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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Main Authors: Paul Karayiannis, MB BCh BAO, MSC, MRCSEd, Andrew Walls, MB BCh, MRCS, Roslyn Cassidy, BSc (Hons), MMedSci, PhD, David Beverland, MD, FRCS
Format: Article
Language:English
Published: Elsevier 2020-09-01
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.
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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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