Abstract:
Objective To investigate the effect of total hip arthroplasty (THA) on joint function and quality of life in patients with ankylosing spondylitis (AS).
Methods A total of 48 patients with AS in Shenzhen Pingle Orthopedic Hospital(Pingshan District Hospital of Traditional Chinese Medicine) from January 2019 to December 2020 were treated with THA. The hip function and quality of life were compared before and after treatment, followed up for three and six months. The data were analyzed by repeated measurement analysis.
Results The visual analogue scale(VAS) score of 48 patients with as decreased continuously after treatment, follow-up for three and six months, the difference was statistically significant at each time point (F=10.764, P<0.05). The range of motion of hip joint and Harris score increased continuously after the treatment. The follow-up time were three and six months, the difference was statistically significant at each time point (F=9.453, 7.876, both P<0.05). The medical outcomes study (MOS) item short form health survey (SF-36) scores of psychological function, social function, living state and physical function continued to improve after treatment. The Olifferences of social function, living state and physical function scores were statistically significant at each follow-up time point (F=8.657, 9.880, 12.647, all P<0.05), but there was no significant difference in psychological function score at each time point (F=2.843, P>0.05).
Conclusion Total hip arthroplasty in the treatment of ankylosing spondylitis can reduce the pain symptoms, promote the recovery of joint function and improve the quality of life.
Key words:
Arthroplasty, replacement,
Spondylitis, ankylosing,
Hip joint,
Quality of life
Xuefeng Ma, Xiaofeng Liu, Xiang Xiao, Chunzhu Gong, Xiaobo Yi. Effect of total hip arthroplasty on postoperative ankylosing spondylitis involving unilateral hip joint[J]. Chinese Journal of Joint Surgery(Electronic Edition), 2021, 15(04): 496-498.