Evaluation of hip satisfaction and influencing factors following total hip arthroplasty in patients with ankylosing spondylitis
Objective:To evaluate total hip satisfaction in ankylosing spondylitis(AS)with end-stage hip involvement after total hip replacement(THA)and analyze the influencing factors.Methods:A retrospective analysis was conducted on clinical data from 464 AS patients(658 hips)with end-stage hip involvement who underwent THA between January 2006 and December 2021.Based on satisfaction at the last follow-up,patients were divided into the satisfactory group(350 cases,492 hips)and the dissatisfactory group(114 cases,166 hips).Baseline characteristics,demographic data,disease-related data,hip and surgery-related parameters,and laboratory results were collected and compared between the two groups.Factors with statistical significance(P<0.05)in the univariate analysis were included in a multivariate logistic regression analysis to assess the factors influencing patient satisfaction with the hip joint.Results:The follow-up period ranged from 17 to 208 months,with an average of(108.3±50.2)months.Evaluation of the hip satisfaction at the last follow-up showed that48.0%(316 hips)were very satisfactory,26.7%(176 hips)were relatively satisfactory,19.1%(126 hips)were less satisfied,6.1%(40 hips)were very unsatisfactory,and the total hip satisfaction was 74.8%.The main reasons for unsatisfactory hip evaluation include limited joint mobility,claudication,unequal length of both lower limbs,pain and complications.The multivariate logistic regression model revealed that smoking history(OR=0.634,P=0.047),rheumatic disease comorbidity index(odds ratio[OR]=1.610,P<0.001),use of a large-diameter femoral head(OR=0.550,P=0.007),and use of a ceramic-on-ceramic bearing surface(OR=0.584,P=0.008)were independent risk factors for patient dissatisfaction.Conclusions:AS patients with end-stage hip involvement have high satisfaction after THA.Limited mobility is the primary reason for postoperative dissatisfaction.Therefore,perioperative management should focus on factors related to postoperative dissatisfaction,including smoking history,medical complications,and prosthesis selection.
Ankylosing SpondylitisTotal Hip ArthroplastyHip SatisfactionRange of Motion
万方数据
维普
