Research objective: to improve the outcomes of surgical treatment in patients with ankylosing spondyloarthritis. Materials and research methods. The research included 99 patients with ankylosing spondyloarthritis who underwent total hip arthroplasty in the Department of Adult Orthopedics of the Research Institute of Traumatology and Orthopedics and the Department of Traumatology of the Republican Clinical Hospital No. 1 in the period 2011 to 2020. During the research we used a device designed by us for determining the insertion depth of the acetabular component of the hip implant (utility model patent provided by the Intellectual Property Agency, FAP 2015 0108 dated July 7, 2015). As well we applied a device for hip joints motion development (utility model patent FAP 2016 0077 dated June 17, 2016). The absolute values of the functional state of patients before THA were assessed on the Oberg scale. Results. According to the results of research, it was established that hip joint dysfunctions depended on the intensity of clinical signs and AS of 3 and 4 stages was the indication for THA. Besides, in the treatment of patients with AS, the use of cementless endoprosthesis allowed to widely implement the method of hip arthroplasty. In cases of patients with AS associated with severe osteoporosis, protrusive coxitis and defects in the acetabulum walls, the operation of choice was THA using bone cement. Alongside with this, during the surgery, we used the device to determine the depth of the acetabular component, which facilitated the performance of the surgical intervention and reduced postoperative complications. Conclusion. Evaluation of long-term outcomes of treatment showed that indicators of good results in the core group were significantly higher compared to the control. According to the results, THA in patients with AS, regardless of age, is the effective method of surgical treatment that eliminates pain and improves the patient's quality of life.
1. Azizov M. J. Orthopedic-surgical treatment of the hip and knee joints affected by rheumatoid arthritis: Dissertation for the degree of M.D. - T., 1995. - P. 250. 2. Azizov M. J., Alimov A. P. [et al.] Ten-year experience of hip replacement in the clinic of SPITO MH RUz // Surgery of Uzbekistan - Tashkent, 2011. – No.2 - P. 6-12. 3. Akramov V.R. Features of hip arthroplasty for anatomical dysfunctions of the acetabulum // Bulletin of the Physicians Association of Uzbekistan. - Tashkent, 2011. – No.3 - P. 94-97 4. Babashev A.S. Features of total hip replacement in patients with rheumatoid arthritis and ankylosing spondylitis: Diss. for degree of Cand. medical sciences: (14.00.22 and 14.00. 16.). - М , - 2006. – P. 151. 5. Garkavenko Yu. E. Recovery of the lower limb length after total hip replacement in children (first outcomes // The Genius of Orthopedics, - Tashkent, 2013. – No.3. – P.23-26. 6. Zagorodniy N.V. Results of the use of monolithic and modular femoral components in revision hip replacement / I.V. Zagorodniy, V.I. Nuzhdin, K. M. Bukhtin, S.V. Kagramanov // Bulletin of Traumatology and Orthopedics named after N.N. Priorov. - M., 2013. – No.1 – P. 18-26. 7. Zagorodny N.V., Nuzhdin V.I. Osteoplastic replacement of acetabular defects during revision hip arthroplasty // Bulletin of Traumatology and Orthopedics after the name of N.N. Priorov. - M., 2013 .—No.4 - P. 29-33. 8. Skoroglyadov A. V., But-Guasim I. V., Sirotin I. V., Mkrtchyan V. A. Solid friction pairs in hip arthroplasty. Pros and cons // Russian medical journal. - M., 2014 .—Vol. 20, No.6. - P. 48-53. 9. Bou MJ, Parekh A, Osmani F, Gonzalez M// Failed Total Hip Arthroplasty//JBJS Reviews - Review Articles: 13 November 2018 - Volume 6 - Issue 11 - P. e3-e3 10. Chen Q, Liu W, Gao H, Shi M, Lian Y. Short- and medium-term effectivenesses of stemless hip arthroplasty for treating hip joint disease in young and middle-aged patients // Zhongguo Xiu Fu Chong Jian WaiKeZaZhi. 2014 Sep Chinese 11. Feng JE, Anoushiravani AA, Eftekhary N, Wiznia D, Schwarzkopf R, Vigdorchik JM. Techniques for Optimizing Acetabular Component Positioning in Total Hip Arthroplasty// JBJS Reviews - Review Articles: 19 February 2019 - Volume 7 - Issue 2 - p. e5-e5 12. Lapshina S, Akhtyamov I, Gilmutdinov I, Myasoutova L. Hip arthroplasty in patients with ankylosing spondylitis – clinical and functional efficiency// Annals of the Rheumatic Diseases Jun 2017, 76 (Suppl 2) 1300 13. Lee WY, Hwang DS, Noh CK. Descriptive Epidemiology of Patients Undergoing Total Hip Arthroplasty in Korea with Focus on Incidence of Femoroacetabular Impingement: Single Center Study // J Korean Med Sci. 2017 Apr. Daejeon, Korea. 14. Lum ZC, Klineberg EO, Danielsen B, Giordani M, Meehan JP// Female Sex and Longer Fusion Constructs Significantly Increase the Risk of Total Hip Arthroplasty Following Spinal Fusion// The Journal of Bone and Joint Surgery - Scientific Articles: 17 April 2019 - Volume 101 - Issue 8 - p. 675-681 15. Malhotra R, Kumar V. Mid-term outcome of total hip arthroplasty using a short stem // J OrthopSurg (Hong Kong). 2016 Dec. New Delhi, India 16. Nystad TW, Furnes O, Havelin LI, Skredderstuen AK, Lie SA, Fevang BTS. Hip replacement surgery in patients with ankylosing spondylitis// Annals of the Rheumatic Diseases Jun 2014, 73 (6) 1194-1197 17. Saiz AM, Lum ZC, Pereira GC// Etiology, Evaluation, and Management of Dislocation After Primary Total Hip Arthroplasty// JBJS Reviews - Review Articles: 23 July 2019 - Volume 7 - Issue 7 - p. e7-e7 18. Save AV, Varthi A, Talusan PG, Gala R, Nelson S, Keggi KJ. Ceramic-on-Ceramic Total Hip Arthroplasty in a Twelve-Year-Old Patient: Case Report with a 27-Year Follow-Up // Conn Med. 2016 Jun-Jul. 19. Tozun IR, Ozden VE, Dikmen G, Beksac B. Mid-term result of ceramic bearings in total hip arthroplasty // IntOrthop. 2014 Oct. Istanbul, Turkey 20. Zhang Q, Liu M, Chai W, Zhang G, Chen J, Li Z, Dong X, Zhou Y, Wang X, Wang Y. Total hip arthroplasty with double-tapered cementless femoral stem for hip bony // ZhongguoXiu Fu Chong Jian WaiKeZaZhi. 2013 Mar. Chinese. Beijing, P.R. China.
Azizov, Abror M.; Asilova, Saodat U.; Nazarov, Ravshan B.; and Shirinov, D.
"SURGICAL TREATMENT OUTCOMES IN PATIENTS WITH
Central Asian Journal of Medicine: Vol. 2020
, Article 2.
Available at: https://uzjournals.edu.uz/tma/vol2020/iss3/2