Short term effect of total hip arthroplasty through direct anterior approach for the treatment of ankylosing spondylitis with hip flexion deformity.
10.3969/j.issn.1003-0034.2019.02.009
- Author:
Xun-Bing ZHU
1
,
2
;
Ling-Li YUAN
;
Guan-Sheng HAN
;
Jun-Zhu HAN
;
Jian-Sheng ZHOU
Author Information
1. Department of Orthopaedics, the Second Affiliated Hospital of Bengbu Medical College, Bengbu 233040, Anhui, China
2. zhuxb22@163.com.
- Publication Type:Journal Article
- Keywords:
Arthroplasty, replacement, hip;
Hip;
Joint deformities;
Spondylitis, ankylosing
- MeSH:
Adult;
Antiviral Agents;
Arthroplasty, Replacement, Hip;
Female;
Hepatitis C, Chronic;
Hip Joint;
Hip Prosthesis;
Humans;
Male;
Middle Aged;
Quality of Life;
Range of Motion, Articular;
Retrospective Studies;
Spondylitis, Ankylosing;
Treatment Outcome;
Young Adult
- From:
China Journal of Orthopaedics and Traumatology
2019;32(2):141-145
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To investigate the short term clinical efficacy of direct anterior approach(DAA) total hip arthroplasty for the treatment of ankylosing spondylitis with hip flexion deformity.
METHODS:From September 2014 to June 2017, 15 cases of ankylosing spondylitis with flexion deformity of the hip were treated with total hip arthroplasty through DAA approach including 12 males(17 hips) and 3 females(4 hips) with an average age of 34.4 years old ranging from 21 to 57 years old. Harris score system was used before and after operation to evaluate hip function, total hip activity and visual analogue scale (VAS) were used to evaluate the clinical efficacy.
RESULTS:All 15 patients were followed up for an average of 26.2 months. In the operation, 1 case of great trochanter avulsion was given wire binding, and 1 case of linear split of the femur were given by wire binding. There were no hematoma, nerve injury and deep vein thrombosis of lower extremity. No prosthesis loosening and sinking were observed in the follow-up of X-ray film after operation. There was no heterotopic ossification after operation. After operation, 18 hips pain were relieved completely, and 3 hips pain were found when walking, which all satisfied with the daily life self-care requirements. Harris hip score, total hip motion and VAS score at 1 week after operation were significantly different from those before operation(<0.05). There was no significant difference in the scores of HHS, total hip motion and VAS at 1, 6 months after operation(>0.05). At the final follow-up, the Harris score was 91.2±5.3, the total hip mobility was (217.1±29.7)°, and the postoperative VAS pain score was 1.2±0.5, which was significantly different from the preoperative score(<0.05).
CONCLUSIONS:DAA approach THA has good effect in treating AS hip nonfunctional ankylosis with less trauma, less pain and quick recovery. It has a good short term effect, which can effectively improve the quality of life of patients.
