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Hip arthroplasty rheumatoid arthritis

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https://www.readbyqxmd.com/read/27900509/conversion-of-hip-fusion-to-total-hip-arthroplasty-clinical-radiological-outcomes-and-complications-in-40-hips
#1
Mustafa Celiktas, Ozkan Kose, Adil Turan, Ferhat Guler, Cagri Ors, Emre Togrul
OBJECTIVE: The purpose of this retrospective study is to report the clinical and radiological outcome of total hip arthroplasty in patients with previous hip arthrodesis. PATIENTS AND METHODS: We retrospectively reviewed 28 (40 hips) prospectively followed patients in whom ankylosed hips were converted to total hip arthroplasty (THA) between 2010 and 2014 in our institution. The average age at the time of the conversion operation was 40.8 ± 9.8 years (range 24-62)...
November 29, 2016: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/27894239/do-the-biologic-agents-increase-the-risk-of-infection-in-patients-undergoing-lower-limb-arthroplasty-surgery
#2
N A Sandiford
BACKGROUND: Biologic agents have contributed significantly to the management of patients with in rheumatoid arthritis (RA). A significant proportion of patients with RA still require arthroplasty procedures however. It is unclear whether these agents increase the risk of post operative infection after lower limb arthroplasty . The aim of this review is to review the contemporary literature about this topic along with the recommendations from specialist societies. METHOD: A literature search was performed for articles published over the last 10 years in the English language examining the association between anti-tumour necrosis factor inhibitors and the incidence of post operative infection in patients with RA undergoing hip and knee arthroplasty procedures...
November 27, 2016: Current Rheumatology Reviews
https://www.readbyqxmd.com/read/27846746/minimum-10-year-results-of-cementless-total-hip-arthroplasty-in-patients-with-rheumatoid-arthritis
#3
Akihisa Haraguchi, Yasuharu Nakashima, Hisaaki Miyahara, Yukio Esaki, Ken Okazaki, Jun-Ichi Fukushi, Go Hirata, Satoshi Ikemura, Satoshi Kamura, Koji Sakuraba, Kenjiro Fujimura, Yukio Akasaki, Hisakata Yamada
OBJECTIVES: To retrospectively evaluate the long-term results of cementless total hip arthroplasty (THA) in patients with rheumatoid arthritis (RA) and postoperative patient mortality after THA. METHODS: This study included 191 hips in 149 RA patients who underwent cementless THA between 1998 and 2005. Mean age at surgery was 54.2 years, and mean follow-up was 12.6 years. Implant and patient survivorships were determined using the Kaplan-Meier method, and the associated influencing factors were determined...
November 16, 2016: Modern Rheumatology
https://www.readbyqxmd.com/read/27777916/result-of-modular-necks-in-primary-total-hip-arthroplasty-with-a-average-follow-up-of-four-years
#4
Jemin Yi, Kye Young Han, Young Jun Nam, Keun Woo Kim
PURPOSE: This study aimed to investigate the outcomes of modular neck-utilization in primary total hip arthroplasty (THA). MATERIALS AND METHODS: Thirty patients (34 hips) who had modular stem THA between April 2011 and January 2013 were evaluated. There were 19 men and 11 women with a mean age of 61.2 years at the time of surgery. There were 20 cases of osteonecrosis of femoral head, 7 cases of osteoarthritis, 6 cases of femur neck fracture, and 1 case of rheumatoid arthritis...
September 2016: Hip & Pelvis
https://www.readbyqxmd.com/read/27692433/moderating-effects-of-immunosuppressive-medications-and-risk-factors-for-post-operative-joint-infection-following-total-joint-arthroplasty-in-patients-with-rheumatoid-arthritis-or-osteoarthritis
#5
Elizabeth Salt, Amanda T Wiggins, Mary Kay Rayens, Brent J Morris, David Mannino, Andrew Hoellein, Ryan P Donegan, Leslie J Crofford
OBJECTIVE: Inconclusive findings about infection risks, importantly the use of immunosuppressive medications in patients who have undergone large-joint total joint arthroplasty, challenge efforts to provide evidence-based perioperative total joint arthroplasty recommendations to improve surgical outcomes. Thus, the aim of this study was to describe risk factors for developing a post-operative infection in patients undergoing TJA of a large joint (total hip arthroplasty, total knee arthroplasty, or total shoulder arthroplasty) by identifying clinical and demographic factors, including the use of high-risk medications (i...
