Mid-term results of bilateral synchronous total hip arthroplasty for bony ankylosis in patients with ankylosing spondylitis

Abstract Background: Total hip arthroplasty (THA) for bony ankylosis is technically challenging in patients with ankylosing spondylitis (AS). This study aimed to determine the mid-term results of bilateral synchronous THA for bony ankylosis in patients with AS.Methods: Nineteen cases of bony ankylosis in patients with AS who received bilateral synchronous THA were included in this study (17 males and 2 females, mean age 49.2 years). Disease duration was 5–38 years (mean 18 years and 6 months). All patients received cementless THA. Intraoperative blood loss, visual analogue scale (VAS) score, and complications were assessed. Harris hip scores evaluated the clinical effect.Results: Patients were followed up for 62–98 months (mean 82.5 months). VAS score decreased from 7.42±0.92 to 2.42±0.83, Harris hip score improved from 21.8±7.2 to 80.3±6.5, and the flexion-extension range of the hip improved from 0°to 142.3±6.2°. One patient with septum bronchiale had a fracture intraoperatively and was treated with wire strapping. One patient had a traction injury of the femoral nerve postoperatively and recovered 1 year after the operation. Loosening and subsidence were not observed in all patients. Heterotopic bone formation was noted in 3 patients. No complications such as joint dislocation, acute infection, and deep vein thrombosis were found.Conclusion： Bilateral synchronous THA was effective for bony ankylosis of the hip in patients with AS because it improved patients’ quality of life, and had satisfactory mid-term outcomes.

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Mid-term results of bilateral synchronous total hip arthroplasty for bony ankylosis in patients with ankylosing spondylitis

Journal of Orthopaedic Surgery and Research ◽

10.1186/s13018-021-02258-z ◽

2021 ◽

Vol 16 (1) ◽

Author(s):

Lei Han ◽

Renfu Quan ◽

Zhenle Pei ◽

Guoping Cao ◽

Yungen Hu ◽

...

Keyword(s):

Ankylosing Spondylitis ◽

Total Hip Arthroplasty ◽

Hip Arthroplasty ◽

Harris Hip Score ◽

Heterotopic Bone ◽

Heterotopic Bone Formation ◽

Total Hip ◽

Vas Score ◽

Mid Term Results ◽

Bony Ankylosis

Abstract Background Total hip arthroplasty (THA) for bony ankylosis is technically challenging in patients with ankylosing spondylitis (AS). This study aimed to determine the mid-term results of bilateral synchronous THA for bony ankylosis in patients with AS. Methods Nineteen cases of bony ankylosis in patients with AS who received bilateral synchronous THA were included in this study (17 males and 2 females, mean age 49.2 years). Disease duration was 5–38 years (mean 18 years and 6 months). All patients received cementless THA. Intraoperative blood loss, visual analog scale (VAS) score, and complications were assessed. Harris hip scores evaluated the clinical effect. Results Patients were followed up for 62–98 months (mean 82.5 months). VAS score decreased from 7.42 ± 0.92 to 2.42 ± 0.83, Harris hip score improved from 21.8 ± 7.2 to 80.3 ± 6.5, and the flexion-extension range of the hip improved from 0 to 142.3 ± 6.2°. One patient with septum bronchiale had a fracture intraoperatively and was treated with wire strapping. One patient had a traction injury of the femoral nerve postoperatively and recovered 1 year after the operation. Loosening and subsidence were not observed in all patients. Heterotopic bone formation was noted in 3 patients. No complications such as joint dislocation, acute infection, and deep vein thrombosis were found. Conclusion Bilateral synchronous THA was effective for bony ankylosis of the hip in patients with AS because it improved patients’ quality of life and had satisfactory mid-term outcomes.

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Mid-Term Results of Bilateral Synchronous Total Hip Arthroplasty for Bone Ankylosis in Patients With Ankylosing Spondylitis

10.21203/rs.3.rs-129862/v1 ◽

2020 ◽

Author(s):

Lei HAN ◽

Renfu Quan ◽

Zhenle Pei ◽

Guoping Cao ◽

Jingjing Liu ◽

...

