Rapidly Progressive Osteoarthritis and Acetabular Bone Loss Outcomes for Patients Undergoing Primary Total Hip Replacement
Rapidly progressive osteoarthritis (RPO) is a rare condition which is poorly understood. Limited published literature is available. Reported here is a cohort of patients with RPO and acetabular bone loss who underwent primary THA. Risk factors, degree of acetabular bone loss and outcomes are present...
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Format: | Article |
Language: | English |
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Elsevier
2020-09-01
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Series: | Arthroplasty Today |
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Online Access: | http://www.sciencedirect.com/science/article/pii/S2352344120300698 |
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author | Paul Karayiannis, MB BCh BAO, MSC, MRCSEd Andrew Walls, MB BCh, MRCS Roslyn Cassidy, BSc (Hons), MMedSci, PhD David Beverland, MD, FRCS |
author_facet | Paul Karayiannis, MB BCh BAO, MSC, MRCSEd Andrew Walls, MB BCh, MRCS Roslyn Cassidy, BSc (Hons), MMedSci, PhD David Beverland, MD, FRCS |
author_sort | Paul Karayiannis, MB BCh BAO, MSC, MRCSEd |
collection | DOAJ |
description | Rapidly progressive osteoarthritis (RPO) is a rare condition which is poorly understood. Limited published literature is available. Reported here is a cohort of patients with RPO and acetabular bone loss who underwent primary THA. Risk factors, degree of acetabular bone loss and outcomes are presented. A typical case of RPO is described and investigations discussed. A retrospective audit was undertaken. 49 patients over an 18-year period were included. RPO patients were significantly older (P < 0.01) and had a lower BMI (P = 0.03). The mean acetabular bone loss in this cohort was 10.0 mm. Pathogenesis and risk factors for developing RPO remain unclear and future research is necessary. Repeat imaging in patients with deteriorating symptoms is important and urgent surgery is required maintain bone stock. |
first_indexed | 2024-12-13T10:03:41Z |
format | Article |
id | doaj.art-9a16e357211e417684f19248d218f58d |
institution | Directory Open Access Journal |
issn | 2352-3441 |
language | English |
last_indexed | 2024-12-13T10:03:41Z |
publishDate | 2020-09-01 |
publisher | Elsevier |
record_format | Article |
series | Arthroplasty Today |
spelling | doaj.art-9a16e357211e417684f19248d218f58d2022-12-21T23:51:36ZengElsevierArthroplasty Today2352-34412020-09-0163289295Rapidly Progressive Osteoarthritis and Acetabular Bone Loss Outcomes for Patients Undergoing Primary Total Hip ReplacementPaul Karayiannis, MB BCh BAO, MSC, MRCSEd0Andrew Walls, MB BCh, MRCS1Roslyn Cassidy, BSc (Hons), MMedSci, PhD2David Beverland, MD, FRCS3Corresponding author. Musgrave Park Hospital, 221 Mealough Road, Drumbo, Lisburn, Northern Ireland, BT27 5LE. Tel.: +447809377668.; Orthopaedic Department, Musgrave Park Hospital, Belfast, Northern Ireland, UKOrthopaedic Department, Musgrave Park Hospital, Belfast, Northern Ireland, UKOrthopaedic Department, Musgrave Park Hospital, Belfast, Northern Ireland, UKOrthopaedic Department, Musgrave Park Hospital, Belfast, Northern Ireland, UKRapidly progressive osteoarthritis (RPO) is a rare condition which is poorly understood. Limited published literature is available. Reported here is a cohort of patients with RPO and acetabular bone loss who underwent primary THA. Risk factors, degree of acetabular bone loss and outcomes are presented. A typical case of RPO is described and investigations discussed. A retrospective audit was undertaken. 49 patients over an 18-year period were included. RPO patients were significantly older (P < 0.01) and had a lower BMI (P = 0.03). The mean acetabular bone loss in this cohort was 10.0 mm. Pathogenesis and risk factors for developing RPO remain unclear and future research is necessary. Repeat imaging in patients with deteriorating symptoms is important and urgent surgery is required maintain bone stock.http://www.sciencedirect.com/science/article/pii/S2352344120300698Rapidly progressive arthritisTotal hip arthroplastyOutcomes |
spellingShingle | Paul Karayiannis, MB BCh BAO, MSC, MRCSEd Andrew Walls, MB BCh, MRCS Roslyn Cassidy, BSc (Hons), MMedSci, PhD David Beverland, MD, FRCS Rapidly Progressive Osteoarthritis and Acetabular Bone Loss Outcomes for Patients Undergoing Primary Total Hip Replacement Arthroplasty Today Rapidly progressive arthritis Total hip arthroplasty Outcomes |
title | Rapidly Progressive Osteoarthritis and Acetabular Bone Loss Outcomes for Patients Undergoing Primary Total Hip Replacement |
title_full | Rapidly Progressive Osteoarthritis and Acetabular Bone Loss Outcomes for Patients Undergoing Primary Total Hip Replacement |
title_fullStr | Rapidly Progressive Osteoarthritis and Acetabular Bone Loss Outcomes for Patients Undergoing Primary Total Hip Replacement |
title_full_unstemmed | Rapidly Progressive Osteoarthritis and Acetabular Bone Loss Outcomes for Patients Undergoing Primary Total Hip Replacement |
title_short | Rapidly Progressive Osteoarthritis and Acetabular Bone Loss Outcomes for Patients Undergoing Primary Total Hip Replacement |
title_sort | rapidly progressive osteoarthritis and acetabular bone loss outcomes for patients undergoing primary total hip replacement |
topic | Rapidly progressive arthritis Total hip arthroplasty Outcomes |
url | http://www.sciencedirect.com/science/article/pii/S2352344120300698 |
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