August 24, 2016: Seminars in Arthritis and Rheumatism
https://www.readbyqxmd.com/read/27586845/candida-induced-prosthetic-joint-infection-a-literature-review-including-72-cases-and-a-case-report
#6
Fernando Cobo, Javier Rodríguez-Granger, Enrique M López, Gemma Jiménez, Antonio Sampedro, Luis Aliaga-Martínez, José María Navarro-Marí
BACKGROUND: The clinical and microbiological characteristics of prosthetic joint infection (PJI) caused by Candida species is described, including 72 cases in the literature and a case of Candida glabrata infection handled at the present centre. METHODS: We describe one patient and using the key words 'fungal prosthetic joint infection' and 'candida prosthetic joint infection' we searched MEDLINE (National Library of Medicine, Bethesda, MD), Web of Science, CINAHL and Cochrane systematic review databases for case reports of this condition...
September 1, 2016: Infectious Diseases
https://www.readbyqxmd.com/read/27509640/ceramic-on-ceramic-total-hip-arthroplasty-in-a-twelve-year-old-patient-case-report-with-a-27-year-follow-up
#7
Ameya V Save, Arya Varthi, Paul G Talusan, Raj Gala, Stephen Nelson, Kristaps J Keggi
Total hip arthroplasty in the juvenile patient with a severely diseasedjoint can provide long-term pain relief and improvement in function. We present a patient with juvenile rheumatoid arthritis who underwent a Mittelmeier ceramic-on-ceramic total hip arthroplasty at age 12 in 1986. The implant provided the patient with a functioning hip for 24 years, but subsequently required revision due to femoral component loosening. This case report represents the longest reported clinical follow-up of noncemented, ceramic-on-ceramic total hip arthroplasty in a juvenile patient and depicts an excellent outcome at 27 years...
June 2016: Connecticut Medicine
https://www.readbyqxmd.com/read/27464243/national-trends-and-in-hospital-outcomes-in-patients-with-rheumatoid-arthritis-undergoing-elective-atlantoaxial-spinal-fusion-surgery
#8
Hiroyuki Yoshihara, Daisuke Yoneoka, Adam Margalit
OBJECTIVES: Atlantoaxial subluxation is a well-known cervical spinal disorder in rheumatoid arthritis (RA) and certain patients with this condition may need to receive atlantoaxial spinal fusion (AASF). However, there is limited information available regarding demographics and outcome trends. The purpose of this study is to present an analysis of RA patients who underwent elective AASF using national in-hospital data. METHODS: Clinical data were derived from the US Nationwide Inpatient Sample (NIS) between 2000 and 2009...
July 26, 2016: Clinical and Experimental Rheumatology
https://www.readbyqxmd.com/read/27397553/risk-factors-for-periprosthetic-joint-infection-following-primary-total-hip-or-knee-arthroplasty-a-meta-analysis
#9
Lingde Kong, Junming Cao, Yingze Zhang, Wenyuan Ding, Yong Shen
To identify risk factors for periprosthetic joint infection following primary total joint arthroplasty, a systematic search was performed in Pubmed, Embase and Cochrane library databases. Pooled odds ratios (ORs) or standardised mean differences (SMDs) with 95% confidence intervals (CIs) were calculated. Patient characteristics, surgical-related factors and comorbidities, as potential risk factors, were investigated. The main factors associated with infection after total joint arthroplasty (TJA) were male gender (OR, 1·48; 95% CI, 1...
July 10, 2016: International Wound Journal
https://www.readbyqxmd.com/read/27311446/cementless-total-hip-arthroplasty-for-patients-with-rheumatoid-arthritis-a-more-than-10-year-follow-up
#10
Takahito Yuasa, Katsuhiko Maezawa, Masahiko Nozawa, Kazuo Kaneko
BACKGROUND/PURPOSE: In this study, cementless THA was performed for RA patients, and its clinical outcomes, as well as radiographic findings and implant survival rates, were examined more than 10 years after surgery in comparison with the outcomes of the same procedure performed for patients with hip osteoarthritis (OA) during the same period. METHOD: We studied 28 cases of THA for RA clinically and radiologically at a minimum follow-up duration of 10 years. The patients consisted of 4 males and 22 females, with a mean age at the time of surgery of 53...
