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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 valueformity,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 value36-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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