Perioperative management and outcome of total hip arthroplasty for ankylosing spondylitis

doi:10.3877/cma.j.issn.1674-134X.2020.06.015

Abstract

Abstract:

Ankylosing spondylitis is a chronic spondyloarthropathy of unknown cause. Total hip arthroplasty is a surgical treatment with good results for pain and functional disability that can not be relieved by drugs caused by ankylosing spondylitis with hip involvement. The quality of life of the patients undergoing hip replacement has been greatly improved. However, there are still many problems worthy of attention for surgeons when performing total hip arthroplasty for patients with ankylosing spondylitis involving the hip, such as the surgical indications for young patients, preoperative preparation different from primary replacement, outcomes of total hip replacement for ankylosing spondylitis with hip involvement, postoperative complications and prevention. This article explained the progress of clinical research in the above aspects.

Key words: Ankylosing spondylitis, Arthroplasty, replacement, hip, Perioperative period, Treatment outcome

Cheng Ding, Qiaojie Wang, Xianlong Zhang. Perioperative management and outcome of total hip arthroplasty for ankylosing spondylitis[J]. Chinese Journal of Joint Surgery(Electronic Edition), 2020, 14(06): 737-740.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhgjwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-134X.2020.06.015

https://zhgjwkzz.cma-cmc.com.cn/EN/Y2020/V14/I06/737

References 35

[1]	Vander Cruyssen B, Muñoz-Gomariz E, Font P, et al. Hip involvement in ankylosing spondylitis: epidemiology and risk factors associated with hip replacement surgery[J]. Rheumatology (Oxford), 2010, 49(1): 73-81.
[2]	Burki V, Gossec L, Payet J, et al. Prevalence and characteristics of hip involvement in spondyloarthritis: a single-centre observational study of 275 patients[J]. Clin Exp Rheumatol, 2012, 30(4): 481-486.
[3]	Sieper J, Braun J, Dougados M, et al. Axial spondyloarthritis[J]. Nat Rev Dis Primers, 2015, 1(1): 343-364.
[4]	中国研究型医院学会关节外科学专业委员会．中轴型脊柱关节炎诊断和治疗的专家共识(2019年版)[J/CD]．中华关节外科杂志(电子版)，2019，13(3):261-266.
[5]	Joshi AB, Porter ML, Trail IA, et al. Long-term results of Charnley low-friction arthroplasty in young patients[J]. J Bone Joint Surg Br, 1993, 75(4): 616-623.
[6]	Neumann L, Freund KG, Sørensen KH. Total hip arthroplasty with the Charnley prosthesis in patients fifty-five years old and less. Fifteen to twenty-one-year results[J]. J Bone Joint Surg Am, 1996, 78(1): 73-79.
[7]	Joshi AB, Markovic L, Hardinge K, et al. Total hip arthroplasty in ankylosing spondylitis: an analysis of 181 hips[J]. J Arthroplasty, 2002, 17(4): 427-433.
[8]	Takenaga RK, Callaghan JJ, Bedard N, et al. Cementless total hip arthroplasty in patients fifty years of age or younger: a minimum ten-year follow-up[J]. J Bone Joint Surg Am, 2012, 94(23): 2153-2159.
[9]	Xu J, Zeng M, Xie J, et al. Cementless total hip arthroplasty in patients with ankylosing spondylitis: a retrospective observational study[J/OL]. Medicine, 2017, 96(4): e5813.doi：10.1097/MD0000000000005813.
[10]	Goodman SM, Springer B, Guyatt G, et al. 2017 American college of rheumatology/American association of hip and knee surgeons guideline for the perioperative management of antirheumatic medication in patients with rheumatic diseases undergoing elective total hip or total knee arthroplasty[J]. Arthritis Care Res (Hoboken), 2017, 69(8): 1111-1124.
[11]	Ul HI, Shamim F, Lal S, et al. Airway management in a patient with severe ankylosing spondylitis causing bamboo spine: use of aintree intubation catheter[J]. J Coll Physicians Surg Pak, 2015, 25(12): 900-902.
[12]	Woodward LJ, Kam P. Ankylosing spondylitis: recent developments and anaesthetic implications[J]. Anaesthesia, 2009, 64(5): 540-548.
[13]	Danish SF, Wilden JA, Schuster J. Iatrogenic paraplegia in 2 morbidly obese patients with ankylosing spondylitis undergoing total hip arthroplasty[J]. J Neurosurg Spine, 2008, 8(1):80-83.
