Long-term outcomes of total hip arthroplasty in patients with ankylosing spondylitis
https://doi.org/10.14412/1996-7012-2026-2-68-73
Abstract
Objective: to evaluate the long-term outcomes of cementless total hip arthroplasty (THA) in patients with ankylosing spondylitis (AS).
Material and methods. This retrospective study included 30 patients with AS who underwent THA between 1998 and 2018. Complaints, pain intensity assessed by a visual analog scale (VAS), medical history, therapy for the underlying disease, orthopedic status, hip function assessed by the HHS, and operative parameters were evaluated. We also recorded subjective satisfaction with surgery according the SHV questionnaire, as well as complications and revision procedures. Patients were followed up for a mean of 13.7 years.
Results and discussion. Mean HHS before surgery was 43.1 points and 86.7 points at long-term follow-up (p=0.001); VAS pain level was 72.3 mm and 20.8 mm, respectively (p=0.001). A good or excellent subjective assessment of surgery was reported by 87% of patients. Periprosthetic femoral fractures were diagnosed in 2 (4.2%) patients and did not require reoperation. Over the follow-up period, two revision THA procedures were performed due to polyethylene liner wear (4.16%).
Conclusion. In AS patients with hip involvement, cementless THA provided good long-term functional outcomes. Complications were rare.
Supporting agencies: The article was prepared within the framework of the fundamental research project №12304180014-0.
About the Authors
I. V. Polevoy
V.A. Nasonova Research Institute of Rheumatology
Russian Federation
Russian Federation
34A, Kashirskoe Shosse, Moscow 115522
A. O. Dubinin
V.A. Nasonova Research Institute of Rheumatology
Russian Federation
Russian Federation
34A, Kashirskoe Shosse, Moscow 115522
A. A. Roskidailo
V.A. Nasonova Research Institute of Rheumatology
Russian Federation
Russian Federation
Anastasia Aleksandrovna Roskidailo
34A, Kashirskoe Shosse, Moscow 115522
M. A. Makarov
V.A. Nasonova Research Institute of Rheumatology
Russian Federation
Russian Federation
34A, Kashirskoe Shosse, Moscow 115522
A. M. Lila
V.A. Nasonova Research Institute of Rheumatology ; Russian Medical Academy of Continuing Professional Education, Ministry of Health of Russia
Russian Federation
Russian Federation
34A, Kashirskoe Shosse, Moscow 115522
2/1, Barrikadnaya Street, Build. 1, Moscow 125993
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For citations:
Polevoy IV, Dubinin AO, Roskidailo AA, Makarov MA, Lila AM. Long-term outcomes of total hip arthroplasty in patients with ankylosing spondylitis. Sovremennaya Revmatologiya=Modern Rheumatology Journal. 2026;20(2):68-73. (In Russ.) https://doi.org/10.14412/1996-7012-2026-2-68-73
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