outcomes of total hip arthroplasty (THA) between ankylosing spondylitis (AS) of the hip joint and avascular necrosis (AVN) of the femoral head.MethodsThirty patients (30 hips) underwent cementless THA for AS between 2003 and 2012. They were compared to 30 patients (30 hips) who underwent the same procedure for AVN of the femoral head. Each group was matched for age and gender, and both groups had similar preoperative demographic characteristics. All cases were followed for minimum 4 postoperative years. Clinical evaluation was based on operation time, intraoperative blood loss, quantity of postoperative drainage, Harris Hip Score (HHS), and range of motion (ROM). Radiological results were evaluated by acetabular cup anteversion and inclination, femoral stem orientation, pre- and postoperative leg length discrepancy, and postoperative complications.ResultsThe operation time was significantly longer in the AS group (120.2 ± 26.2 min) than in the AVN group (79.5 ± 11.1 min). The volume of postoperative drainage was significantly greater in the AS group (764.5 ± 355.4 mL vs. 510.5 ± 195.6 mL). Preoperative HHS was lower in the AS group (55.6 ± 13.8 vs. 59.2 ± 2.8). Similarly, postoperative HHS was significantly lower in the AS group (92.8 ± 2.7 vs. 97.4 ± 2.6). The arc of ROM was improved from 146.5° ± 13.2° preoperatively to 254.7° ± 17.2° postoperatively in the AS group and from 182.6° ± 15.5° to 260.4° ± 13.7° in the AVN group. Implant position and postoperative leg length discrepancy were not different between the groups. However, three cases of heterotopic ossification was observed in the AS group, whereas only 1 case was found in the AVN group. One deep infection and one aseptic stem loosening were found in the AS group, whereas none was observed in the AVN group.ConclusionsCementless THA showed satisfactory clinical and radiological results in both groups, despite the longer operation time, larger blood loss volume, and lower HHS score of the AS group. Our findings suggest that cementless THA is an effective and reliable treatment for both AS and AVN.

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Short-term Total Hip Replacement Outcomes in Ankylosing Spondylitis

Cited by 15 publications

References 0 publications

Patient Satisfaction Reporting After Total Hip Arthroplasty: A Systematic Review

Patient Satisfaction Reporting After Total Hip Arthroplasty: A Systematic Review

Long-term Outcomes of Cemented Total Hip Arthroplasty in Patients with Ankylosing Spondylitis at a Minimum Follow-up of 10 Years

Comparison of Outcomes of Total Hip Arthroplasty between Patients with Ankylosing Spondylitis and Avascular Necrosis of the Femoral Head

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