[Differences between rheumatoid and degenerative disease in total hip replacement].
The aim of this study was to compare total hip replacement (THR) in rheumatoid and osteoarthritic patients. Ten rheumatoid and ten osteoarthritic patients undergoing THR were compared with respect to preoperative diagnostics, operative therapy, nursing and rehabilitation. Statistically significant differences existed between the groups: In rheumatoid patients, radiographic diagnostics were more extensive ( P=0.0021), surgery time was extended ( P=0.0355), referrals to non-orthopedic subspecialties were more frequent ( P=0.0524) and rehabilitation was more extensive ( P=0.0000). The groups were not significantly different with respect to the duration of hospitalisation, preoperative hemoglobin, perioperative blood loss, transfusion requirements, duration of intensive care and nursing requirements. THR in the rheumatoid population required additional resources during inpatient therapy in comparison to THR in osteoarthritic patients.
Rittmeister
M
M
Abteilung für Rheumaorthopädie, Johann Wolfgang Goethe-Universität, Frankfurt am Main. merrittmeister@aol.com
Schwinnen
I
I
Rehart
S
S
Kerschbaumer
F
F
D000328:Adult; D000368:Aged; D001172:Arthritis, Rheumatoid / Q000000981:diagnostic imaging / Q000191:economics / Q000601:surgery*; D003365:Costs and Cost Analysis; D005260:Female; D005858:Germany; D006621:Hip Joint / Q000000981:diagnostic imaging / Q000601:surgery*; D006622:Hip Prosthesis / Q000191:economics; D017721:Hospital Costs / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D015207:Osteoarthritis, Hip / Q000000981:diagnostic imaging / Q000191:economics / Q000601:surgery*; D010348:Patient Care Team / Q000191:economics; D011859:Radiography; D012189:Retrospective Studies