Total hip arthroplasty in rapidly progressive osteoarthritis of the hip: clinical and radiological outcome of a consecutive series of patients.

Total hip arthroplasty in rapidly progressive osteoarthritis of the hip: clinical and radiological outcome of a consecutive series of patients. J Biol Regul Homeost Agents. 2018 Nov-Dec;32(6 Suppl. 1):201-207 Authors: Chompoosang T, D'Apolito R, Lacagnina C, Peretti G, Zagra L Abstract Rapidly progressive osteoarthritis (RPOA) is an uncommon subset of osteoarthritis (OA) characterized by rapid joint degeneration and destruction. The treatment of choice for these patients has traditionally been total hip arthroplasty (THA) because nonoperative treatments modalities are not effective. RPOA can lead to acetabular bone loss and consequently intraoperative technical difficulties making joint reconstruction in such patients a challenge for the surgeon. The purpose of this study was to determine the clinical and radiological results of patients suffering from RPOA and treated with hybrid or cementless THA at a single institution. We retrospectively review of all patients who underwent THA for RPOA from January 2011 to December 2016. Twenty-three hips in twenty-one patients were included in this study, with a mean age at surgery of 74 years (range, 41-82) and a mean follow-up of 30 months (range, 24-60). In all patients an uncemented cup, either plasma-spray or trabecular titanium, was implanted. In eighteen cases a cemented femoral stem was used. In eight cases autologous bone graft was used to replace the acetabular defect. Radiographic an...
Source: Journal of Biological Regulators and Homeostatic Agents - Category: Biomedical Science Tags: J Biol Regul Homeost Agents Source Type: research