Total hip replacement in children with arthritis

Fourteen children with juvenile rheumatoid arthritis and two with ankylosing spondylitis received 29 total hip replacements (THR). The ages at THR were 12 to 18 years, the median duration of prior hip disease was 7.1 years, and the minimum followup was one year (range 1--4 years, median 2.2 years)....

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Bibliographic Details
Published inArthritis and rheumatism Vol. 21; no. 4; p. 401
Main Authors Singsen, B H, Isaacson, A S, Bernstein, B H, Patzakis, M J, Kornreich, H K, King, K K, Hanson, V
Format Journal Article
LanguageEnglish
Published United States 01.05.1978
Subjects
Adolescent
Arthritis, Juvenile - surgery
Arthroplasty - methods
Child
Child, Preschool
Female
Follow-Up Studies
Hip Joint - physiopathology
Hip Joint - surgery
Humans
Infant
Joint Prosthesis
Locomotion
Male
Movement
Spondylitis, Ankylosing - surgery
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Summary:Fourteen children with juvenile rheumatoid arthritis and two with ankylosing spondylitis received 29 total hip replacements (THR). The ages at THR were 12 to 18 years, the median duration of prior hip disease was 7.1 years, and the minimum followup was one year (range 1--4 years, median 2.2 years). The primary indication for THR was pain in 5 hips and severe malposition or flexion contractures in 24 hips. (Sixteen of these also had some degree of pain.) All 29 hips demonstrated improved postoperative range of motion, and all were free of pain. In children, active rheumatic disease in other joints, prosthesis longevity, and possible lack of adequate motivation all merit special consideration prior to THR, but the results are encouraging.
ISSN:0004-3591
DOI:10.1002/art.1780210401