Chinese Journal of Tissue Engineering Research ›› 2012, Vol. 16 ›› Issue (44): 8356-8360.doi: 10.3969/j.issn.2095-4344.2012.44.031

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Total hip arthroplasty for the treatment of ankylosing spondylitis-caused hip ankylosis deformity

Hu Ru-yin, Tian Xiao-bin, Sun Li, Han Wei, Yang Xian-teng, Li Bo   

  1. Department of Orthopedics, Guizhou Provincial People’s Hospital, Guiyang 550002, Guizhou Province, China
  • Received:2012-04-19 Revised:2012-09-16 Online:2012-10-28 Published:2012-10-28
  • Contact: Tian Xiao-bin, Doctor, Professor, Chief physician Master’s, Doctoral supervisor, Department of Orthopedics, Guizhou Provincial People’s Hospital, Guiyang 550002, Guizhou Province, China txb6@vip.163.com
  • About author:Hu Ru-yin, Chief physician, Department of Orthopedics, Guizhou Provincial People’s Hospital, Guiyang 550002, Guizhou Province, China huruyin@yahoo.cn

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Abstract:

BACKGROUND: To data, total hip arthroplasty is the best treatment method of advanced disease of hip tonic deformity, but the prosthesis loosening has been a thorny issue after replacement, which mainly related with the stress at the interface of the prosthesis and bonding strength of prosthesis interface.
OBJECTIVE: To summarize the effect and the mechanism of total hip arthrplasty for the treatment of ankylosing spondylitis-caused hip ankylosis deformity.
METHODS: A computer-based online search was performed in CNKI database, Wangfang database, PubMed database and Springer Link database for the articles on the treatment of ankylosing spondylitis caused hip ankylosis deformity with total hip arthroplasty that published between 1980 and December 2011. The clinical cases and the relevant reviews were concluded. The key words of “hip joint, hip ankylosis deformity, total hip arthroplasty, prosthesis loosening, complications” were used to analyze the research progress of ankylosing spondylitis caused hip ankylosis deformity treated with total hip arthroplasty and the relevant complications after hip implantation.
RESULTS AND CONCLUSION: The assessment before and after replacement was performed based on the patient’s own situation, choose the right model, prepare the prosthesis with different specifications and to analyze the promotion effect on the treatment of ankylosing spondylitis caused hip ankylosis deformity. Young patients with advanced ankylosing spondylitis caused hip ankylosis deformity have bone hyperplasia and the new bone can grows into the surface micropores of prosthesis, so the uncemented prosthesis shows unique advantages. With the advances in biological prosthesis design, especially the artificial hip joint with various coatings and metal microporous surface has the characteristics of multi-site weight-bearing and closely matching, and also make it more reliable than other prosthesis over past during the initial fixation. A great progress has made recent years, but the prosthesis loosening and periprosthetic joint infection after replacement is still plague the orthopedic surgeons and patients.

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