Outcome of total hip arthroplasty for avascular necrosis of the femoral head in systemic lupus erythematosus.
This study evaluated the result of total hip arthroplasty (THA) for avascular necrosis of the femur head (AVNFH) in systemic lupus erythematosus (SLE) patients. Nineteen THAs were performed on 13 patients with SLE. The results of these patients were compared with the results of the control group (19 patients) who had THR due to AVNFH with none-SLE conditions. The Harris hip score increased from a preoperative average of 65.3 points to 94.9 at the most recent follow-up. In the control group, the mean HHS was 67.2 preoperatively and 96.1 postoperatively at the last follow-up. No significant difference was found between SLE patients and non-SLE patients who underwent hip arthroplasty. In conclusion, THA is an acceptable treatment for achieving functional improvement in patients who had SLE and AVNFH.
Department of Orthopedic Surgery, School of Medicine, Inha University, Incheon, South Korea.
Min Su
MS
Woo
Department of Orthopedic Surgery, School of Medicine, Inha University, Incheon, South Korea.
Joon Soon
JS
Kang
Department of Orthopedic Surgery, School of Medicine, Inha University, Incheon, South Korea.
Kyoung Ho
KH
Moon
D000328:Adult; D019644:Arthroplasty, Replacement, Hip; D005260:Female; D005271:Femur Head Necrosis / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome
avascular necrosis of femoral head; corticosteroid; harris hip score; systemic lupus erythematosus; total hip arthroplasty