Hip Surgery for Rheumatoid Arthritis.
Last updated Thursday, January 06, 2005
Considering surgeryWho should consider hip surgery for rheumatoid arthritis for rheumatoid arthritis of the hip and in what cases? RA patients who have unrelenting hip pain and destructive arthritis of
their hip joint that does not respond favorably to medical management
should consider total hip replacement. RA patients with hip involvement
in early stages, who do not yet have destructive arthritis, yet have
unexplained debilitating pain should consider hip arthroscopy.What happens if nothing is done for rheumatoid arthritis of the hip (best case/worst case scenarios)? The best case scenario includes inactivity and decreased mobility in
conjunction with antirheumatic medication and steroids can cause some
improvement of symptoms.
A worst case scenario might be severe destruction of the hip joint
and associated osteoporosis and reduced physical capacity potentially
leading to a compromised hip replacement at a later stage with a less
predictable outcome. What options exist for surgery for rheumatoid arthritis of the hip? Total hip replacement is the treatment of choice for patient with
rheumatoid arthritis with destroyed hip joints. Occasionally, hip
arthroscopy is indicated in patients with early RA of the hip.
When performed by an experienced surgeon, how effective is hip surgery for rheumatoid arthritis for rheumatoid arthritis of the hip likely to be and how long will the benefit last? More than 80% of patients will have a satisfactory result for 12-15 years after hip replacement surgery.How urgent is hip surgery for rheumatoid arthritis for rheumatoid arthritis of the hip? Hip replacement surgery is an elective procedure and should be done
only after non-surgical medical management has failed. Once indicated,
postponing the surgery for an extended period of time (months or years)
only leads to increased disability, disuse osteoporosis, and skeletal
complications that can make surgery more difficult and potentially
compromise the final result.What are the most frequent and most serious risks of hip surgery for rheumatoid arthritis for rheumatoid arthritis of the hip? How common are they? The most common risks of hip replacement surgery for RA are infection,
dislocation of the hip joint, and mechanical failure due to loosening
of metal components from the bone. Mechanical loosening occurs in
approximately 13% over 12 years and is mostly due to loosening of the
metal socket. Infections and dislocations occur in approximately 2% of
patients. Infection and dislocation can cause early failure and might
prohibit a good result.If risks occur during or after hip surgery for rheumatoid arthritis for rheumatoid arthritis of the hip how are they managed? These complications can necessitate a revision hip replacement. If an
infection occurs then the prosthesis needs to be removed. A six week
period of antibiotic treatment is needed and if the infection is cured
a revision hip replacement can be done. If the hip dislocates, it needs
to be relocated in the emergency room with sedation or in the operating
room under anesthetic. Recurrent dislocations can lead to revision hip
replacement surgery.Surgery for rheumatoid arthritis of the hip at the University of Washington If you are interested in making an appointment to discuss this procedure, you can request an appointment using our online referrals website. To request a referral online, please click here. You can also call 206-598-4288 (outside the Seattle area: 800-440-3280) to make an appointment.
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