Evidence map›Paper›PMID 41399070›Full record

ArticleBeijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences2025

[A long-term review for radiographic parameters of hips in axial spondyloarthritis patients with end-stage hip involvement: A 24-year trend analysis from a single high-volume tertiary center].

Xinfeng Wu, Siliang Man, Dazhao Chen, Yong Hua, Xijie Wen, Yingyue Ding, Liang Zhang, Xiujuan Hou

Abstract readEnglish Abstract
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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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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Xinfeng WuDepartment of Spine Surgery, Beijing Jishuitan Hospital, Capital Medical University, Beijing 100035, China.
Siliang ManDepartment of Rheumatology and Immunology, Beijing Jishuitan Hospital, Capital Medical University, Beijing 100035, China.
Dazhao ChenDepartment of Orthopaedic Surgery, Beijing Jishuitan Hospital, Capital Medical University, Beijing 100035, China.
Yong HuaDepartment of Orthopedics, Gaotang County Hospital of Traditional Chinese Medicine, Liaocheng 252800, Shandong, China.
Xijie WenDepartment of Orthopedics, Cangzhou Hospital of Integrated Traditional Chinese Medicine and Western Medicine of Hebei Province, Cangzhou 061000, Hebei, China.
Yingyue DingDepartment of Rheumatology and Immunology, Beijing Jishuitan Hospital, Capital Medical University, Beijing 100035, China.
Liang ZhangDepartment of Orthopaedic Surgery, Beijing Jishuitan Hospital, Capital Medical University, Beijing 100035, China.
Xiujuan HouDepartment of Rheumatology and Immunology, Dongfang Hospital, Beijing University of Chinese Medicine, Beijing 100078, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the characteristics and their change trends of major radiographic parameters of hips in axial spondyloarthritis (axSpA) patients with end-stage hip involvement from a single high-volume tertiary center over a 24-year period.

methodsBetween 2001 and 2024, the radiographic trends of hips in axSpA patients with end-stage hip involvement were retrospectively reviewed. These radiographic parameters included bony ankylosis, acetabular protrusio, dislocation, obturator foramen ratio (OFR), canal flare index (CFI) and neck shaft angle (NSA). The baseline demographic, disease-related and laboratory parameters before surgery were also collected. Trend analyses over the study period were assessed using the Jonkheere-Terpstra trend test or the Cochran-Armitage trend test for clinical and radiographic parameters. All the joints were divided into the 2001-2012 group and 2013-2024 group according to the year of surgery, and the intergroup comparisons were conducted to further elucidate temporal changes.

resultsThe overall incidence of bony ankylosis, acetabular protrusio and dislocation before operation were 40.2%, 14.8% and 9.8%, respectively. The median value of OFR, CFI and NSA were 1.5 (1.2, 1.7), 3.2 (2.6, 3.8) and 141.0° (135.0°, 148.0°), respectively. Notably, only the value of OFR demonstrated increasing trend (

conclusionThe radiographic parameters of hip in axSpA patients with end-stage hip involvement did not show a trend of improvement over time, despite observed improvements in disease activity control and functional status. This dissociation between clinical improvement and persistent structural damage presents considerable technical challenges for subsequent surgical reconstruction with total hip arthroplasty.

Indexed as

Axial SpondyloarthritisHip JointAdultFemaleHumansMaleMiddle AgedPattern Analysis, MachineRadiographyRetrospective StudiesTertiary Care CentersAnkylosing spondylitisHip jointRadiographic parametersTotal hip arthroplasty

Identifiers

PMID41399070
PMCPMC12711410

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