August 2016: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/27167420/-eleven-year-experience-with-total-ankle-arthroplasty
#11
S Popelka, A Sosna, P Vavřík, D Jahoda, V Barták, I Landor
UNLABELLED: PURPOSE OF THE STUDY Total joint replacement is one of the options in surgical treatment of advanced ankle arthritis. It allows the ankle to remain mobile but, unfortunately, it does not provide the same longevity as total knee or hip replacements. Therefore, decisions concerning the kind of treatment are very individual and depend on the clinical status and opinion of each patient. MATERIAL AND METHODS A total of 132 total ankle replacements were carried out in the period from 2004 to 2015...
2016: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
https://www.readbyqxmd.com/read/27135448/epidemiology-of-total-ankle-arthroplasty-trends-in-new-york-state
#12
Christine M Seaworth, Huong T Do, Ettore Vulcano, Sriniwasan B Mani, Stephen L Lyman, Scott J Ellis
The rate of total ankle arthroplasty (TAA) is increasing in the United States as its popularity and indications expand. There currently is no national joint registry available to monitor outcomes, and few studies have addressed the challenges faced with TAA. The purpose of this study was to evaluate the incidence, complications, and survival rates associated with TAA using a large statewide administrative discharge database. Individuals who underwent primary TAA from 1997 to 2010 were identified in the Statewide Planning and Research Cooperative System database from the New York State Department of Health...
May 1, 2016: Orthopedics
https://www.readbyqxmd.com/read/27133160/perioperative-complications-in-patients-with-inflammatory-arthropathy-undergoing-total-hip-arthroplasty
#13
Erik A Schnaser, James A Browne, Douglas E Padgett, Mark P Figgie, Michele R D'Apuzzo
BACKGROUND: Limited information exists comparing the short-term complications of the different inflammatory arthropathies (IAs) after total hip arthroplasty (THA). Our objectives were to (1) compare perioperative complications and (2) determine the most common complications between the different IA subtypes compared with patients with osteoarthritis (OA) undergoing primary THA. METHODS: The Nationwide Inpatient Sample was used to identify 2,102,238 patients undergoing elective, unilateral THA between 2002 and 2011...
October 2016: Journal of Arthroplasty
https://www.readbyqxmd.com/read/27114806/total-elbow-arthroplasty-in-the-united-states-evaluation-of-cost-patient-demographics-and-complication-rates
#14
Hanbing Zhou, Nathan D Orvets, Gabriel Merlin, Joshua Shaw, Joshua S Dines, Mark D Price, Josef K Eichinger, Xinning Li
Total elbow arthroplasty (TEA) is utilized in the treatment of rheumatoid and post-traumatic elbow arthritis. TEA is a relatively low volume surgery in comparison to other types of arthroplasty and therefore little is known about current surgical utilization, patient demographics and complication rates in the United States. The purpose of our study is to evaluate the current practice trends and associated in-patient complications of TEA at academic centers in the United States. We queried the University Health Systems Consortium administrative database from 2007 to 2011 for patients who underwent an elective TEA...
March 21, 2016: Orthopedic Reviews
https://www.readbyqxmd.com/read/27031898/metastatic-muscle-abscesses-complicating-infected-total-hip-arthroplasty
#15
Giovanni Balato, Tiziana Ascione, Massimo Mariconda, Pasquale Pagliano
A 73-year-old woman with rheumatoid arthritis presented to our institution with infection of her right total hip arthroplasty. On admission, a draining sinus tract over the hip and a palpable mass in the left lower posterior region of the neck were detected. The contrast CT scan showed a large abscess in the trapezius muscle and multiple abscesses involving muscle of the neck and right shoulder. Intraoperative specimens from the muscle abscess were positive for presumably the same methicillin-resistant Staphylococcus aureus that sustained the prosthetic joint infection...
