Clinic and functional evaluation of total hip and knee prostheses in patients with juvenile chronic arthritis: A 20-year experience
Results of total hip (THP) and knee (TKP) prostheses in patients with juvenile chronic arthritis (JCA) followed up in our Service were reviewed. The 40 cases evaluated (34 juvenile rheumatoid arthritis and 6 juvenile ankylosing spondylitis) received 71 prostheses (61 hips and 10 knees): 4 out of the...
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1997
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| Acceso en línea: | https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_04825004_v37_n1_p7_Espada http://hdl.handle.net/20.500.12110/paper_04825004_v37_n1_p7_Espada |
| Aporte de: |
| Sumario: | Results of total hip (THP) and knee (TKP) prostheses in patients with juvenile chronic arthritis (JCA) followed up in our Service were reviewed. The 40 cases evaluated (34 juvenile rheumatoid arthritis and 6 juvenile ankylosing spondylitis) received 71 prostheses (61 hips and 10 knees): 4 out of the 34 juvenile rheumatoid arthritis (JRA) patients received 3 or more articular replacement. In the group of 61 THP (23 bilateral), mean age at surgery was 24 years, with 85% in patients under 31 years of age. Mean postoperative follow-up was 60 months. Results were good to excellent in 46 THP (75%) and fair to poor in 15 (25%). Out of the 61 THP, infection was observed in 2 cases (3%), mechanical failure due to loosening in 7 (11%) and heterotopic ossification was found in 25 (41%). Surgical revision was required in 7 prostheses. At 47 months mean postoperative follow-up, all 6 JRA cases receiving 10 TKP (4 bilateral) proved free of clinical complications, achieving good to excellent results in 80%. Patients receiving multiple replacement due to severe grade IV functional capacity limitation enjoyed significant improvement. Total replacement of hips and knees is thus a valuable therapeutical tool for rehabilitation of JCA cases. |
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