Summary
Between 1978 and 1983, 14 patients suffering from rheumatoid arthritis were treated by bilateral total hip and knee replacement. At the time of this follow-up study (32–92 months postoperatively) one patient had died of concomitant disease and was excluded. The postoperative results regarding pain relief, improvement in performing daily activities, and function were studied in the remaining 13 patients. A 200-point rating scale was used, which compared the pre- and postoperative findings at follow-up. All patients showed marked relief from pain, good function and a good functional score. Although walking ability did not always improve, all patients were enthusiastic.
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References
Aichroth P, Freeman MAR, Smillie IS, Souter WA (1978) A knee function assessment chart. J Bone Joint Surg [Br] 60:308–309
Arafiles RP, Gustilo RB (1979) Joint replacement in non-ambulatory patients. J Bone Joint Surg [Am] 61:892–897
McElwain JP, Sheehan JM (1985) Bilateral hip and knee replacement for rheumatoid arthritis. J Bone Joint Surg [Br] 67:261–265
Harris WH (1969) Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. J Bone Joint Surg [Am] 51:737–755
Head WC, Paradies LH (1977) Ipsilateral hip and knee replacements as a single surgical procedure. J Bone Joint Surg [Am] 59:352–354
Jergesen HE, Poss R, Sledge CB (1978) Bilateral total hip and knee replacement in adults with rheumatoid arthritis. Clin Orthop 137:120–128
Johnson KA (1975) Arthroplasty of both hips and both knees in rheumatoid arthritis. J Bone Joint Surg [Am] 57:901–904
Scott RD, Sarokhan AJ, Dalziel R (1984) Total hip and total knee arthroplasty in juvenile rheumatoid arthritis. Clin Orthop 182:90–98
Yoshino S, Fujimori J, Morishige T, Uchida S (1984) Bilateral joint replacement of hip and knee joints in patients with rheumatoid arthritis. Arch Orthop Trauma Surg 103:1–4
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Hoekstra, H.J., Veth, R.P.H., Nielsen, H.K.L. et al. Bilateral total hip and knee replacement in rheumatoid arthritis patients. Arch Orthop Trauma Surg 108, 291–295 (1989). https://doi.org/10.1007/BF00932318
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DOI: https://doi.org/10.1007/BF00932318