Bipolar hemiarthroplasty in juvenile rheumatoid arthritis: long-term survivorship and outcomes.

Because controversy surrounds the management of end-stage hip disease in juvenile rheumatoid arthritis (JRA), this study evaluated the long-term outcome of bipolar hemiarthroplasty as an alternative to conventional joint arthroplasty. A total of 24 JRA patients underwent 39 hemiarthroplasties; follow-up averaged 12 years (range, 3 to 15 years). There were 14 hips (36%) revised, and 25 hips (64%) maintained the original components. Mean Harris hip scores in surviving hips improved from 29 to 69 points (P<.001). Radiographs showed progressive bipolar superomedial migration (P<.01) despite attempted augmentation. Failure defined as revision to total hip arthroplasty or definite radiographic loosening occurred in 15 hips (38%). Ten-year Kaplan-Meier survivorship for all prostheses was 78%. Independent multivariate risk factors for failure included acetabular grafting (P =.006), prosthesis type (P<.001), and unilateral replacement (P<.001).

[1]  R. Malhotra,et al.  Bipolar hip arthroplasty in ankylosing spondylitis , 2004, Archives of Orthopaedic and Trauma Surgery.

[2]  M. Swann,et al.  Uncemented total hip arthroplasty in young patients with juvenile chronic arthritis. , 1998, Annals of the Royal College of Surgeons of England.

[3]  D. Haber,et al.  Total hip arthroplasty in juvenile chronic arthritis: a consecutive series. , 1998, The Journal of arthroplasty.

[4]  H. Kautiainen,et al.  SURVIVORSHIP OF THE CHARNLEY TOTAL HIP ARTHROPLASTY IN JUVENILE CHRONIC ARTHRITIS: A FOLLOW-UP OF 186 CASES FOR 22 YEARS , 1997 .

[5]  H. Kautiainen,et al.  Survivorship of the Charnley total hip arthroplasty in juvenile chronic arthritis. A follow-up of 186 cases for 22 years. , 1997, The Journal of bone and joint surgery. British volume.

[6]  T. Ochi,et al.  Acetabular osteolysis and migration in bipolar arthroplasty of the hip: five- to 13-year follow-up study. , 1997, The Journal of bone and joint surgery. British volume.

[7]  C. Sledge,et al.  Total Hip Arthroplasty with Cement for Juvenile Rheumatoid Arthritis. Results at a Minimum of Ten Years in Patients Less Than Thirty Years Old* , 1997, The Journal of bone and joint surgery. American volume.

[8]  R. Pandit.  Bipolar femoral head arthroplasty in osteoarthritis. A prospective study with a minimum 5-year follow-up period. , 1996, The Journal of arthroplasty.

[9]  D. Prieskorn,et al.  Bipolar hemiarthroplasty for primary osteoarthritis of the hip. , 1994, Orthopedics.

[10]  P. Lachiewicz.  Porous-coated total hip arthroplasty in rheumatoid arthritis. , 1994, The Journal of arthroplasty.

[11]  H. Kaufer,et al.  Two-year follow up of bipolar hemiarthroplasty. , 1993, Orthopedics.

[12]  Z. Marić,et al.  Total Hip Arthroplasty in Juvenile Rheumatoid Arthritis , 1993, Clinical orthopaedics and related research.

[13]  Z. Marić.  Total hip arthroplasty in juvenile rheumatoid arhtritis. , 1993 .

[14]  Granberry Wm,et al.  Long-term results of total arthroplasty in adolescents with debilitating polyarthropathy. , 1992 .

[15]  A. Crawford,et al.  Hip involvement in juvenile rheumatoid arthritis. , 1992, Journal of pediatric orthopedics.

[16]  H. Tullos,et al.  Long-term results of total arthroplasty in adolescents with debilitating polyarthropathy. , 1992, Clinical orthopaedics and related research.

[17]  R. Wood,et al.  Long-term follow-up of cemented total hip arthroplasty in rheumatoid arthritis. , 1991, Clinical orthopaedics and related research.

[18]  J. Witt,et al.  Total hip replacement for juvenile chronic arthritis. , 1991, The Journal of bone and joint surgery. British volume.

[19]  P. D. Wilson,et al.  Acetabular reconstruction with a bipolar prosthesis and morseled bone grafts. , 1990, The Journal of bone and joint surgery. American volume.

[20]  E. Vazquez-Vela,et al.  The Bateman Bipolar Prosthesis in Osteoarthritis and Rheumatoid Arthritis A Review of 400 Cases , 1990, Clinical Orthopaedics and Related Research.

[21]  R. Poss,et al.  The fate of acetabular allografts after bipolar revision arthroplasty of the hip. A radiographic review. , 1989, The Journal of bone and joint surgery. American volume.

[22]  I. Learmonth,et al.  Radiological loosening after cemented hip replacement for juvenile chronic arthritis. , 1989, The Journal of bone and joint surgery. British volume.

[23]  J. Baum,et al.  Involvement of the hip in juvenile rheumatoid arthritis. A longitudinal study. , 1988, The Journal of bone and joint surgery. American volume.

[24]  F. Dorey,et al.  Survivorship comparison of THARIES and conventional hip arthroplasty in patients younger than 40 years old. , 1987, Clinical orthopaedics and related research.

[25]  C. Engh,et al.  Porous-coated hip replacement. The factors governing bone ingrowth, stress shielding, and clinical results. , 1987, The Journal of bone and joint surgery. British volume.

[26]  Willems Wj,et al.  Gerard cup arthroplasty in inflammatory arthropathy of the hip. , 1986 .

[27]  C. Ranawat,et al.  Total hip arthroplasty in juvenile rheumatoid arthritis. Two to eleven-year results. , 1986, The Journal of bone and joint surgery. American volume.

[28]  B. Ansell,et al.  Total hip replacement in children with juvenile chronic arthritis. , 1986, The Journal of bone and joint surgery. British volume.

[29]  W. Willems,et al.  Gerard cup arthroplasty in inflammatory arthropathy of the hip. , 1986, Clinical orthopaedics and related research.

[30]  W. Harris,et al.  Failed total hip replacement: assessment by plain radiographs, arthrograms, and aspiration of the hip joint. , 1984, The Journal of bone and joint surgery. American volume.

[31]  L. Lidgren,et al.  Surface replacement of the hip in chronic arthritis. A clinical, radiographic and roentgen stereophotogrammetric evaluation. , 1982, Acta orthopaedica Scandinavica.

[32]  Sokal Rr,et al.  Biometry: the principles and practice of statistics in biological research 2nd edition. , 1981 .

[33]  J. Colville,et al.  Total hip replacement in juvenile rheumatoid arthritis. Analysis of 59 hips. , 1979, Acta orthopaedica Scandinavica.

[34]  C. Ranawat,et al.  Joint replacement surgery in patients under thirty. , 1976, The Journal of bone and joint surgery. American volume.

[35]  F. James Rohlf,et al.  Biometry: The Principles and Practice of Statistics in Biological Research , 1969 .

[36]  E. Kaplan,et al.  Nonparametric Estimation from Incomplete Observations , 1958 .

[37]  D.,et al.  Regression Models and Life-Tables , 2022 .