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首页> 外文期刊>Orthopaedic Journal of Sports Medicine >Outcomes of Total Hip Arthroplasty in Patients with Ankylosing Spondylitis at Hasan Sadikin General Hospital Bandung
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Outcomes of Total Hip Arthroplasty in Patients with Ankylosing Spondylitis at Hasan Sadikin General Hospital Bandung

机译：Hasan Sadikin General Hander Handung患者患有强震脊柱炎患者的总髋关节置换术的结果

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Peripheral joints involvement in Ankylosing spondylitis (AS) has been reported in 73% of these cases, with the hip being the most commonly affected diarthrodial joint. The reported prevalence of hip involvement in AS varies from 19 to 36%. Total Hip Arthroplasty (THA) is often required to manage pain and restore function and mobility. The aim of this study was to retrospectively analyze outcomes related to performing THA on patients with AS. Methods: We evaluated the oncologic, functional outcome and complications of a patient 27 years old with Ewing sarcoma Data of 19 AS patients who underwent 29 THAs between 2014 and 2018 were retrospectively analyzed. Clinical and imaging data were collected preoperatively, postoperatively, and during the follow-up period for surgical outcomes. Results: There were 14 males and 5 females with 29 affected hips (53% bilateral, 47% unilateral). The average patient at surgery was 31.7 years old (range, 17-47 years). After surgeries, overall inclinations and anteversions of acetabular cups were 44.9°±0.3° (range, 30°–50°) and 18.42°±0.30° (range, 0°–25°) respectively. Mean Visual Analogue Scale (VAS) score decreased from 7.4±0.14 (range, 4–10) preoperatively to 3.21±0.09 (range, 0–4) at final follow-up. Mean Harris Hip Score (HHS) improved from 24.36±2.6 (range, 15–45) to 92±1.66 (range, 80–95) at final follow-up. Postoperative Range of Motion (ROM) was improved from 10.26°±2.61° (range, 0°–50°) preoperatively to 84.26°±0.76° (range, 70°–100°) at final follow-up. The Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) score, which shows the activity of disease, was 7.6±0.17, and it decreased to 3.5±0.15 at last follow-up. There were post-operative complications in 8 hips (27.6%). Superficial wound infection was documented in 3 hips (10.3%), sciatic nerve injury in 1 hip (3.4%), implant loosening in 2 hip (6.9%), and heterotopic ossification was documented in 2 hips (6.9%) at final follow-up. Conclusion: Surgical outcomes of THA for AS patients with hip involvement are satisfactory.
机译：在这些病例的73％的73％中报告了外周关节涉及强直性脊柱炎（AS），髋关节是最常见的历史级关节。报告的髋关节患病率在19％至36％之间变化。通常需要髋关节关节成形术（THA）来管理疼痛和恢复功能和移动性。本研究的目的是回顾性地分析与患者表演THA相关的结果。方法：我们评估了27岁的患者的肿瘤学，功能结果和并发症，以1914年至2018年在2014年至2018年之间进行的患者进行回顾性分析。术后，术后和成像数据，术后，在手术结果的后续期间收集。结果：有14名男性和5名女性，29名受影响的臀部（53％双侧，单边47％）。手术的平均患者31.7岁（范围，17-47岁）。手术后，髋臼杯的总体倾斜和反射分别为44.9°±0.3°（范围，30°-50°）和18.42°±0.30°（范围，0°-25°）。在最终后续后，平均视觉模拟量表（VAS）得分从7.4±0.14（范围，4-10）减少到3.21±0.09（范围0-4）。平均哈里斯臀评分（HHS）在最终随访时从24.36±2.6（范围，15-45）到92±1.66（范围，80-95）。术后运动范围（ROM）从最终后续后续到84.26°±0.76°（范围，70°-100°）的10.26°±2.61°（范围0°-50°）。浴巾脊椎炎疾病活动指数（Basdai）得分，其显示疾病的活性为7.6±0.17，最后随访下降至3.5±0.15。 8个臀部有术后并发症（27.6％）。浅表伤口感染于3髋（10.3％），坐骨神经损伤1髋（3.4％），植入物放松2髋（6.9％），在最终后续的2髋（6.9％）中记录过异位骨化。向上。结论：髋关节受累的患者的手术结果令人满意。

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