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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Autores principales: Espada, G., Riopedre, A.M., Babini, J.C., Gagliardi, S.A., Maldonado Cocco, J.A., Garcia Morteo, O.
Formato: JOUR
Materias:
hip
juvenile chronic arthritis
knee
rehabilitation
total arthroplasty
adolescent
adult
article
child
clinical article
follow up
functional assessment
human
juvenile rheumatoid arthritis
male
total hip prosthesis
total knee replacement
Acceso en línea:http://hdl.handle.net/20.500.12110/paper_04825004_v37_n1_p7_Espada
Aporte de:
Biblioteca Digital - Facultad de Ciencias Exactas y Naturales (UBA) de Universidad de Buenos Aires
id todo:paper_04825004_v37_n1_p7_Espada
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spelling todo:paper_04825004_v37_n1_p7_Espada2023-10-03T15:34:08Z Clinic and functional evaluation of total hip and knee prostheses in patients with juvenile chronic arthritis: A 20-year experience Espada, G. Riopedre, A.M. Babini, J.C. Gagliardi, S.A. Maldonado Cocco, J.A. Garcia Morteo, O. hip juvenile chronic arthritis knee rehabilitation total arthroplasty adolescent adult article child clinical article follow up functional assessment human juvenile rheumatoid arthritis male total hip prosthesis total knee replacement 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. JOUR info:eu-repo/semantics/openAccess http://creativecommons.org/licenses/by/2.5/ar http://hdl.handle.net/20.500.12110/paper_04825004_v37_n1_p7_Espada
institution Universidad de Buenos Aires
institution_str I-28
repository_str R-134
collection Biblioteca Digital - Facultad de Ciencias Exactas y Naturales (UBA)
topic hip
juvenile chronic arthritis
knee
rehabilitation
total arthroplasty
adolescent
adult
article
child
clinical article
follow up
functional assessment
human
juvenile rheumatoid arthritis
male
total hip prosthesis
total knee replacement
spellingShingle hip
juvenile chronic arthritis
knee
rehabilitation
total arthroplasty
adolescent
adult
article
child
clinical article
follow up
functional assessment
human
juvenile rheumatoid arthritis
male
total hip prosthesis
total knee replacement
Espada, G.
Riopedre, A.M.
Babini, J.C.
Gagliardi, S.A.
Maldonado Cocco, J.A.
Garcia Morteo, O.
Clinic and functional evaluation of total hip and knee prostheses in patients with juvenile chronic arthritis: A 20-year experience
topic_facet hip
juvenile chronic arthritis
knee
rehabilitation
total arthroplasty
adolescent
adult
article
child
clinical article
follow up
functional assessment
human
juvenile rheumatoid arthritis
male
total hip prosthesis
total knee replacement
description 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.
format JOUR
author Espada, G.
Riopedre, A.M.
Babini, J.C.
Gagliardi, S.A.
Maldonado Cocco, J.A.
Garcia Morteo, O.
author_facet Espada, G.
Riopedre, A.M.
Babini, J.C.
Gagliardi, S.A.
Maldonado Cocco, J.A.
Garcia Morteo, O.
author_sort Espada, G.
title Clinic and functional evaluation of total hip and knee prostheses in patients with juvenile chronic arthritis: A 20-year experience
title_short Clinic and functional evaluation of total hip and knee prostheses in patients with juvenile chronic arthritis: A 20-year experience
title_full Clinic and functional evaluation of total hip and knee prostheses in patients with juvenile chronic arthritis: A 20-year experience
title_fullStr Clinic and functional evaluation of total hip and knee prostheses in patients with juvenile chronic arthritis: A 20-year experience
title_full_unstemmed Clinic and functional evaluation of total hip and knee prostheses in patients with juvenile chronic arthritis: A 20-year experience
title_sort clinic and functional evaluation of total hip and knee prostheses in patients with juvenile chronic arthritis: a 20-year experience
url http://hdl.handle.net/20.500.12110/paper_04825004_v37_n1_p7_Espada
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