Rapidly Progressive Osteoarthritis and Acetabular Bone Loss Outcomes for Patients Undergoing Primary Total Hip Replacement

Rapidly progressive osteoarthritis (RPO) is a rare condition which is poorly understood. Limited published literature is available. Reported here is a cohort of patients with RPO and acetabular bone loss who underwent primary THA. Risk factors, degree of acetabular bone loss and outcomes are present...

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Autores principales: Karayiannis, Paul, Walls, Andrew, Cassidy, Roslyn, Beverland, David
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Arthroplasty in Patients with Rare Condition
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7264958/
https://www.ncbi.nlm.nih.gov/pubmed/32509941
http://dx.doi.org/10.1016/j.artd.2020.04.005
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author Karayiannis, Paul
Walls, Andrew
Cassidy, Roslyn
Beverland, David
author_facet Karayiannis, Paul
Walls, Andrew
Cassidy, Roslyn
Beverland, David
author_sort Karayiannis, Paul
collection PubMed
description Rapidly progressive osteoarthritis (RPO) is a rare condition which is poorly understood. Limited published literature is available. Reported here is a cohort of patients with RPO and acetabular bone loss who underwent primary THA. Risk factors, degree of acetabular bone loss and outcomes are presented. A typical case of RPO is described and investigations discussed. A retrospective audit was undertaken. 49 patients over an 18-year period were included. RPO patients were significantly older (P < 0.01) and had a lower BMI (P = 0.03). The mean acetabular bone loss in this cohort was 10.0 mm. Pathogenesis and risk factors for developing RPO remain unclear and future research is necessary. Repeat imaging in patients with deteriorating symptoms is important and urgent surgery is required maintain bone stock.
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spelling pubmed-72649582020-06-05 Rapidly Progressive Osteoarthritis and Acetabular Bone Loss Outcomes for Patients Undergoing Primary Total Hip Replacement Karayiannis, Paul Walls, Andrew Cassidy, Roslyn Beverland, David Arthroplast Today Arthroplasty in Patients with Rare Condition Rapidly progressive osteoarthritis (RPO) is a rare condition which is poorly understood. Limited published literature is available. Reported here is a cohort of patients with RPO and acetabular bone loss who underwent primary THA. Risk factors, degree of acetabular bone loss and outcomes are presented. A typical case of RPO is described and investigations discussed. A retrospective audit was undertaken. 49 patients over an 18-year period were included. RPO patients were significantly older (P < 0.01) and had a lower BMI (P = 0.03). The mean acetabular bone loss in this cohort was 10.0 mm. Pathogenesis and risk factors for developing RPO remain unclear and future research is necessary. Repeat imaging in patients with deteriorating symptoms is important and urgent surgery is required maintain bone stock. Elsevier 2020-06-01 /pmc/articles/PMC7264958/ /pubmed/32509941 http://dx.doi.org/10.1016/j.artd.2020.04.005 Text en © 2020 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Arthroplasty in Patients with Rare Condition
Karayiannis, Paul
Walls, Andrew
Cassidy, Roslyn
Beverland, David
Rapidly Progressive Osteoarthritis and Acetabular Bone Loss Outcomes for Patients Undergoing Primary Total Hip Replacement
title Rapidly Progressive Osteoarthritis and Acetabular Bone Loss Outcomes for Patients Undergoing Primary Total Hip Replacement
title_full Rapidly Progressive Osteoarthritis and Acetabular Bone Loss Outcomes for Patients Undergoing Primary Total Hip Replacement
title_fullStr Rapidly Progressive Osteoarthritis and Acetabular Bone Loss Outcomes for Patients Undergoing Primary Total Hip Replacement
title_full_unstemmed Rapidly Progressive Osteoarthritis and Acetabular Bone Loss Outcomes for Patients Undergoing Primary Total Hip Replacement
title_short Rapidly Progressive Osteoarthritis and Acetabular Bone Loss Outcomes for Patients Undergoing Primary Total Hip Replacement
title_sort rapidly progressive osteoarthritis and acetabular bone loss outcomes for patients undergoing primary total hip replacement
topic Arthroplasty in Patients with Rare Condition
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7264958/
https://www.ncbi.nlm.nih.gov/pubmed/32509941
http://dx.doi.org/10.1016/j.artd.2020.04.005
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