Total hip arthroplasty for vascular necrosis of the femoral head in patients with systemic lupus erythematosus: a midterm follow-up study of 28 hips in 24 patients

2012 ◽  
Vol 23 (1) ◽  
pp. 73-79 ◽  
Author(s):  
Yan Kang ◽  
Zi-ji Zhang ◽  
Xiao-yi Zhao ◽  
Zhi-qi Zhang ◽  
Pu-yi Sheng ◽  
...  
Keyword(s):  
Systemic Lupus Erythematosus ◽  
Femoral Head ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Lupus Erythematosus ◽  
Systemic Lupus ◽  
Total Hip ◽  
Follow Up Study

scholarly journals Total Hip Arthroplasty in Systemic Lupus Erythematosus: A Systematic Review

2015 ◽  
Vol 2015 ◽  
pp. 1-8 ◽  
Author(s):  
John W. Kennedy ◽  
Wasim Khan
Keyword(s):  
Systematic Review ◽  
Systemic Lupus Erythematosus ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Lupus Erythematosus ◽  
Postoperative Outcomes ◽  
Harris Hip Score ◽  
Systemic Lupus ◽  
Total Hip

The prognosis of systemic lupus erythematosus (SLE) has greatly improved in recent years, resulting in an increased number of patients reporting musculoskeletal complications such as osteonecrosis of the femoral head. Total hip arthroplasty (THA) can be utilised to alleviate the pain associated with this; however postoperative outcomes in patients with SLE are uncertain. A systematic review of the literature was conducted to identify articles presenting results of THA in SLE, and nine suitable papers were found. All papers were level IV evidence. Pooling the results, a total of 162 patients underwent 214 total hip arthroplasties. Mean follow-up was 72.5 months. The mean Harris Hip Score improved from 45.5 preoperatively to 88.6 and last follow-up. Seventeen percent of patients experienced at least one complication. Superficial wound infection occurred in 3.3%. Revision was required in 2.8% of cases. The mortality rate was 18.5% however no deaths were attributable to undergoing THA. Given the paucity of data present in the literature, more studies are required to adequately assess the postoperative outcomes of THA in patients with SLE, particularly complication rates.

Outcomes of Primary Total Hip Arthroplasty in Systemic Lupus Erythematosus With a Proximally-Coated Cementless Stem

2013 ◽  
Vol 28 (9) ◽  
pp. 1663-1666 ◽  
Author(s):  
Kimona Issa ◽  
Qais Naziri ◽  
Vijay J. Rasquinha ◽  
Tiffany Tatevossian ◽  
Bhaveen H. Kapadia ◽  
...  
Keyword(s):  
Systemic Lupus Erythematosus ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Lupus Erythematosus ◽  
Cementless Stem ◽  
Systemic Lupus ◽  
Total Hip ◽  
Primary Total Hip Arthroplasty

scholarly journals Long-term results of hip arthroplasty and determination of unfavorable risk factors for early development of osteonecrosis in patients with systemic lupus erythematosus

2021 ◽  
Vol 59 (3) ◽  
pp. 351-356
Author(s):  
V. V. Mukhanov ◽  
S. A. Makarov ◽  
M. A. Makarov ◽  
T. V. Popkova
Keyword(s):  
Systemic Lupus Erythematosus ◽  
Total Hip Arthroplasty ◽  
Early Development ◽  
Hip Arthroplasty ◽  
Lupus Erythematosus ◽  
Underlying Disease ◽  
Long Term Results ◽  
Systemic Lupus ◽  
Total Hip

Aim of the study – to determine the risk factors for the early development of osteonecrosis and to analyze the results of surgical treatment of patients with systemic lupus erythematosus in the long term after total hip arthroplasty.Materials and methods. The study group included 42 patients with systemic lupus erythematosus (SLE) complicated by osteonecrosis (ON) of the femoral head, who underwent 59 total hip arthroplasty (THA) operations. Before surgery and 6–21 years after THA, in order to assess the long-term results of surgical treatment of patients, the following was assessed: activity of the underlying disease – according to the SLEDAI-2K (Systemic Lupus Erythematosus Disease Activity Index 2000); the severity of irreversible changes in internal organs – according to the SLICC/ACR index of damage (Systemic Lupus International Collaborating Clinics/American College of Rheumatology); the clinical and functional state of the hip joint – according to the HHS (Harris Hip Score); the intensity of pain syndrome – according to the visual analogue scale (VAS); quality of life (QOL) – using the SF-36 questionnaire. The concentration of antibodies to cardiolipin (aCL) of IgM and IgG isotypes was determined by enzyme-linked immunosorbent assay (normal range – 0.0–10.0 GPL for IgM, 0–7 MPL for IgG).Results. After 6–21 years of follow-up after THA, there was a statistically significant decrease in pain intensity according to VAS, improvement according to the HHS from 40.0±14.9 to 83.3±17.4 points, SLE activity according to the SLEDAI-2K from 0 to 20 points (median – 4 [4; 8] points) before surgery and from 0 to 41 points (median – 0 [0; 4] points) after a long period of observation. There was a pronounced statistically significant positive dynamics for all QOL indicators studied (p≤0.005 in all cases). The most significant changes were found on the scales RE (Role-Emotional), RP (Role-Physical Functioning) and BP (Bodily Pain). The early development of ON was associated with the degree of activity of the underlying disease, the cumulative dose of glucocorticoids, kidney damage and arthritis in the first year from the onset of SLE, as well as hematological disorders and the presence of aCL in the blood serum 3 years before the onset of ON. The total number of complications was 10.2%.Conclusion. Total hip arthroplasty in patients with systemic lupus erythematosus can achieve a statistically significant reduction in pain intensity, increase functional activity and improve their quality of life.

scholarly journals Short stem total hip arthroplasty for osteonecrosis of the femoral head in patients 60 years or younger: a 3- to 10-year follow-up study

2017 ◽  
Vol 18 (1) ◽  
Author(s):  
Antonio Capone ◽  
Fabrizio Bienati ◽  
Stefania Torchia ◽  
Daniele Podda ◽  
Giuseppe Marongiu
Keyword(s):  
Femoral Head ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Short Stem ◽  
Total Hip ◽  
Follow Up Study
Sign in / Sign up

Export Citation Format

Share Document