Share This Article:

Analysis of Functional and Radiological Outcome of Total Hip Replacements in Rheumatoid and Osteoarthritis Patients*

Abstract Full-Text HTML Download Download as PDF (Size:545KB) PP. 246-250
DOI: 10.4236/ojra.2013.34038    3,132 Downloads   4,941 Views   Citations

ABSTRACT

Introduction: Outcomes of total hip arthroplasties in rheumatoid are commonly considered as poor and with high rates of complication. Keeping in mind these conflicts of opinions we are going to analyse the functional and radiological outcomes of total hip arthroplasty between osteoarthritis and rheumatoid arthtitis. Patients and Method: Retrospective midterm study of thirty four patients who underwent total hip replacement in Sri Ramachandra medical center for rheumatoid and osteoarthritis (primary and secondary). Of the 44 hips, the indications are rheumatoid arthritis in 20 patients and osteoarthritis in 24 patients. We used the Harris hip score (Modified) for clinical and functional evaluation and plain X-ray pelvis with both hips and proximal femur—AP view and X-ray of the operated hip lateral view for radiological evaluation. Mean follow up is 9 years (8-13 years). Results: The mean pre and latest harris hip score are 44 and 88 respectively. The mean harris hip score in 1st, 3rd and 5th years are 86, 87 and 87 respectively. The mean pre and latest harris hip score in osteoarthritis is 49 and 92, in rheumatoid arthritis is 35 and 74. Conclusion: The results in patients who underwent total hip replacement for osteoarthritis are better than those for rheumatoid arthritis, however the gain in harris hip score is the same. As far as complications are concerned there is no difference between rheumatoid and osteoarthritis. Complications are mostly due to the faulty technique. Both uncemented and cemented total hip replacement give good results in non traumatic indications. In bilateral hip diseases there is considerable pain relief and improvement after the first THR, but the optimal improvement is not seen until the second replacement.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

G. Ram, B. Thamodaran, T. Ashok, S. Perumal and V. Varthi, "Analysis of Functional and Radiological Outcome of Total Hip Replacements in Rheumatoid and Osteoarthritis Patients*," Open Journal of Rheumatology and Autoimmune Diseases, Vol. 3 No. 4, 2013, pp. 246-250. doi: 10.4236/ojra.2013.34038.

