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Contemporary Total Hip and Total Knee Arthroplasty Results in Patients with Hemochromatosis.
Limberg, Afton K; Chalmers, Brian P; Perry, Kevin I; Lewallen, David G; Berry, Daniel J; Abdel, Matthew P.
Afiliação
  • Limberg AK; Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN.
  • Chalmers BP; Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN.
  • Perry KI; Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN.
  • Lewallen DG; Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN.
  • Berry DJ; Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN.
  • Abdel MP; Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN.
J Arthroplasty ; 35(4): 976-980, 2020 04.
Article em En | MEDLINE | ID: mdl-31870583
BACKGROUND: Hemochromatosis can result in metabolic bone pathology (due to excessive iron absorption) and degenerative joint disease, leading to total joint arthroplasties. The aim of this study is to analyze the survivorship, complications, radiographic results, and clinical outcomes of patients with hemochromatosis who received either a total hip arthroplasty (THA) or a total knee arthroplasty (TKA). METHODS: We identified 34 lower extremity arthroplasties in 29 patients with hemochromatosis performed between 2000 and 2016. There were 17 primary THAs in 15 patients and 17 primary TKAs in 14 patients. Mean age at arthroplasty was 63 years with 76% being male. The mean body mass index was 28 kg/m2. Mean follow-up was 5 years. RESULTS: The survivorship free from any revision for THAs was 94% at 10 years. One patient was revised for aseptic loosening of the femoral stem at 6 months. In THA patients, no infections, no other complications, and no radiographic evidence of aseptic loosening were identified. Harris Hip Scores improved from a mean of 55 preoperatively to 94 postoperatively (P < .001). The survivorship free from any revision for TKAs was 100% at 10 years. Two patients (12%) developed acquired idiopathic stiffness postoperatively; no infections were identified. There was no radiographic evidence of aseptic loosening in any TKA. Knee Society Scores improved from a mean of 61 preoperatively to 94 postoperatively (P < .001). CONCLUSION: This study found excellent survivorship, significant improvements in clinical outcomes, and a very low complication profile for both THA and TKA in patients with hemochromatosis.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Artroplastia de Quadril / Artroplastia do Joelho / Hemocromatose / Prótese de Quadril Tipo de estudo: Prognostic_studies Limite: Humans / Male / Middle aged Idioma: En Revista: J Arthroplasty Assunto da revista: ORTOPEDIA Ano de publicação: 2020 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Artroplastia de Quadril / Artroplastia do Joelho / Hemocromatose / Prótese de Quadril Tipo de estudo: Prognostic_studies Limite: Humans / Male / Middle aged Idioma: En Revista: J Arthroplasty Assunto da revista: ORTOPEDIA Ano de publicação: 2020 Tipo de documento: Article