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Total hip replacement in ankylosing spondylitis.

H Baldursson, H Brattström, T Olsson

    Acta Orthopaedica Scandinavica
    |January 1, 1977
    PubMed
    Summary
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    Total hip replacement (THR) in patients with ankylosing spondylitis significantly improved pain and mobility. Most patients experienced lasting benefits, with many returning to full-time work after the procedure.

    Area of Science:

    • Orthopedics
    • Rheumatology

    Background:

    • Ankylosing spondylitis (AS) is a chronic inflammatory condition primarily affecting the spine.
    • Hip involvement is common in AS, often leading to pain and reduced mobility.
    • Total hip replacement (THR) is a surgical option for severe hip disease.

    Purpose of the Study:

    • To evaluate the outcomes of total hip replacement (THR) in patients diagnosed with ankylosing spondylitis (AS).
    • To assess improvements in pain, mobility, and functional capacity post-THR in AS patients.
    • To compare THR indications and rehabilitation in AS versus rheumatoid arthritis (RA).

    Main Methods:

    • Retrospective analysis of 18 total hip replacements (THRs) in 10 patients with ankylosing spondylitis (AS).
    • Mean follow-up duration of 3.8 years.

    Related Experiment Videos

  • Inclusion of patients with prior hip surgeries and ankylosed hips.

    • Main Results:

    • Good outcomes reported for pain relief and increased walking distance post-THR.
    • All hips demonstrated improved mobility, with sustained benefits throughout the observation period.
    • Six out of ten patients successfully returned to full-time employment.

    Conclusions:

    • Total hip replacement (THR) offers significant functional and symptomatic benefits for patients with ankylosing spondylitis (AS).
    • The procedure leads to lasting improvements in mobility and quality of life.
    • Key differences in THR indications and rehabilitation exist between AS and rheumatoid arthritis (RA) patients.