Artículo
Abstract:
Results of total hip (THP) and knee (TKP) prostheses in patients with juvenile chronic arthritis (JCA) followed up in our Service were reviewed. The 40 cases evaluated (34 juvenile rheumatoid arthritis and 6 juvenile ankylosing spondylitis) received 71 prostheses (61 hips and 10 knees): 4 out of the 34 juvenile rheumatoid arthritis (JRA) patients received 3 or more articular replacement. In the group of 61 THP (23 bilateral), mean age at surgery was 24 years, with 85% in patients under 31 years of age. Mean postoperative follow-up was 60 months. Results were good to excellent in 46 THP (75%) and fair to poor in 15 (25%). Out of the 61 THP, infection was observed in 2 cases (3%), mechanical failure due to loosening in 7 (11%) and heterotopic ossification was found in 25 (41%). Surgical revision was required in 7 prostheses. At 47 months mean postoperative follow-up, all 6 JRA cases receiving 10 TKP (4 bilateral) proved free of clinical complications, achieving good to excellent results in 80%. Patients receiving multiple replacement due to severe grade IV functional capacity limitation enjoyed significant improvement. Total replacement of hips and knees is thus a valuable therapeutical tool for rehabilitation of JCA cases.
Registro:
| Documento: | Artículo |
| Título: | Clinic and functional evaluation of total hip and knee prostheses in patients with juvenile chronic arthritis: A 20-year experience |
| Autor: | Espada, G.; Riopedre, A.M.; Babini, J.C.; Gagliardi, S.A.; Maldonado Cocco, J.A.; Garcia Morteo, O. |
| Filiación: | Seccion Reumatologia, I.MU.RE.P., Echeverria 955, 1428 Buenos Aires, Argentina |
| Palabras clave: | hip; juvenile chronic arthritis; knee; rehabilitation; total arthroplasty; adolescent; adult; article; child; clinical article; follow up; functional assessment; human; juvenile rheumatoid arthritis; male; total hip prosthesis; total knee replacement |
| Año: | 1997 |
| Volumen: | 37 |
| Número: | 1 |
| Página de inicio: | 7 |
| Página de fin: | 11 |
| Título revista: | Revista Brasileira de Reumatologia |
| Título revista abreviado: | REV. BRAS. REUMATOL. |
| ISSN: | 04825004 |
| CODEN: | RBREB |
| Registro: | https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_04825004_v37_n1_p7_Espada |
Citas:
---------- APA ----------
Espada, G., Riopedre, A.M., Babini, J.C., Gagliardi, S.A., Maldonado Cocco, J.A. & Garcia Morteo, O. (1997) . Clinic and functional evaluation of total hip and knee prostheses in patients with juvenile chronic arthritis: A 20-year experience. Revista Brasileira de Reumatologia, 37(1), 7-11.Recuperado de https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_04825004_v37_n1_p7_Espada [ ]
---------- CHICAGO ----------
Espada, G., Riopedre, A.M., Babini, J.C., Gagliardi, S.A., Maldonado Cocco, J.A., Garcia Morteo, O. "Clinic and functional evaluation of total hip and knee prostheses in patients with juvenile chronic arthritis: A 20-year experience" . Revista Brasileira de Reumatologia 37, no. 1 (1997) : 7-11.Recuperado de https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_04825004_v37_n1_p7_Espada [ ]
---------- MLA ----------
Espada, G., Riopedre, A.M., Babini, J.C., Gagliardi, S.A., Maldonado Cocco, J.A., Garcia Morteo, O. "Clinic and functional evaluation of total hip and knee prostheses in patients with juvenile chronic arthritis: A 20-year experience" . Revista Brasileira de Reumatologia, vol. 37, no. 1, 1997, pp. 7-11.Recuperado de https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_04825004_v37_n1_p7_Espada [ ]
---------- VANCOUVER ----------
Espada, G., Riopedre, A.M., Babini, J.C., Gagliardi, S.A., Maldonado Cocco, J.A., Garcia Morteo, O. Clinic and functional evaluation of total hip and knee prostheses in patients with juvenile chronic arthritis: A 20-year experience. REV. BRAS. REUMATOL. 1997;37(1):7-11.Available from: https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_04825004_v37_n1_p7_Espada [ ]
