Comparison of total hip arthroplasty in osteoarthritis of mechanical and rheumatologic causes

OBJECTIVE: To compare the use of uncemented implants in total hip arthroplasty in patients with rheumathologic diseases and mechanical osteoarthrosis. METHODS: We retrospectively evaluated 196 patients who were operated by the Hip and Arthroplasty Surgery Group of the IOT-HCFMUSP between 2005 and 20...

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Detalles Bibliográficos
Autores principales: Ejnisman, Leandro, Leonhardt, Nathalia Zalc, Fernandes, Laura Fillipini Lorimier, Leonhardt, Marcos de Camargo, Vicente, José Ricardo Negreiros, Croci, Alberto Tesconi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade Brasileira de Ortopedia e Traumatologia 2014
Materias:
Original Articles
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3952870/
https://www.ncbi.nlm.nih.gov/pubmed/24644419
http://dx.doi.org/10.1590/S1413-78522014000100007
Descripción
Sumario:OBJECTIVE: To compare the use of uncemented implants in total hip arthroplasty in patients with rheumathologic diseases and mechanical osteoarthrosis. METHODS: We retrospectively evaluated 196 patients who were operated by the Hip and Arthroplasty Surgery Group of the IOT-HCFMUSP between 2005 and 2009. Patients were divided into two groups: mechanical causes (165 patients) and rheumathologic causes (31 patients). Groups were compared between each other in age, gender and follow-up time. Osseointegration rate and percentage of failure in arthroplasty were evaluated. RESULTS: No statistically significant difference was found in osseointegration rates (in both femoral and acetabular components) in both groups. The rates of revision surgery and implant survival also did not show statistically significant differences. CONCLUSION: The use of uncemented total hip arthroplasty did not show worse results in rheumathologic patients. Level of Evidence III, Retrospective Case Control Study.

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