Total hip arthroplasty in patients with active psoriatic arhtritis (preliminary report)
https://doi.org/10.47360/1995-4484-2021-344-350
Abstract
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.
About the Authors
D. V. Volchenko
State Research Center – Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency
Russian Federation
Russian Federation
123098, Moscow, Marshala Novikova str., 23
I. F. Akhtiamov
Kazan State Medical University
Russian Federation
Russian Federation
420012, Kazan, Butlerova str., 49
A. Yu. Terskov
State Research Center – Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency
Russian Federation
Russian Federation
123098, Moscow, Marshala Novikova str., 23
O. A. Sozonov
State Research Center – Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency
Russian Federation
Russian Federation
123098, Moscow, Marshala Novikova str., 23
M. N. Velichko
State Research Center – Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency
Russian Federation
Russian Federation
123098, Moscow, Marshala Novikova str., 23
E. Ya. Shpiz
State Research Center – Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency
Russian Federation
Russian Federation
123098, Moscow, Marshala Novikova str., 23
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For citations:
Volchenko D.V., Akhtiamov I.F., Terskov A.Yu., Sozonov O.A., Velichko M.N., Shpiz E.Ya. Total hip arthroplasty in patients with active psoriatic arhtritis (preliminary report). Rheumatology Science and Practice. 2021;59(3):344-350. (In Russ.) https://doi.org/10.47360/1995-4484-2021-344-350
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