[14]	Shehab D, Elgazzar AH, Collier BD. Heterotopic ossification[J]. J Nucl Med, 2002, 43(3): 346-353.
[15]	Iorio R, Healy WL. Heterotopic ossification after hip and knee arthroplasty: risk factors, prevention, and treatment[J]. J Am Acad Orthop Surg, 2002, 10(6): 409-416.
[16]	Weng HK, Wu PK, Chen CF, et al. Total hip arthroplasty for patients who have ankylosing spondylitis: is postoperative irradiation required for prophylaxis of heterotopic ossification？[J]．J Arthroplasty, 2015, 30(10): 1752-1756.
[17]	Tang WM, Chiu KY. Primary total hip arthroplasty in patients with ankylosing spondylitis[J]. J Arthroplasty, 2000, 15(1): 52-58.
[18]	Bhan S, Eachempati KK, Malhotra R. Primary cementless total hip arthroplasty for bony ankylosis in patients with ankylosing spondylitis[J]. J Arthroplasty, 2008, 23(6): 859-866.
[19]	Feng DX, Zhang K, Zhang YM, et al. Bilaterally primary cementless total hip arthroplasty for severe hip ankylosis with ankylosing spondylitis[J]. Orthop Surg, 2016, 8(3): 352-359.
[20]	Guo HZ, Yang CX, Tang ZP, et al. The effects of total hip arthroplasty in treating hip bony fusion in young and middle-aged patients with ankylosing spondylitis[J/OL]. J Orthop Surg Res, 2019, 14(1): 253. doi: 10.1186/s13018-019-1288-5.
[21]	Wang W, Huang G, Huang T, et al. Bilaterally primary cementless total hip arthroplasty in patients with ankylosing spondylitis[J/OL]. BMC Musculoskelet Disord, 2014, 15:344. doi：10.1186/1471-2474-15-344.
[22]	Kim YL, Shin SI, Nam KW, et al. Total hip arthroplasty for bilaterally ankylosed hips[J]. J Arthroplasty, 2007, 22(7): 1037-1041.
[23]	Bangjian H, Peijian T, Ju L. Bilateral synchronous total hip arthroplasty for ankylosed hips[J]. Int Orthop, 2012, 36(4): 697-701.
[24]	Ye C, Liu RG, Sun CY, et al. Cementless bilateral synchronous total hip arthroplasty in ankylosing spondylitis with hip ankylosis[J]. Int Orthop, 2014, 38(12): 2473-2476.
[25]	Dabir S, Ramanath S, Shah H, et al. Surgical technique and outcome of uncemented THR using HA coated stems in fused and deformed hips due to ankylosing spondylitis[J]. Hip Int, 2015, 25(2): 142-145.
[26]	Rajpura A, Kendoff D, Board TN. The current state of bearing surfaces in total hip replacement[J]. Bone Joint J, 2014, 96-B(2): 147-156.
[27]	Mcmaster MJ. Osteotomy of the cervical spine in ankylosing spondylitis[J]. J Bone Joint Surg Br, 1997, 79(2): 197-203.
[28]	Mahesh BH, Jayaswal A, Bhan S. Fracture dislocation of the spine after total hip arthroplasty in a patient with ankylosing spondylitis with early pseudoarthrosis[J]. Spine J, 2008, 8(3): 529-533.
[29]	Zheng GQ, Zhang YG, Chen JY, et al. Decision making regarding spinal osteotomy and total hip replacement for ankylosing spondylitis: experience with 28 patients[J]. Bone Joint J, 2014, 96-B(3): 360-365.
[30]	Van Royen BJ, De Gast A, Smit TH. Deformity planning for sagittal plane corrective osteotomies of the spine in ankylosing spondylitis[J]. Eur Spine J, 2000, 9(6): 492-498.
[31]	Blizzard DJ, Nickel BT, Seyler TM. The impact of lumbar spine disease and deformity on total hip arthroplasty outcomes[J]. Orthopedic, 2016, 47(1): e520-e525.
[32]	Blizzard DJ, Penrose CT, Sheets CZ, et al. Ankylosing spondylitis increases perioperative and postoperative complications after total hip arthroplasty[J]. J Arthroplasty, 2017, 32(8): 2474-2479.
[33]	Putnis SE, Wartemberg GK, Khan WS, et al. A literature review of total hip arthroplasty in patients with ankylosing spondylitis: perioperative considerations and outcome[J]. Open Orthop J, 2015, 9: 483-488.
[34]	Schnaser EA, Browne JA, Padgett D, et al. Perioperative complications in patients with inflammatory arthropathy undergoing total hip arthroplasty[J]. J Arthroplasty, 2016, 31(10): 2286-2290.
[35]	Li J, Zhao JZ, He CR, et al. Comparison of blood loss after total hip arthroplasty between ankylosing spondylitis and osteoarthritis[J]. J Arthroplasty, 2016, 31(7): 1504-1509.

Please choose a citation manager

Content to export