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Functional and clinical outcome with modified lateral approach total hip arthroplasty in stiff hips with ankylosing spondylitis

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World Journal of Orthopedics 2022年第8期13卷 714-724页

作者： Mathew Kiran Jacob Pavan Kumar Reddy roncy savio kuruvilla Chandy Viruthapadavil John Pradeep Mathew Poonnoose Anil Thomas Oommen Unit 2 Department of OrthopaedicsChristian Medical College HospitalVellore 632004India

BACKGROUND Ankylosing spondylitis at total hip arthroplasty(THA)has significant hip stiffness with flexion deformity,restricted mobility,and *** of movement(ROM)improvement with good functional outcome is seen following THA in these *** modified Hardinge approach without abductor compromise is helpful in these stiff hips with associated flexion *** To assess improvement in ROM and functional outcomes with a modified lateral approach THA in ankylosing spondylitis with stiff *** A total of 69 hips that underwent THA with a modified Hardinge approach in 40 patients were evaluated at a mean follow-up of 38.33 *** individuals ambulated with weight-bearing as tolerated and ROM exercises from the 1st postoperative *** Harris hip score and ROM were assessed during *** of life assessments using the 36-item and 12-item short form health surveys were done along with clinical and functional outcomes at *** 22.0 was used for statistical *** correlation of ROM and functional score change was performed using Pearson’s correlation *** Sixty-nine hips with a significant decrease in ROM preoperatively with 32 clinically fused hips showed significant improvement in flexion *** mean flexion in 69 hips improved from 29.35±31.38 degrees to 102.17±10.48 *** mean difference of 72.82 with a P value<0.0001 was *** total,45 out of 69 hips had flexion deformity,with 13 hips having a deformity above 30 *** flexion during the follow-up was below 90 degrees in 3 *** hips had flexion of 90 degrees at follow-up,while the remaining 55 hips had flexion above 100 *** Harris hip score improved from 17.03±6.02 to 90.66±7.23(P value<0.0001).The 36-item short form health survey at the follow-up indicated health status in 40 patients as excellent in 11,very good in 20,good in 5,fair in 3,and poor in *** mean mental health score was 84.10±*** relief w

关键词： Ankylosing Spondylitis Stiff flexion deformity Harris hip score Hip range of movement 36-item short form health survey score Total hip arthroplasty modified Hardinge approach

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Total hip arthroplasty in fused hips with spine stiffness in ankylosing spondylitis

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World Journal of Orthopedics 2021年第12期12卷 970-982页

作者： Anil Thomas Oommen Triplicane Dwarakanathan Hariharan Viruthipadavil John Chandy Pradeep MathewPoonnoose Arun Shankar A roncy savio kuruvilla Jozy Timothy Unit 2 Department of OrthopaedicsChristian Medical College HospitalVellore 632004Tamil NaduIndia

Ankylosing spondylitis(AS)is characterized by involvement of the spine and hip joints with progressive stiffness and loss of *** impairment is significant,with spine and hip involvement,and is predominantly seen in the younger age *** hip arthroplasty(THA)for fused hips with stiff spines in AS results in considerable improvement of mobility and *** stiffness associated with AS needs evaluation before *** assessment with lateral spine radiographs shows loss of lumbar *** mobility is reduced with change in sacral slope from sitting to standing less than 10 degrees conforming to the stiff *** should be taken to reduce acetabular component anteversion at THA in these fused hips,as the posterior pelvic tilt would increase the risk of posterior impingement and anterior *** hips require femoral neck osteotomy,true acetabular floor identification and restoration of the hip center with horizontal and vertical offset to achieve a good functional *** and cemented fixation have shown comparable long-term results with the choice dependent on bone stock at *** at THA in AS include intraoperative fractures,dislocation,heterotopic ossification,among *** is significant improvement of functional scores and quality of life following THA in these deserving young individuals with fused hips and spine stiffness.

关键词： Ankylosing spondylitis Total hip arthroplasty Stiff hips Stiff spine Spinopelvic mobility Functional outcome

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