Long-term results of total hip arthroplasty in patients with juvenile rheumatoid arthritis

dc.authorwosidOzdogan, Huri/L-3636-2019
dc.contributor.authorBilsel, Nafiz
dc.contributor.authorGökçe, Alper
dc.contributor.authorKesmezacar, Hayrettin
dc.contributor.authorMumcuoglu, Erhan
dc.contributor.authorÖzdoğan, Huri
dc.date.accessioned2022-05-11T14:36:11Z
dc.date.available2022-05-11T14:36:11Z
dc.date.issued2008
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Ortopedi ve Travmatoloji Ana Bilim Dalı
dc.description.abstractObjectives: We evaluated the long-term results of total hip arthroplasty (THA) in patients with juvenile rheumatoid arthritis (JRA). Methods: The study included 37 hips of 23 patients (22 females; 1 male; mean age 22 years; range 17 to 30 years) who underwent THA for hip degeneration secondary to JRA. All arthroplasties were performed through an anterolateral approach by the same senior surgeon. The mean body surface of the patients was 1.5 m(2) (range 1.1 to 1.7 m(2)) and the mean symptom duration to surgery was 12 years (range 7 to 16 years). Twenty-three hips received cemented, 14 hips received hybrid protheses. In seven hips with an extremely narrow femoral medulla and shallow acetabulum, a CDH prothesis was used. The hips were evaluated using the Harris hip score. Prosthetic loosening and displacement and heterotopic bone formation were assessed on follow-up period was 135 months (range 58 to 212 months). Results: The mean Harris hip score increased from 27.2 (range 11 to 69) to 79.5 (range 37 to 87) postoperatively. At final follow-ups, all the patients were satisfied with the outcome and were able to walk without support. Three hips (8.1%; 3 patients) required revised. The overall Kaplan-Meier implant survival rate was 86.5%. There were no significant correlations between the Harris hip score and radiographic loosening and the presence of calcification around the prosthesis. Heterotopic bone formation of grade I was observed in 17 hips (46%). Conclusions: Even though it is performed at young ages. THA considerably improves quality of life of patients with JRA having hip joint involvement and has a comparable implant survival.
dc.identifier.endpage124
dc.identifier.issn1017-995X
dc.identifier.issue2en_US
dc.identifier.pmid18552533
dc.identifier.startpage119
dc.identifier.urihttps://hdl.handle.net/20.500.11776/8399
dc.identifier.volume42
dc.identifier.wosWOS:000258834800009
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.institutionauthorGökçe, Alper
dc.language.isotr
dc.publisherTurkish Assoc Orthopaedics Traumatology
dc.relation.ispartofActa Orthopaedica Et Traumatologica Turcica
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectarthritis, juvenile rheumatoid/surgery
dc.subjectarthroplasty, replacement, hip
dc.subjecthip joint/surgery
dc.subjecthip prothesis
dc.subjectFollow-Up
dc.subjectYoung-Patients
dc.subjectReplacement
dc.subjectCement
dc.subjectOld
dc.subjectComponents
dc.subjectChildren
dc.subjectMinimum
dc.subject2-Year
dc.titleLong-term results of total hip arthroplasty in patients with juvenile rheumatoid arthritis
dc.typeArticle

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