Comparison of Outcomes of Total Hip Arthroplasty between Patients with Ankylosing Spondylitis and Avascular Necrosis of the Femoral Head

Lee, Sun-Ho; Lee, Gun-Woo; Seol, Young-Jun; Park, Kyung-Soon; Yoon, Tae Mi

doi:10.4055/cios.2017.9.3.263

Cited by 19 publications

(20 citation statements)

References 27 publications

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“…253 In contrast, cementless prostheses are preferred in AS patients, especially young patients, without significant morphological changes in the proximal femurs because this strategy can reduce the difficulty of future revisions while allowing bone ingrowth to enhance the durability of the implant. 258,259…”

Section: Treatments For Asmentioning

confidence: 99%

Ankylosing spondylitis: etiology, pathogenesis, and treatments

et al. 2019

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Ankylosing spondylitis (AS), a common type of spondyloarthropathy, is a chronic inflammatory autoimmune disease that mainly affects spine joints, causing severe, chronic pain; additionally, in more advanced cases, it can cause spine fusion. Significant progress in its pathophysiology and treatment has been achieved in the last decade. Immune cells and innate cytokines have been suggested to be crucial in the pathogenesis of AS, especially human leukocyte antigen (HLA)‑B27 and the interleukin‑23/17 axis. However, the pathogenesis of AS remains unclear. The current study reviewed the etiology and pathogenesis of AS, including genome-wide association studies and cytokine pathways. This study also summarized the current pharmaceutical and surgical treatment with a discussion of future potential therapies.

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Section: Treatments For Asmentioning

confidence: 99%

Ankylosing spondylitis: etiology, pathogenesis, and treatments

et al. 2019

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“…[ 1 2 3 ] Although studies of THA have normally demonstrated excellent results in greater than a 10-year follow-up period compared with that in patients with traumatic osteonecrosis of the femoral head (ONFH), those with nontraumatic ONFH tend to be younger and physically more active, and as a result, replaced hip joint may need to be revised. [ 1 3 4 5 6 7 8 ]…”

Section: Introductionmentioning

confidence: 99%

Pericollapse Stage of Osteonecrosis of the Femoral Head

Zhang

Gao

et al. 2018

Chinese Medical Journal

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Objective:To propose a new definition of the pericollapse stage of osteonecrosis of the femoral head (ONFH) and review its significance in disease diagnosis and treatment selection.Data Sources:A search for eligible studies was conducted in three electronic databases including PubMed, Cochrane Library, and Embase up to August 10, 2018, using the following keywords: “osteonecrosis”, “prognosis”, and “treatment”.Study Selection:Investigations appraising the clinical signs, symptoms, and imaging manifestations in different stages of ONFH were included. Articles evaluating the prognosis of various joint-preserving procedures were also reviewed.Results:The pericollapse stage refers to a continuous period in the development of ONFH from the occurrence of subchondral fracture to early collapse (<2 mm), possessing specific imaging features that mainly consist of bone marrow edema and joint effusion on magnetic resonance imaging (MRI), crescent signs on X-ray films, and clinical manifestations such as the sudden worsening of hip pain. Accumulating evidence has indicated that these findings may be secondary to the changes after subchondral fractures. Of note, computed tomography provides more information for identifying possible subchondral fractures than does MRI and serves as the most sensitive tool for grading the pericollapse lesion stage. The pericollapse stage may indicate a high possibility of progressive disease but also demonstrates satisfactory long- and medium-term outcomes for joint-preserving techniques. In fact, if the articular surface subsides more than 2 mm, total hip arthroplasty is preferable.Conclusions:The pericollapse stage with distinct clinical and imaging characteristics provides a last good opportunity for the use of joint-preserving techniques. It is necessary to separate the pericollapse stage as an independent state in evaluating the natural progression of ONFH and selecting an appropriate treatment regimen.

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“… 12 , 13 There are several methods of surgical treatment of a femoral neck fracture and when the final treatment decision is made the following parameters should be taken into account: patient's age, activity level, bone tissue quality, additional diseases, type of fracture according to Garden and Pauwels classification as well as the related risk of complications. 13 , 14 …”

Section: Discussionmentioning

confidence: 99%

Are there really specific risk factors for heterotopic ossifications? A case report of ‘non-risk factor’ after total hip replacement

et al. 2022

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Femoral neck fractures are one of the most common fractures in the elderly population. Due to frequent complications of the fixation of these fractures, patients are more and more often eligible for hip replacement surgery. One of the most frequently mentioned postoperative complication is the formation of heterotopic ossification. This case report describes as a 70-year-old male patient that presented with an old hip fracture accompanied by a mild craniocerebral trauma. The patient underwent total cementless hip arthroplasty followed by rehabilitation. At 8 months after surgery, the patient was diagnosed with Brooker IV° heterotopic ossification in the area of the operated hip joint. Due to the persistent pain and complete loss of mobility in the operated joint, computed tomography imaging was performed and the patient was recommended for a revision surgery. The procedure was performed 14 months after the original surgical treatment, resulting in a significant improvement in the range of motion and reduction of pain.

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Comparison of Outcomes of Total Hip Arthroplasty between Patients with Ankylosing Spondylitis and Avascular Necrosis of the Femoral Head

Cited by 19 publications

References 27 publications

Ankylosing spondylitis: etiology, pathogenesis, and treatments

Ankylosing spondylitis: etiology, pathogenesis, and treatments

Pericollapse Stage of Osteonecrosis of the Femoral Head

Are there really specific risk factors for heterotopic ossifications? A case report of ‘non-risk factor’ after total hip replacement

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