Abstract
Rheumatoid disease in the hip causes pain, limitation of movement and deformity. There is osteoporosis, loss of joint space and erosions which may progress to collapse of the upper quadrant of the femoral head with destruction of the upper lip or floor of the acetabulum, producing femoral head subluxation on to the ilium, or central protrusion (figure 13.1). Osteoporosis and bony collapse are aggravated by systemic corticosteroid therapy (figure 13.2). The rheumatoid hip loses movement early, in contradistinction to the rheumatoid knee. Apart from its weight-bearing function, for which stability is required, hip mobility in rheumatoid disease is important, as a stiff hip throws undue strain on other joints during active life and later increases nursing difficulties should the patient become chairbound.
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References
Ansell, B. and Arden, G. P. (1979). The Surgical Management of Juvenile Chronic Polyarthritis, Academic Press, London
Bigvoet, O. L. M., Nollen, A. J. G., Slooff, T. J. J. H. and Feith, R. (1974). Effect of adiphosphanate on para-articular ossification after total hip replacement. Acta Orth Scand., 45, 926–934
Brooker, A. F., Bowerman, J. W., Robinson, R. A. and Riley, L. H. Jr (1973). Ectopic ossification following total hip replacement. J. Bone Jt Surg., 55A, 1629–1632
Boutin, P. (1972). Total hip arthroplasty made of dense ceramics. Rev. Chir. Orthop. répar. Appar. moteur 58 (3), 229–246
Charnley, J. (1959). The lubrication of animal joints. New Scientist, July, 60
Eichler, J. (1973). A supporting ring to anchor the plastic cup for surgical treatment of protrusio acetabuli. Med. Orth. Technik, 93(2), 28–31
Girdlestone, G. R. (1943). Acute pyogenic arthritis of the hip. Operation giving free access and effective drainage. Lancet, i, 419
Haboush, E. J. (1953). A new operation for arthroplasty of the hip based on biomechanics, photoelasticity, fast-setting dental acrylic and other considerations. Bull. Hosp. Jt Dis., 14 (2), 242
Hardinge, K., Williams, W., Etienne, A., MacKenzie, D. and Charnley, J. (1977). Conversion of fused hips to low friction arthroplasty. J. Bone Jt Surg., 59B (4), 385–397
Haw, C. S. and Gray, D. H. (1976). Excision arthroplasty of the hip. J. Bone Jt Surg., 58B, 44–47
Jones, R. (1908). On the production of pseudarthrosis of the hip without disarticulation of the head. Br. Med. J., No. 7, 1494
Lowe, L., Haran, F., Brozovic, M. and Fisher, M. (1976). An evaluation of small dose subcutaneous heparin in the control of deep venous thrombosis after hip arthroplasty. 6th Combined Meeting Orth. Ass. Eng. Speaking World, London
McKee, G. K. and Watson Farrar, J. (1966). Replacement of arthritic hips by the McKee Farrar prostheses. J. Bone Jt Surg., 48B (2), 245
Milch, H. (1965). Osteotomy at the Upper End of the Femur, Williams and Wilkins, Baltimore
Osborne, G. V. and Fahrni, W. H. (1950). Oblique displacement osteotomy for osteoarthritis of the hip. J. Bone Jt Surg., 32B, 148
Partridge, A. (1976). Nylon straps for internal fixation of bone. Lancet, Dec 4, 1252
Partridge, A. (1977). Nylon plates and straps for internal fixation of osteoporotic bone. Lancet, April 9, 808
Pauwels, F. (1961). New principles for surgical treatment of coxarthrosis. Verh. Dtsch. Orthop. Ges., 332
Read, J. (1967, 1978). Personal communication.
Rhys-Davis, H. and Benjamin, A. (1962). Unpublished research.
Ring, P. A. (1968). Complete replacement arthroplasty of the hip by the Ring prosthesis. J. Bone Jt Surg., 50B, 720
Russell, R. G. G. (1975). Diphosphonates and polyphosphonates in medicine. Br. J. Hosp. Med., September, 297–314
Schatzker, J. and Hastings, D. (1976). Acetabular reinforcement in hip arthroplasty. Rheum. Arth. Surg. Soc. Meeting, Toronto
Smith-Petersen, M. N. (1935). Arthroplasty of the hip. A new method. J. Bone Jt Surg., 21 (2), 269
Smith-Petersen, M. N. (1925). Joint ankylosis. Surgical methods for its prevention and relief. Trans Interstate Postgrad. Med. Assembly of N. America. St. Paul Minnesota, Oct.
Sweetnam, D. R., Mason, R. M. and Murray, R. O. (1960). Steroid arthropathy of the hip. Br. Med. J., 1, 1392
Wainwright, D. (1970). Upper femoral osteotomy. Robert Jones Lecture. Br. Orth. Ass., Autumn Meeting.
Wiles, P. (1957–8). The surgery of osteoarthritis of the hip. Br. J. Surg., 45, 488
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© 1980 Alexander Benjamin and Basil Helal
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Benjamin, A., Helal, B. (1980). The Hip Joint. In: Surgical Repair and Reconstruction in Rheumatoid Disease. Palgrave, London. https://doi.org/10.1007/978-1-349-04135-0_13
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DOI: https://doi.org/10.1007/978-1-349-04135-0_13
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