Cementless Total Hip Arthroplasty in Patients with Rheumatoid Arthritis Using a Tapered Designed Titanium Hip Stem Minimum: 10-year Results
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The results of cementless tapered designed femoral stem were studied at a minimum 10-year follow-up in a non-selected, consecutive group of 27 patients (39 hips) with rheumatoid arthritis. Clinical and radiological analyses were performed in 27 hips, 17 patients (mean age at surgery 45 years) after a mean of 12 years. The postoperative Harris hip score was excellent for 14 hips, 9 hips were rated as good and 4 hips were fair or poor. No stem had to be revised for aseptic loosening. Proximal stress shielding was observed in 26 hips (96%); heterotopic ossification was present in 11 hips (41%). Six hips required revision of the acetabular component. With uncemented tapered femoral fixation excellent 12-year results are achieved in patients with rheumatoid arthritis.
Perioperative Considerations for Hip Arthroplasty in Patients with Rheumatoid Arthritis.
Kim S, Park H, Lee K Hip Pelvis. 2024; 36(4):250-259.
PMID: 39620566 PMC: 11638756. DOI: 10.5371/hp.2024.36.4.250.
RADIOGRAPHIC EVALUATION OF OSSEOINTEGRATION OF UNCEMENTED TARGOS® STEMS. A 5-YEAR FOLLOW-UP.
Miyahara H, Narciso J, Correa J, Vicente J, Ejnisman L, Rudelli B Acta Ortop Bras. 2022; 30(spe2):e250098.
PMID: 36506860 PMC: 9721410. DOI: 10.1590/1413-785220223002e250098.
Yuasa T, Maezawa K, Nozawa M, Kaneko K Eur J Orthop Surg Traumatol. 2016; 26(6):599-603.
PMID: 27311446 DOI: 10.1007/s00590-016-1804-9.
[Large-joint synovectomy in the era of biological therapies].
Carl H, Rech J Z Rheumatol. 2011; 70(1):9-13.
PMID: 21267735 DOI: 10.1007/s00393-010-0679-0.