2016: Le Infezioni in Medicina
https://www.readbyqxmd.com/read/26886847/rheumatoid-arthritis-patients-undergoing-total-hip-and-knee-arthroplasty-have-better-in-hospital-outcomes-compared-with-non-rheumatoid-arthritis-patients
#16
COMPARATIVE STUDY
Hiroyuki Yoshihara, Daisuke Yoneoka, Adam Margalit, Joseph D Zuckerman
OBJECTIVES: Rheumatoid arthritis (RA) is known to be associated with multiple comorbidities and, therefore, overall management is critical for those patients undergoing elective major orthopaedic surgeries, such as total hip arthroplasty (THA) and total knee arthroplasty (TKA). The purpose of this study was to compare in-hospital outcomes of elective THA and TKA between patients with and without RA in the US during the last decade. We hypothesised that patients with RA would have similar perioperative outcomes after elective THA and TKA...
March 2016: Clinical and Experimental Rheumatology
https://www.readbyqxmd.com/read/26781387/long-term-clinical-and-radiographic-outcomes-of-porous-tantalum-monoblock-acetabular-component-in-primary-hip-arthroplasty-a-minimum-of-15-year-follow-up
#17
Ivan De Martino, Vincenzo De Santis, Peter K Sculco, Rocco D'Apolito, Lazaros A Poultsides, Giorgio Gasparini
BACKGROUND: The porous tantalum monoblock cup has demonstrated excellent short-term and midterm clinical and radiographic outcomes in primary THA, but longer follow-up is necessary to confirm the durability of these results into the second decade. The purpose of this study is to report the clinical and radiographic outcomes for this monoblock cup with a minimum 15-year follow-up. METHODS: From June 1998 to December 1999, 61 consecutive patients (63 hips) underwent primary THA with a tantalum monoblock acetabular component...
September 2016: Journal of Arthroplasty
https://www.readbyqxmd.com/read/26539450/patient-related-medical-risk-factors-for-periprosthetic-joint-infection-of-the-hip-and-knee
#18
REVIEW
Aleeson Eka, Antonia F Chen
Despite advancements and improvements in methods for preventing infection, periprosthetic joint infection (PJI) is a significant complication following total joint arthroplasty (TJA). Prevention is the most important strategy to deal with this disabling complication, and prevention should begin with identifying patient-related risk factors. Medical risk factors, such as morbid obesity, malnutrition, hyperglycemia, uncontrolled diabetes mellitus, rheumatoid arthritis (RA), preoperative anemia, cardiovascular disorders, chronic renal failure, smoking, alcohol abuse and depression, should be evaluated and optimized prior to surgery...
September 2015: Annals of Translational Medicine
https://www.readbyqxmd.com/read/26495246/cystic-lesion-around-the-hip-joint
#19
REVIEW
Kiminori Yukata, Sho Nakai, Tomohiro Goto, Yuichi Ikeda, Yasunori Shimaoka, Issei Yamanaka, Koichi Sairyo, Jun-Ichi Hamawaki
This article presents a narrative review of cystic lesions around the hip and primarily consists of 5 sections: Radiological examination, prevalence, pathogenesis, symptoms, and treatment. Cystic lesions around the hip are usually asymptomatic but may be observed incidentally on imaging examinations, such as computed tomography and magnetic resonance imaging. Some cysts may enlarge because of various pathological factors, such as trauma, osteoarthritis, rheumatoid arthritis, or total hip arthroplasty (THA), and may become symptomatic because of compression of surrounding structures, including the femoral, obturator, or sciatic nerves, external iliac or common femoral artery, femoral or external iliac vein, sigmoid colon, cecum, small bowel, ureters, and bladder...
October 18, 2015: World Journal of Orthopedics
https://www.readbyqxmd.com/read/26455141/-cementless-total-hip-arthroplasty-and-impacted-bone-grafting-for-protrusio-acetabuli-in-patients-with-rheumatoid-arthritis
#20
Ning Lu, Yang Yang, Hong Chen, Weiqiang Li, Bo Pu, Luping Liu
OBJECTIVE: To evaluate the effectiveness of total hip arthroplasty (THA) with impacted autologous bone grafting and a cementless cup in the treatment of rheumatoid arthritis (RA) with protrusio acetabuli. METHODS: Between January 2001 and April 2009, 18 cases (20 hips) of RA with protrusio acetabuli were treated, including 6 males and 12 females with an average age of 46 years (range, 36-62 years). The disease duration was 3-10 years (mean, 6 years). Preoperative Harris score was 40...
February 2015: Chinese Journal of Reparative and Reconstructive Surgery
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