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Ipsilateral hip and knee replacements as a single surgical procedure
The Journal of Bone and Joint Surgery. American Volume
|April 1, 1977
Summary
This study on rheumatoid arthritis patients showed significant improvements in pain and mobility after hip and knee replacements. Most patients experienced positive outcomes with manageable complications.
Area of Science:
- Orthopedic Surgery
- Rheumatology
Background:
- Rheumatoid arthritis commonly affects multiple joints, necessitating surgical intervention.
- Hip and knee replacements are common procedures for managing severe rheumatoid arthritis joint damage.
Purpose of the Study:
- To evaluate the outcomes of simultaneous or staged hip and knee replacements in patients with rheumatoid arthritis.
- To assess improvements in pain, function, and complications following these procedures.
Main Methods:
- Retrospective review of thirteen surgical procedures on eight patients with rheumatoid arthritis.
- Analysis of joint replacement types: bilateral hip and knee replacements (5 patients) and ipsilateral hip and knee replacements (3 patients).
- Assessment of postoperative ambulatory status and subjective pain reduction.
Main Results:
- Significant improvement in ambulatory status reported by all patients.
- Subjective reports of substantial pain reduction postoperatively.
- Complications included transient peroneal-nerve palsies (2) and a questionable pulmonary embolus (1), all resolved.
Conclusions:
- Simultaneous or staged hip and knee replacements offer significant benefits for rheumatoid arthritis patients.
- Careful patient selection and surgical planning are crucial for optimizing outcomes.
- The procedure demonstrates a favorable risk-benefit profile for selected rheumatoid arthritis patients.