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Total hip replacement in children with arthritis.
Arthritis and Rheumatism
|May 1, 1978
Summary
Total hip replacement (THR) in children with juvenile rheumatoid arthritis and ankylosing spondylitis yielded encouraging results. All patients experienced improved range of motion and pain relief, suggesting THR is a viable option for pediatric hip disease.
Area of Science:
- Orthopedic surgery
- Pediatric rheumatology
Background:
- Juvenile rheumatoid arthritis and ankylosing spondylitis can cause severe hip disease in children.
- Limited treatment options exist for severe pediatric hip conditions, often leading to significant pain and functional limitations.
Purpose of the Study:
- To evaluate the outcomes of total hip replacement (THR) in pediatric patients with inflammatory arthropathies.
- To assess the safety and efficacy of THR in managing severe hip disease in children and adolescents.
Main Methods:
- Retrospective review of 29 total hip replacements (THR) performed on 16 children.
- Patients included those with juvenile rheumatoid arthritis and ankylosing spondylitis, aged 12-18 years.
- Follow-up ranged from 1 to 4 years (median 2.2 years).
Main Results:
- All 29 hips showed improved postoperative range of motion.
- All patients were pain-free after surgery.
- Primary indications included severe malposition/flexion contractures (24 hips) and pain (5 hips).
Conclusions:
- Total hip replacement (THR) in children with juvenile rheumatoid arthritis and ankylosing spondylitis demonstrates encouraging outcomes.
- Improved range of motion and pain relief were consistently observed.
- Considerations for THR in pediatric patients include active rheumatic disease, prosthesis longevity, and patient motivation.
