Comparison of total hip arthroplasty in osteoarthritis of mechanical and rheumatologic causes

Objective: To compare the use of uncemented implants in total hip arthroplasty in patients with rheumathologic diseases and mechanical osteoarthrosis. Methods: We retrospectively evaluated 196 patients who were operated by the Hip and Arthroplasty Surgery Group of the IOT-HCFMUSP between 2005 and 2009. Patients were divided into two groups: mechanical causes (165 patients) and rheumathologic causes (31 patients). Groups were compared between each other in age, gender and follow-up time. Osseointegration rate and percentage of failure in arthroplasty were evaluated. Results: No statistically significant difference was found in osseointegration rates (in both femoral and acetabular components) in both groups. The rates of revision surgery and implant survival also did not show statistically significant differences. Conclusion: The use of uncemented total hip arthroplasty did not show worse results in rheumathologic patients. Level of Evidence III, Retrospective Case Control Study.

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Main Authors: Ejnisman,Leandro, Leonhardt,Nathalia Zalc, Fernandes,Laura Fillipini Lorimier, Leonhardt,Marcos de Camargo, Vicente,José Ricardo Negreiros, Croci,Alberto Tesconi
Format: Digital revista
Language:English
Published: ATHA EDITORA 2014
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522014000100038
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spelling oai:scielo:S1413-785220140001000382014-03-28Comparison of total hip arthroplasty in osteoarthritis of mechanical and rheumatologic causesEjnisman,LeandroLeonhardt,Nathalia ZalcFernandes,Laura Fillipini LorimierLeonhardt,Marcos de CamargoVicente,José Ricardo NegreirosCroci,Alberto Tesconi Arthroplasty, replacement, hip Arthritis, rheumatoid Cementation Osseointegration Objective: To compare the use of uncemented implants in total hip arthroplasty in patients with rheumathologic diseases and mechanical osteoarthrosis. Methods: We retrospectively evaluated 196 patients who were operated by the Hip and Arthroplasty Surgery Group of the IOT-HCFMUSP between 2005 and 2009. Patients were divided into two groups: mechanical causes (165 patients) and rheumathologic causes (31 patients). Groups were compared between each other in age, gender and follow-up time. Osseointegration rate and percentage of failure in arthroplasty were evaluated. Results: No statistically significant difference was found in osseointegration rates (in both femoral and acetabular components) in both groups. The rates of revision surgery and implant survival also did not show statistically significant differences. Conclusion: The use of uncemented total hip arthroplasty did not show worse results in rheumathologic patients. Level of Evidence III, Retrospective Case Control Study. info:eu-repo/semantics/openAccessATHA EDITORAActa Ortopédica Brasileira v.22 n.1 20142014-01-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522014000100038en10.1590/S1413-78522014000100007
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language English
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author Ejnisman,Leandro
Leonhardt,Nathalia Zalc
Fernandes,Laura Fillipini Lorimier
Leonhardt,Marcos de Camargo
Vicente,José Ricardo Negreiros
Croci,Alberto Tesconi
spellingShingle Ejnisman,Leandro
Leonhardt,Nathalia Zalc
Fernandes,Laura Fillipini Lorimier
Leonhardt,Marcos de Camargo
Vicente,José Ricardo Negreiros
Croci,Alberto Tesconi
Comparison of total hip arthroplasty in osteoarthritis of mechanical and rheumatologic causes
author_facet Ejnisman,Leandro
Leonhardt,Nathalia Zalc
Fernandes,Laura Fillipini Lorimier
Leonhardt,Marcos de Camargo
Vicente,José Ricardo Negreiros
Croci,Alberto Tesconi
author_sort Ejnisman,Leandro
title Comparison of total hip arthroplasty in osteoarthritis of mechanical and rheumatologic causes
title_short Comparison of total hip arthroplasty in osteoarthritis of mechanical and rheumatologic causes
title_full Comparison of total hip arthroplasty in osteoarthritis of mechanical and rheumatologic causes
title_fullStr Comparison of total hip arthroplasty in osteoarthritis of mechanical and rheumatologic causes
title_full_unstemmed Comparison of total hip arthroplasty in osteoarthritis of mechanical and rheumatologic causes
title_sort comparison of total hip arthroplasty in osteoarthritis of mechanical and rheumatologic causes
description Objective: To compare the use of uncemented implants in total hip arthroplasty in patients with rheumathologic diseases and mechanical osteoarthrosis. Methods: We retrospectively evaluated 196 patients who were operated by the Hip and Arthroplasty Surgery Group of the IOT-HCFMUSP between 2005 and 2009. Patients were divided into two groups: mechanical causes (165 patients) and rheumathologic causes (31 patients). Groups were compared between each other in age, gender and follow-up time. Osseointegration rate and percentage of failure in arthroplasty were evaluated. Results: No statistically significant difference was found in osseointegration rates (in both femoral and acetabular components) in both groups. The rates of revision surgery and implant survival also did not show statistically significant differences. Conclusion: The use of uncemented total hip arthroplasty did not show worse results in rheumathologic patients. Level of Evidence III, Retrospective Case Control Study.
publisher ATHA EDITORA
publishDate 2014
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522014000100038
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