References

[1] K. T. Makela, A. Eskelinen, P. Pulkkinen, P. Virolainen, P. Paavolainen and V. Remes, “Cemented versus Cementless Total Hip Replacements in Patients Fifty-Five Years of Age or Older with Rheumatoid Arthritis,” The Journal of Bone & Joint Surgery, Vol. 93, No. 2, 2011, pp. 178-186. http://dx.doi.org/10.2106/JBJS.I.01283
[2] K. T. Makela, A. Eskelinen, P. Pulkkinen, P. Paavolainen and V. Remes, “Total Hip Arthroplasty for Primary Osteoarthritis in Patients Fifty-Five Years of Age or Older. An Analysis of the Finnish Arthroplasty Registry,” The Journal of Bone & Joint Surgery, Vol. 90, No. 10, 2008, pp. 2160-2170.
[3] W. H. Harris, “Traumatic Arthritis of the Hip after Dislocation and Acetabular Fractures: Treatment by Mold Arthroplasty. An End-Result Study Using a New Method of Result Evaluation,” The Journal of Bone & Joint Surgery, Vol. 51, No. 4, 1969, pp. 737-755.
[4] A. Wykman and E. Olsson, “Walking Ability after thr. A Comparison of Gait Analysisin Unilateral and Bilateralcases,” The Journal of Bone & Joint Surgery, Vol. 74, No. 1, 1992, pp. 53-56.
[5] J. W. Harkess and J. R. Crocaralle, “Arthroplasty of the Hip,” In: T. Canale, Ed., Campbell’s Operative Orthopaedics, International Edition, Elsevier Tenth Edition, Mosby, pp. 180-290.
[6] A. F. Brooker, J. W. Bowerman, R. A. Robinson and L. H. Riley Jr., “Ectopicossification Following Total Hip Replacement. Incidence and a Method of Classification,” The Journal of Bone & Joint Surgery, Vol. 55, No. 8, 1973, pp. 1629-1632.
[7] R. L. Wixson, S. D. Stulberg and M. Mehlhoff, “Total Hip Replacement with Cemented, Uncemented, and Hybrid Prostheses. A Comparison of Clinical and Radiographic Results at Two to Four Years,” The Journal of Bone & Joint Surgery, Vol. 73, No. 2, 1991, pp. 257-270.
[8] R. Siwach, V. S. Kadyan, S. Sangwan and R. Gupta, “A Retrospective Study of Total Hip Arthroplasty,” Indian Journal of Orthopaedics, Vol. 41, No. 1, 2007, pp. 62-66.
[9] C. Y. Ng, J. A. Ballantyne and I. J. Brenkel, “Quality of Life and Functional Outcome after Primary Total Hip Replacement. A Five-Year Follow-Up,” The Journal of Bone & Joint Surgery, Vol. 89, No. 7, 2007, pp. 868-873.
[10] G. Malchau and H. Herberts, “Specific or General Health Outcome Measures in the Evaluation of Total Hip Replacement. A comparison between the Harris Hip Score and Health Profile,” The Journal of Bone & Joint Surgery, Vol. 80, No. 4, 1998, pp. 600-606.
[11] K. E. Wamper, I. N. Sierevelt, R. W. Poolman, M. Bhandari and D. Haverkamp, “The Harris Hip Score: Do Ceiling Effects Limit Its Usefulness?” Acta Orthopaedica, Vol. 81, No. 60, 2010, p. 703.
[12] K. A. Johnson, “Arthroplasty of Both Hips and Both Knees in Rheumatoid Arthritis,” The Journal of Bone & Joint Surgery, Vol. 57, No. 7, 1975, pp. 901-904.
[13] B. Zicat, C. A. Engh and E. Gokcen, “Patterns of Osteolysis around Total Hip Components Inserted with and without Cement,” The Journal of Bone & Joint Surgery, Vol. 77, No. 3, 1995, pp. 432-434.
[14] J. C. Clohisy and W. H. Harris, “The Harris-Galante Porous-Coated Acetabular Component with Screw Fixation. An Average Ten-Year Follow-Up Study,” The Journal of Bone & Joint Surgery, Vol. 81, No. 1, 1999, pp. 66-73.
[15] M. A. Ali Khan and P. H. Brakenbury, “Reynolds IS Dislocation Following Total Hip Replacement,” The Journal of Bone & Joint Surgery, Vol. 63-B, No. 2, 1981, pp. 214-218.
[16] W. M. Goldstein, T. F. Gleason, M. Kopplin and J. J. Branson Prevalence of Dislocation after Total Hip Arthroplasty through a Posterolateral Approach with Partial Capsulotomy and Capsulorrhaphy,” The Journal of Bone & Joint Surgery, Vol. 83-A, No. S2, 2001, pp. 2-7.
[17] C. B. Phillips, J. A. Barrett, E. Losina, N. N. Mahomed, E. A. Lingard, E. Guadagnoli, J. A. Baron, W. H. Harris, R. Poss and J. N. Katz, “Incidence Rates of Dislocation, Pulmonary Embolism, and Deep Infection during the First Six Months after Elective Total Hip Replacement,” The Journal of Bone & Joint Surgery, Vol. 85-A, No. 1, 2003, pp. 20-26.
[18] D. Jesse, F. Antonio and C. John, “Ectopic Bone Formation Following Low Friction Arthroplasty of the Hip,” Clinical Orthopaedics, Vol. 121, 1976, pp. 53-57.
[19] S. Rosendahl, J. K. Christoffersen and M. Norgaard, “Para-articular Ossification Following Hip Replacement. 70 Arthroplasties ad Modum Moore Using McFarland’s Approach,” Acta Orthopaedica, Vol. 48, No. 4, 1977, pp. 400-404. http://dx.doi.org/10.3109/17453677708992016

  
comments powered by Disqus

Copyright © 2018 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.