scholarly journals Comparison of Venous Thromboembolism after Total Hip Arthroplasty between Ankylosing Spondylitis and Osteoarthritis

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Dongquan Shi ◽  
Xingquan Xu ◽  
Kai Song ◽  
Zhihong Xu ◽  
Jin Dai ◽  
...  

Objective.Ankylosing spondylitis (AS), an inflammatory rheumatic disease, will gradually lead to severe hip joint dysfunction. Total hip arthroplasty is a useful method to improve patients’ quality of life. The aim of this study was to compare the incidence and risk factors of deep vein thrombosis (DVT) between AS and hip osteoarthritis.Methods.In a retrospective study, a total of 149 subjects who underwent cementless THA were studied. Clinical data, biochemical data, and surgery-related data were measured between AS and OA groups.Results.The incidence of DVT in AS group was lower than that of OA group, although no significant difference was detected (P=0.89). The patients of AS group were much younger (P<0.0001) and thinner (P=0.018) compared with those of OA group. AS patients had higher ejection fraction (EF) (P=0.016), higher platelet counts (P<0.0001), and lower hypertension rate (P=0.0004). The values of APTT, PT, and INR in AS patients were higher than those in OA patients (allP<0.0001). The values of D-dimer and APTT were both significantly higher in DVT subjects than those in non-DVT subjects.Conclusion.AS patients potentially had a lower incidence of DVT compared with OA patients.

1993 ◽  
Vol 76 (4) ◽  
pp. 765???771 ◽  
Author(s):  
Nigel E. Sharrock ◽  
Chitranjan S. Ranawat ◽  
Barbara Urquhart ◽  
Margaret Peterson

1999 ◽  
Vol 34 (5) ◽  
pp. 877
Author(s):  
Si Hyun Jeon ◽  
Byung Woo Min ◽  
Sung Moon Lee ◽  
Chang Soo Kang ◽  
Kyong Whan Lee

Author(s):  
B. G. Ziatdinov ◽  
I. F. Akhtyamov

The purpose of the work was to determine the factors responsible for the development of lower extremity deep vein thrombosis (DVT) after total hip arthroplasty in patients with aseptic femoral head necrosis and coxarthrosis. Complex clinical laboratory examination was performed in 56 patients aged 26 - 85 years (mean 59.11±2.42). At hospitalization stage 11 (19.64%) cases of DVT development were recorded. It was stated that more often thrombosis developed on the background of the lower limb veins pathology (varicose great saphenous vein, changes in deep veins after great saphenous vein thrombophlebitis). In group of patients with DVT statistically significantly more often the inflammatory reaction markers (leukocytosis and ESR), thrombocytosis as well as shortened APTT and increased fibrinogen levels. Besides, for DVT patients the more prolonged surgery, more marked blood loss and more often use of cement were typical. Such peculiarities may play a certain role in the development of thrombohemorragic complications after total hip arthroplasty and should be taken into consideration as a risk factor of venous thrombosis development at this type of surgical intervention.


2020 ◽  
Author(s):  
Monika Białkowska ◽  
Tomasz Stołtny ◽  
Jarosław Pasek ◽  
Michał Mielnik ◽  
Karol Szyluk ◽  
...  

Abstract Background: Hip osteoarthritis is a substantial health-related, social, and economic problem.The aim of the study was assessment of life quality in men with degenerative hip disease, after total hip arthroplastyor metaphyseal surgery.Material and methods: 118male patients were subjects of the study, being in the age range from 31 to 79years of age, qualified for the procedure of total hip arthroplasty. The study was a questionnaire study, in which for assessing Quality of Life in patients, the abbreviated version of WHOQoL-BREF,as well as EQ-5D-5L, and SF-36 scale. The assessment of life quality was performed before the surgery, during the first follow-up visit (6 weeks after surgery) and 6 months after the surgery. Results: The results from WHOQoL-BREF questionnaire demonstrated a statistically significant improvement regarding the assessed quality of life after the surgery –in the 6th week after the procedure by 4% and 21% (p<0.001), after 6 months by 13% and 42% (p<0.001), respectively. The most significant improvement was found in the somatic domain –by 5% after 6 weeks, and by 6% after 6 months(p<0.001). The quality of life according to the EQ-5D-5L questionnaire revealed statistically significant improvement after 6 weeks, by 18-24% (p<0.001), while after 6 months by 41-48% (p<0.001). The most considerable improvement was achieved in reducing pain complaints and enhancing the ability to move.In the SF-36 questionnaire, in turn, statistically significant improvement 6 months after the surgery refer to both physical (by 44%),and mental condition(by 54%) (p<0.001). Conclusions: The total hip arthroplasty results in improvement quality of life in examined group ofmen withhip osteoarthrosis, as early as 6 weeks after the procedure, while the improvement is more perceptible 6 months after the procedure, mainly the less severe pain experienced, and better functioning of examined patients.


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