ArticleBeijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences2025
[A follow-up study on total hip arthroplasty in patients with systemic lupus erythematosus combined with osteonecrosis of femoral head].
Article in Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveTo evaluate the clinical results of total hip arthroplasty (THA) for the treatment of patients with systemic lupus erythematosus (SLE) with end-stage osteonecrosis of femoral head (ONFH).
methodsBetween March 2002 and June 2024, 235 SLE patients with end-stage ONFH who underwent 340 THAs were retrospectively reviewed. Before operation and at the last follow-up visit, the patient demographics, disease-related, hip and surgery-related, and laboratory parameters were collected
resultsThe median duration of follow-up was 58.0 (34.7, 101.2) months (12.4-283.2 months). At the last follow-up, the HHS increased from 32.0 (23.8, 39.3) before surgery to 88.0 (84.0, 91.0), the SF-12 mental component score (MCS) increased from 42.3(35.7, 48.7) before surgery to 52.3 (47.8, 55.9) and the SF-12 physical component score (PCS) increased from 36.8 (28.3, 43.4) before surgery to 52.0 (46.7, 54.5) (all
conclusionThe clinical results of THA reconstruction for the treatment of ONFH in SLE patients were reliable with high level of clinical scores and patient satisfaction. Unfortunately, a relatively high rate of systemic and orthopedic complications, including urinary tract infection and delayed healing of incision, deserved attention. Therefore, the perioperative management regimen should be emphasized in order to minimize the risk of postoperative complications.
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