Prevalence of periprosthetic osteolysis after total hip replacement in patients with rheumatic diseases

Rodolfo Perez Alamino, Carolina Casellini, Andrea Banos, Emilce Edith Schneeberger, Susana Alicia Gagliardi, Jos&eacute; Antonio Maldonado Cocco, Gustavo CiteraSection of Rheumatology, Instituto de Rehabilitaci&oacute;n Psicof&iacute;sica, Buenos Aires, ArgentinaAbstract: Per...

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Autores principales:	Perez Alamino R, Casellini C, Baňos A, Schneeberger EE, Gagliardi SA, Maldonado Cocco JA, Citera G
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2012
Materias:	Diseases of the musculoskeletal system RC925-935
Acceso en línea:	https://doaj.org/article/b820e7925bf942efbdaa70f3144b652b
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spelling	oai:doaj.org-article:b820e7925bf942efbdaa70f3144b652b2021-12-02T09:23:14ZPrevalence of periprosthetic osteolysis after total hip replacement in patients with rheumatic diseases1179-156Xhttps://doaj.org/article/b820e7925bf942efbdaa70f3144b652b2012-06-01T00:00:00Zhttp://www.dovepress.com/prevalence-of-periprosthetic-osteolysis-after-total-hip-replacement-in-a10043https://doaj.org/toc/1179-156XRodolfo Perez Alamino, Carolina Casellini, Andrea Banos, Emilce Edith Schneeberger, Susana Alicia Gagliardi, Jos&eacute; Antonio Maldonado Cocco, Gustavo CiteraSection of Rheumatology, Instituto de Rehabilitaci&oacute;n Psicof&iacute;sica, Buenos Aires, ArgentinaAbstract: Periprosthetic osteolysis (PO) is a frequent complication in patients with joint implants. There are no data regarding the prevalence of PO in patients with rheumatoid arthritis (RA), juvenile chronic arthritis (JCA), ankylosing spondylitis (AS), and osteoarthritis (OA).Objectives: To evaluate the prevalence of PO in patients with RA, JCA, AS, and OA, who have undergone total hip replacement (THR), and to identify factors associated with its development.Methods: The study included patients diagnosed with RA (ACR 1987), AS (modified New York criteria), JCA (European 1977 criteria), and osteoarthritis (OA) (ACR 1990 criteria) with unilateral or bilateral THR. Demographic, clinical, and therapeutic data were collected. Panoramic pelvic plain radiographs were performed, to determine the presence of PO at acetabular and femoral levels. Images were read by two independent observers.Results: One hundred twenty-two hip prostheses were analyzed (74 cemented, 30 cementless, and 18 hybrids). The average time from prosthesis implantation to pelvic radiograph was comparable among groups. PO was observed in 72 hips (59%). In 55% of cases, PO was detected on the femoral component, with a lower prevalence in RA (53%) vs AS (64.7%) and JCA (76.5%). Acetabular PO was more frequent in JCA patients (58.8%), compared with RA (11.6%) and OA (28.5%) patients (P = 0.0001 and P = 0.06, respectively). There was no significant association between the presence of PO and clinical, functional, or therapeutic features.Conclusion: The prevalence of PO was 59%, being more frequent at the femoral level. Larger studies must be carried out to determine the clinical significance of radiologic PO.Keywords: periprosthetic osteolysis, hip prosthesis, rheumatoid arthritis, juvenile chronic arthritis, ankylosing spondylitisPerez Alamino RCasellini CBaňos ASchneeberger EEGagliardi SAMaldonado Cocco JACitera GDove Medical PressarticleDiseases of the musculoskeletal systemRC925-935ENOpen Access Rheumatology: Research and Reviews, Vol 2012, Iss default, Pp 57-62 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the musculoskeletal system RC925-935
spellingShingle	Diseases of the musculoskeletal system RC925-935 Perez Alamino R Casellini C Baňos A Schneeberger EE Gagliardi SA Maldonado Cocco JA Citera G Prevalence of periprosthetic osteolysis after total hip replacement in patients with rheumatic diseases
description	Rodolfo Perez Alamino, Carolina Casellini, Andrea Banos, Emilce Edith Schneeberger, Susana Alicia Gagliardi, Jos&eacute; Antonio Maldonado Cocco, Gustavo CiteraSection of Rheumatology, Instituto de Rehabilitaci&oacute;n Psicof&iacute;sica, Buenos Aires, ArgentinaAbstract: Periprosthetic osteolysis (PO) is a frequent complication in patients with joint implants. There are no data regarding the prevalence of PO in patients with rheumatoid arthritis (RA), juvenile chronic arthritis (JCA), ankylosing spondylitis (AS), and osteoarthritis (OA).Objectives: To evaluate the prevalence of PO in patients with RA, JCA, AS, and OA, who have undergone total hip replacement (THR), and to identify factors associated with its development.Methods: The study included patients diagnosed with RA (ACR 1987), AS (modified New York criteria), JCA (European 1977 criteria), and osteoarthritis (OA) (ACR 1990 criteria) with unilateral or bilateral THR. Demographic, clinical, and therapeutic data were collected. Panoramic pelvic plain radiographs were performed, to determine the presence of PO at acetabular and femoral levels. Images were read by two independent observers.Results: One hundred twenty-two hip prostheses were analyzed (74 cemented, 30 cementless, and 18 hybrids). The average time from prosthesis implantation to pelvic radiograph was comparable among groups. PO was observed in 72 hips (59%). In 55% of cases, PO was detected on the femoral component, with a lower prevalence in RA (53%) vs AS (64.7%) and JCA (76.5%). Acetabular PO was more frequent in JCA patients (58.8%), compared with RA (11.6%) and OA (28.5%) patients (P = 0.0001 and P = 0.06, respectively). There was no significant association between the presence of PO and clinical, functional, or therapeutic features.Conclusion: The prevalence of PO was 59%, being more frequent at the femoral level. Larger studies must be carried out to determine the clinical significance of radiologic PO.Keywords: periprosthetic osteolysis, hip prosthesis, rheumatoid arthritis, juvenile chronic arthritis, ankylosing spondylitis
format	article
author	Perez Alamino R Casellini C Baňos A Schneeberger EE Gagliardi SA Maldonado Cocco JA Citera G
author_facet	Perez Alamino R Casellini C Baňos A Schneeberger EE Gagliardi SA Maldonado Cocco JA Citera G
author_sort	Perez Alamino R
title	Prevalence of periprosthetic osteolysis after total hip replacement in patients with rheumatic diseases
title_short	Prevalence of periprosthetic osteolysis after total hip replacement in patients with rheumatic diseases
title_full	Prevalence of periprosthetic osteolysis after total hip replacement in patients with rheumatic diseases
title_fullStr	Prevalence of periprosthetic osteolysis after total hip replacement in patients with rheumatic diseases
title_full_unstemmed	Prevalence of periprosthetic osteolysis after total hip replacement in patients with rheumatic diseases
title_sort	prevalence of periprosthetic osteolysis after total hip replacement in patients with rheumatic diseases
publisher	Dove Medical Press
publishDate	2012
url	https://doaj.org/article/b820e7925bf942efbdaa70f3144b652b
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Prevalence of periprosthetic osteolysis after total hip replacement in patients with rheumatic diseases

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