| Results of bilateral combined hip and knee arthroplasty in very young patients with juvenile rheumatoid arthritis. | |
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MedLine Citation:
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PMID: 17874245 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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INTRODUCTION: We evaluated the long-term outcomes for combined, bilateral total knee and hip arthroplasty performed on a group of very young patients with juvenile rheumatoid arthritis. MATERIALS AND METHODS: Six consecutive patients with a mean age of 14 years at the time of hip replacement and 16 years at knee replacement were analyzed. Five of the six patients were wheelchair dependent pre-operatively. All knee components had uncemented fixation, while the hip replacements were a mixed group of cemented and uncemented prostheses. RESULTS: Clinical and radiographic follow-up at a mean duration of 13.8 years for the hips and 17.3 years for the knees demonstrated four of the six patients were unlimited community ambulators, one a limited community ambulator and the remaining patient a household ambulator. Failure, defined as revision of any of the components or definite radiographic loosening, occurred in three knees (two patients) and five hips (three patients). CONCLUSIONS: These good long-term functional results in a relatively very young population indicate that an early and aggressive approach to multiple joint disease is an appropriate option at a young age for patients with juvenile rheumatoid arthritis with severe disability and pain refractory to conservative management. |
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Authors:
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Kevin J Mulhall; Khaled J Saleh; Corey A Thompson; Erik P Severson; David H Palmer |
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Publication Detail:
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Type: Journal Article Date: 2007-09-15 |
Journal Detail:
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Title: Archives of orthopaedic and trauma surgery Volume: 128 ISSN: 0936-8051 ISO Abbreviation: Arch Orthop Trauma Surg Publication Date: 2008 Mar |
Date Detail:
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Created Date: 2008-02-05 Completed Date: 2008-07-22 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9011043 Medline TA: Arch Orthop Trauma Surg Country: Germany |
Other Details:
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Languages: eng Pagination: 249-54 Citation Subset: IM |
Affiliation:
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Department of Orthopaedic Surgery, Mater Misericordiae University Hospital, Eccles Street, Dublin 7, Ireland. kjm@indigo.ie |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Arthritis, Juvenile Rheumatoid / physiopathology, surgery* Arthroplasty, Replacement, Hip* Arthroplasty, Replacement, Knee* Female Hip Prosthesis Humans Knee Prosthesis Prosthesis Failure Range of Motion, Articular Recovery of Function Retrospective Studies Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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