Primary Total Hip Arthroplasty in Patients With Ehlers-Danlos Syndrome: A Retrospective Matched-Cohort Study.
Complications
Connective tissue disorder
Dislocation
Ehlers-Danlos syndrome
Total hip arthroplasty
Journal
Arthroplasty today
ISSN: 2352-3441
Titre abrégé: Arthroplast Today
Pays: United States
ID NLM: 101681808
Informations de publication
Date de publication:
Sep 2020
Sep 2020
Historique:
received:
30
04
2020
revised:
07
05
2020
accepted:
08
05
2020
entrez:
25
6
2020
pubmed:
25
6
2020
medline:
25
6
2020
Statut:
epublish
Résumé
Ehlers-Danlos syndromes (EDSs) are connective-tissue disorders resulting in joint laxity. Soft-tissue stability is a concern in these patients when they undergo total hip arthroplasty (THA). Our purpose was to compare THAs in the population with EDS with a matched control undergoing THA for osteoarthritis. Thirteen patients with EDS underwent THA from 1997 to 2017. Matching was 1:3 with a control group of patients who underwent THA for osteoarthritis. Matching was based on the gender, age, and length of follow-up. We found no difference in demographics or postoperative Harris Hip Scores between the cohorts ( Patients with EDS have a significant improvement in postoperative Harris Hip Scores after THA. These patients also have a high dislocation rate after surgery, and alternative approaches and technologies such as dual-mobility components should be considered to reduce the rate of dislocation in this population.
Sections du résumé
BACKGROUND
BACKGROUND
Ehlers-Danlos syndromes (EDSs) are connective-tissue disorders resulting in joint laxity. Soft-tissue stability is a concern in these patients when they undergo total hip arthroplasty (THA). Our purpose was to compare THAs in the population with EDS with a matched control undergoing THA for osteoarthritis.
METHODS
METHODS
Thirteen patients with EDS underwent THA from 1997 to 2017. Matching was 1:3 with a control group of patients who underwent THA for osteoarthritis. Matching was based on the gender, age, and length of follow-up.
RESULTS
RESULTS
We found no difference in demographics or postoperative Harris Hip Scores between the cohorts (
CONCLUSION
CONCLUSIONS
Patients with EDS have a significant improvement in postoperative Harris Hip Scores after THA. These patients also have a high dislocation rate after surgery, and alternative approaches and technologies such as dual-mobility components should be considered to reduce the rate of dislocation in this population.
Identifiants
pubmed: 32577483
doi: 10.1016/j.artd.2020.05.006
pii: S2352-3441(20)30090-X
pmc: PMC7303917
doi:
Types de publication
Journal Article
Langues
eng
Pagination
386-389Informations de copyright
© 2020 The Authors.
Références
Arthritis Rheum. 2011 Jul;63(7):1979-87
pubmed: 21391202
Am J Med Genet C Semin Med Genet. 2017 Mar;175(1):188-194
pubmed: 28192621
Clin Orthop Relat Res. 2000 Jul;(376):213-21
pubmed: 10906878
J Arthroplasty. 2019 Feb;34(2):315-318
pubmed: 30482663
Br J Surg. 1969 Apr;56(4):255-9
pubmed: 4952906
Am J Med Genet. 1998 Apr 28;77(1):31-7
pubmed: 9557891
Open Orthop J. 2015 May 15;9:157-62
pubmed: 26157532
J Pain Symptom Manage. 2010 Sep;40(3):370-8
pubmed: 20579833
J Bone Joint Surg Am. 1969 Jun;51(4):737-55
pubmed: 5783851
Clin Orthop Relat Res. 1993 Jan;(286):250-6
pubmed: 8425354
Sports Health. 2012 Sep;4(5):394-403
pubmed: 23016112
Arthroscopy. 2015 Dec;31(12):2287-94
pubmed: 26198768
Arthritis Care Res (Hoboken). 2012 Oct;64(10):1584-92
pubmed: 22556148
J Orthop Sci. 2012 Jan;17(1):87-9
pubmed: 21590296
Am J Med Genet A. 2010 Mar;152A(3):556-64
pubmed: 20140961
BMC Musculoskelet Disord. 2015 Apr 15;16:89
pubmed: 25880527
J Arthroplasty. 2016 Dec;31(12):2886-2888
pubmed: 27378635
J Arthroplasty. 2004 Feb;19(2):190-6
pubmed: 14973862
N Engl J Med. 2000 Mar 9;342(10):673-80
pubmed: 10706896
Am J Orthop (Belle Mead NJ). 1999 Jul;28(7):406-9
pubmed: 10426439
J Bone Joint Surg Am. 2005 Nov;87(11):2456-63
pubmed: 16264121
Ann Rheum Dis. 1971 Sep;30(5):481-6
pubmed: 5112469
J Arthroplasty. 2019 Mar;34(3):594-603
pubmed: 30554926