Total hip arthroplasty in patients with active psoriatic arhtritis (preliminary report)
| Autor: | E. Ya. Shpiz, D. V. Volchenko, O. A. Sozonov, I. F. Akhtiamov, A. Yu. Terskov, M. N. Velichko |
|---|---|
| Jazyk: | ruština |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
total hip arthroplasty Visual analogue scale medicine.medical_treatment Immunology Periprosthetic Diseases of the musculoskeletal system 03 medical and health sciences Psoriatic arthritis 0302 clinical medicine Rheumatology Psoriasis medicine Immunology and Allergy In patient Femur 030212 general & internal medicine 030203 arthritis & rheumatology psoriatic arthritis Rehabilitation business.industry psoriasis medicine.disease Surgery RC925-935 business Total hip arthroplasty |
| Zdroj: | Научно-практическая ревматология, Vol 59, Iss 3, Pp 344-350 (2021) |
| ISSN: | 1995-4492 1995-4484 |
| Popis: | Aim of the research – to evaluate the effectiveness, to analyze the complications and long-term results of total hip arthroplasty (THA) in patients with active psoriatic arthritis (PsA).Materials and methods. The results of THA were studied in 26 patients with PsA (19 men, 7 women; average age 54.8±3.1 years, from 38 to 56 years) up to 2 years after surgery. The diagnosis of PsA was established according to CASPAR criteria.Results. The visual analogue scale assessment showed a significant decrease in the intensity of pain in the hip joint in the postoperative period. The average DAPSA activity index before surgery was 25.9 (11–34), after 2 months – 31.3 (16–38), after 6 months – 30.5 (12–37), with a further decrease to 26.1 (12–35) by 24th month. The results of clinical and functional assessment according to Harris in 19 (73%) patients corresponded to an excellent level, in 7 (27%) – to a good level. No infectious, thromboembolic complications were detected. In 1 (4%) patient periprosthetic intraoperative fracture of the femur was diagnosed No new skin psoriatic elements in the field of surgical intervention was fixed.Conclusion. Our data indicate the effectiveness of THA in active PsA, provided that the requirements for careful planning of the intervention, prevention of possible complications and an individualized approach to rehabilitation are met. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|