Rapidly Progressive Osteoarthritis of the Hip: A Prospective Study.
| Title: | Rapidly Progressive Osteoarthritis of the Hip: A Prospective Study. |
|---|---|
| Authors: | Montero Furelos LA; Orthopedic Surgery and Traumatology Service, Hip Unit, Santiago de Compostela University Clinical Hospital, SERGAS, 15706 Santiago de Compostela, Spain.; De Castro Carrasco A; Orthopedic Surgery and Traumatology Service, Hip Unit, Santiago de Compostela University Clinical Hospital, SERGAS, 15706 Santiago de Compostela, Spain.; Cons Lamas S; Orthopedic Surgery and Traumatology Service, Hip Unit, Santiago de Compostela University Clinical Hospital, SERGAS, 15706 Santiago de Compostela, Spain.; Sanchez Sierra FB; Orthopedic Surgery and Traumatology Service, Hip Unit, Santiago de Compostela University Clinical Hospital, SERGAS, 15706 Santiago de Compostela, Spain.; Caeiro-Rey JR; Orthopedic Surgery and Traumatology Service, Hip Unit, Santiago de Compostela University Clinical Hospital, SERGAS, 15706 Santiago de Compostela, Spain. |
| Source: | Journal of clinical medicine [J Clin Med] 2024 Apr 23; Vol. 13 (9). Date of Electronic Publication: 2024 Apr 23. |
| Publication Type: | Journal Article |
| Language: | English |
| Journal Info: | Publisher: MDPI AG Country of Publication: Switzerland NLM ID: 101606588 Publication Model: Electronic Cited Medium: Print ISSN: 2077-0383 (Print) Linking ISSN: 20770383 NLM ISO Abbreviation: J Clin Med Subsets: PubMed not MEDLINE |
| Imprint Name(s): | Original Publication: Basel, Switzerland : MDPI AG, [2012]- |
| Abstract: | Background: Rapidly progressive osteoarthritis of the hip (RPOH) is a rare syndrome that involves the femoral head and acetabulum. Methods: We analyzed the incidence of RPOH in 2022. The inclusion criteria included a clinical history of pain for 1-6 months and a decrease in joint space of > 2 mm within one year or a decrease in joint space by 50% in that time accompanied by femoral and/or acetabular bone destruction. Exclusion: There are no other destructive arthropathies and no evolutionary radiological image sequence. Results: There were 15 patients, 16 hips, an incidence around 3.17%, a 1:1 laterality ratio, and 1 bilateral affected. The mean average age is 77.35 years. The male/female ratio is 1:2. The average BMI is 31.2. The time of the onset of the symptoms to the patient's diagnosis is 5 months. The functionally modified Harris scale (MHS) had an average score of 30 points. They had surgery hip arthroplasty with a cementless cup in all cases, a revision cup in one of them, and a double mobility cup in the other, with the stem cemented three times. There were no post-surgical complications. Functionally was achieved at 3 months. The average MHS is 70 at 12 months. The average MHS is 85. Conclusions: RPOH is an idiopathic entity characterized by great clinical involvement and rapid radiological evolution. It is most common in women around 77 years of age. The bone quality requires surgical alternatives to implants, and it has good functional recovery post-surgery. |
| References: | Eur Spine J. 2018 Feb;27(2):475-481. (PMID: 28840349); Am J Pathol. 2022 May;192(5):794-804. (PMID: 35292262); Int J Surg Case Rep. 2015;8C:13-7. (PMID: 25603485); J Orthop. 2021 Oct 28;28:41-48. (PMID: 34790003); J Bone Joint Surg Am. 2021 Nov 17;103(22):2070-2079. (PMID: 34550909); Magn Reson Imaging. 2001 Jan;19(1):47-50. (PMID: 11295346); J Arthroplasty. 2014 Jun;29(6):1243-7. (PMID: 24360489); HSS J. 2009 Sep;5(2):117-9. (PMID: 19308645); Bone Jt Open. 2022 Jan;3(1):77-84. (PMID: 35067070); Eur J Orthop Surg Traumatol. 2016 Feb;26(2):189-94. (PMID: 26754112); Int Orthop. 2001;25(1):22-4. (PMID: 11374262); J Orthop Surg Res. 2008 Jan 11;3:3. (PMID: 18190689); Skeletal Radiol. 2000 Jan;29(1):40-4. (PMID: 10663588); Nat Rev Rheumatol. 2012 Jan 10;8(2):77-89. (PMID: 22231237); J Orthop Case Rep. 2018 May-Jun;8(3):47-50. (PMID: 30584515); Rev Rhum Engl Ed. 1998 Dec;65(12):759-65. (PMID: 9923044); Skeletal Radiol. 2002 Jan;31(1):35-8. (PMID: 11807591); Int Orthop. 2005 Feb;29(1):1-5. (PMID: 15625614); Arthritis Rheum. 2002 Oct;46(10):2625-31. (PMID: 12384920); Clin Orthop Relat Res. 1970 Sep-Oct;72:138-44. (PMID: 5459776); J Orthop Surg (Hong Kong). 2016 Apr;24(1):27-30. (PMID: 27122508); Ann Rheum Dis. 2006 Dec;65(12):1639-44. (PMID: 16569684); Hip Pelvis. 2015 Sep;27(3):141-5. (PMID: 27536617); J Arthroplasty. 2010 Apr;25(3):432-6. (PMID: 19369027); Clin Orthop Surg. 2022 Dec;14(4):477-485. (PMID: 36518923); Skeletal Radiol. 2021 Dec;50(12):2449-2457. (PMID: 34018006); Radiology. 1993 Feb;186(2):461-6. (PMID: 8421751); Arthroplast Today. 2016 Jan 09;2(1):15-18. (PMID: 28326391); Medicine (Baltimore). 2017 Mar;96(12):e6395. (PMID: 28328832); Bone Joint J. 2019 Aug;101-B(8):941-950. (PMID: 31362549); Eur J Rheumatol. 2020 Jul;7(3):130-134. (PMID: 32384049); Intern Emerg Med. 2021 Mar;16(2):497-499. (PMID: 32683642); Clin Exp Immunol. 1996 Mar;103(3):506-13. (PMID: 8608653); Eur J Orthop Surg Traumatol. 2023 Jul;33(5):1505-1514. (PMID: 36149508); Eur J Orthop Surg Traumatol. 2015 Oct;25(7):1115-20. (PMID: 26242861); Rev Rhum Mal Osteoartic. 1970 Nov;37(11):721-33. (PMID: 5533642); Hip Int. 2009 Oct-Dec;19(4):352-8. (PMID: 20041382) |
| Contributed Indexing: | Keywords: osteoarthritis (OA); rapidly progressive osteoarthritis of the hip (RPOH); risk factor; systematic review; total hip arthroplasty |
| Entry Date(s): | Date Created: 20240511 Latest Revision: 20240514 |
| Update Code: | 20260130 |
| PubMed Central ID: | PMC11084505 |
| DOI: | 10.3390/jcm13092467 |
| PMID: | 38730996 |
| Database: | MEDLINE |
Journal Article