Abstract:

BACKGROUND: With the growth in the incidence of diabetes, the number of diabetic patients accompanied with joint disease is increasing, but diabetic patients undergoing hip joint replacement are rarely reported.
OBJECTIVE: To analyze the clinical effect of diabetic patients undergoing hip joint replacement and to sum up the experience.
METHODS: Seventy-three diabetic patients (80 hips) received arthroplasty, including 50 males and 23 females, aged 49-81 years, averagely (62.6±5.4) years. Fifty-five patients were treated by diet and oral antidiabetic drugs before admission, and 18 by the insulin. Of the 73 patients, 57 cases (62 hips) underwent biomedical hip prosthesis, and 16 (18 hips) received bone cement + hip prosthesis.
RESULTS AND CONCLUSION: Harris score was increased from preoperative 55.4 points to 84.2 points, and the good rate good was 96.5%. After a mean 4.5 years follow-up (ranging 3 months-9 years), the mean Harris score was 77.6 points and the good rate was 80.2%. No delayed infection and prosthesis loosening occurred after operation. The prostheses of 40 cases had no changes, and the prostheses had a slight sinking in 11 cases (average sinking to 2 mm), 7 patients had mild hip pain, and 5 cases presented with acetabular rim hyperostosis. Prosthesis renovation was not performed in all the cases. The author thought that diabetics without serious complications, by proper perioperative management, good blood glucose control and so on, can obtain a good effect on hip arthroplasty.