Keyword(s):

Ankylosing Spondylitis ◽

Total Hip Arthroplasty ◽

Hip Arthroplasty ◽

Harris Hip Score ◽

Heterotopic Bone ◽

Heterotopic Bone Formation ◽

Total Hip ◽

Vas Score ◽

Mid Term Results ◽

Bony Ankylosis

Abstract Background: Total hip arthroplasty (THA) for bony ankylosis is technically challenging in patients with ankylosing spondylitis (AS). This study aimed to determine the mid-term results of bilateral synchronous THA for bony ankylosis in patients with AS. Methods: Nineteen cases of bony ankylosis in patients with AS who received bilateral synchronous THA were included in this study (17 males and 2 females, mean age 49.2 years). Disease duration was 5–38 years (mean 18 years and 6 months). All patients received cementless THA. Intraoperative blood loss, visual analogue scale (VAS) score, and complications were assessed. Harris hip scores evaluated the clinical effect. Results: Patients were followed up for 62–98 months (mean 82.5 months). VAS score decreased from 7.42±0.92 to 2.42±0.83, Harris hip score improved from 21.8±7.2 to 80.3±6.5, and the flexion-extension range of the hip improved from 0°to 142.3±6.2°. One patient with septum bronchiale had a fracture intraoperatively and was treated with wire strapping. One patient had a traction injury of the femoral nerve postoperatively and recovered 1 year after the operation. Loosening and subsidence were not observed in all patients. Heterotopic bone formation was noted in 3 patients. No complications such as joint dislocation, acute infection, and deep vein thrombosis were found. Conclusion：Bilateral synchronous THA was effective for bony ankylosis of the hip in patients with AS because it improved patients’ quality of life, and had satisfactory mid-term outcomes.

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Heterotopic Bone Formation Following Total Hip Arthroplasty in Ankylosing Spondylitis

Clinical Orthopaedics and Related Research ◽

10.1097/00003086-198606000-00039 ◽

1986 ◽

Vol &NA; (207) ◽

pp. 223???226 ◽

Cited By ~ 5

Author(s):

N. A. SUNDARAM ◽

J. C. M. MURPHY

Keyword(s):

Ankylosing Spondylitis ◽

Total Hip Arthroplasty ◽

Bone Formation ◽

Hip Arthroplasty ◽

Heterotopic Bone ◽

Heterotopic Bone Formation ◽

Total Hip

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Changes in sexual activity of male patients with ankylosing spondylitis undergoing total hip arthroplasty

Hip International ◽

10.1177/1120700018796378 ◽

2018 ◽

Vol 29 (3) ◽

pp. 310-315 ◽

Cited By ~ 1

Author(s):

Jun Fu ◽

Xiang Li ◽

Kan Liu ◽

Jiying Chen ◽

Ming Ni ◽

...

Keyword(s):

Ankylosing Spondylitis ◽

Total Hip Arthroplasty ◽

Sexual Activity ◽

Hip Arthroplasty ◽

Harris Hip Score ◽

Clinical Parameters ◽

Total Hip ◽

Flexion Extension ◽

Before And After ◽

Male Patients

Introduction: Sexual activity is often an important component of life. To date, no studies have examined sexual activity before and after total hip arthroplasty (THA) in male patients with ankylosing spondylitis (AS). The purpose of the current study was to evaluate the effect of THA on sexual activity and to explore the most commonly reported and comfortable coital position for male AS patients with hip involvement. Methods: Data from 31 male AS patients who underwent THA for hip involvement were retrospectively reviewed. Information from the International Index of Erectile Function (IIEF), the Harris Hip Score (HHS) and other clinical parameters was collected and monitored over time. We compared the above-mentioned parameters before surgery and 2 years after surgery and analysed the correlation between changes on the IIEF and changes in clinical parameters. Results: The domain and total scores of the IIEF, except EF, were significantly higher after surgery than were those before surgery ( p < 0.05). There was a significant positive correlation between changes on the IIEF and improvement in flexion-extension range of motion (ROM), adduction-abduction ROM and HHS ( p < 0.05). Most patients (26/31, 83.9%) resumed sexual activity 5–12 weeks after surgery. The pre- and postoperative distributions of the most commonly reported and comfortable position were not significantly different (p > 0.05). Conclusions: Successful THA may improve sexual activity in male AS patients with hip involvement. Changes in hip ROM show the most significant correlation with improvement in sexual activity. Resumption of sexual activity occurs within 5–12 postoperative weeks.

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