Clinical evaluation of total hip arthroplasty for osteoarthropathy secondary to septic hip arthritis
Xiguang Ye1, Jing Zeng2, Yongguo Liu3
1Department of Orthopedics, Hubei Provincial Hospital of Traditional Chinese Medicine, Wuhan, Hubei, China.
Insights
Total hip arthroplasty (THA) effectively treats osteoarthropathy from septic hip arthritis. This surgery improves joint mobility and pain, offering a positive prognosis for patients with this condition.
Area of Science:
- Orthopedic Surgery
- Infectious Disease Management
- Rheumatology
Background:
- Septic hip arthritis can lead to severe osteoarthropathy, significantly impacting joint function and patient quality of life.
- Conservative treatments may be insufficient for advanced osteoarthropathy secondary to septic hip arthritis.
- Total hip arthroplasty (THA) is a potential surgical option for managing complex hip joint pathology.
Purpose of the Study:
- To evaluate the clinical effectiveness and long-term prognosis of total hip arthroplasty (THA) in patients with osteoarthropathy secondary to septic hip arthritis.
- To compare preoperative and postoperative functional outcomes and pain levels.
- To assess the complication rates associated with THA in this specific patient cohort.
Main Methods:
- A retrospective study of 100 patients with osteoarthropathy secondary to septic hip arthritis who underwent THA between December 2010 and December 2021.
- Collected and analyzed operative data, including operation time, blood loss, and red blood cell transfusion requirements.
- Compared preoperative and postoperative Harris scores, Western Ontario and McMaster Universities Osteoarthritis Index (WOMAI) scores, Visual Analogue Scale (VAS) scores, and hip mobility.
Main Results:
- Postoperative outcomes showed significant improvements in Harris score, WOMAI score, and hip joint range of motion (P < .05).
- Patients experienced significant reductions in unequal leg length and VAS pain scores post-surgery.
- Complications were generally manageable, including one case of transient sciatic nerve palsy and two cases of intermuscular venous thrombosis; no deep infections were reported.
Conclusions:
- Total hip arthroplasty (THA) demonstrates good clinical efficacy in treating osteoarthropathy secondary to septic hip arthritis.
- THA effectively alleviates pain, enhances joint mobility, and improves the overall prognosis for affected patients.
- The findings suggest that THA is a meaningful and beneficial treatment option for osteoarthropathy resulting from septic hip arthritis.
Abstract:
To investigate the clinical efficacy and prognosis of total hip arthroplasty (THA) in patients with osteoarthropathy secondary to septic hip arthritis. A total of 100 patients with osteoarthropathy secondary to septic hip arthritis who underwent surgery in our hospital from December 2010 to December 2021 were selected. Operative data were summarized. Moreover, preoperative and postoperative differences in Harris score, Western Ontario and McMaster Universities Osteoarthritis Index score, Visual Analogue Scale score, hip mobility were compared. Due to hospital transfer, the epidemic of COVID-2019 and other reasons, 10 patients were lost to follow-up and finally 90 patients were recorded. According to the results, the mean operation time (OT) was 1.78 ± 0.32 (hour), the mean intraoperative blood loss (BL) was 586.62 ± 31.66 (mL), the mean red blood cell (RBC) transfusion was 3.84 ± 0.75 (U), and 2 cases were positive, and 88 cases were negative for Trendelenburg sign. Postoperatively, the unequal length of the lower limbs and the Visual Analogue Scale score were significantly lower than that of the preoperative, while the Western Ontario and McMaster Universities Osteoarthritis Index score, Harris score, and hip joint range of motion were significantly higher than those of the preoperative (P < .05). At the last follow-up, all the incisions healed with no deep infections, 1 case suffered from transient sciatic nerve palsy, 2 cases had intermuscular venous thrombosis, and 2 cases who occurred hip dislocation recovered after treatment. THA surgery for osteoarthropathy secondary to septic hip arthritis has a good effect, relieving the patient's pain effectively, improving prognosis and joint mobility. For osteoarthropathy secondary to septic hip arthritis, THA may be meaningful in terms of prognosis.
