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Bilateral joint replacement of hip and knee joints in patients with rheumatoid arthritis



Bilateral joint replacement of hip and knee joints in patients with rheumatoid arthritis



Archives of Orthopaedic & Traumatic Surgery 103(1): 1-4



Bilateral total replacement of hip and knee joints was performed in 22 patients with rheumatoid arthritis. During follow-up, 2 patients died of diseases not directly related to the operation. Besides these patients, there were 2 patients who could not be followed up. The remaining 18 patients constituted the subjects for study. The postoperative results were studied, emphasizing improvement in the ability to perform everyday activities. Walking ability was improved in 16 patients. There was an increase in the number of patients able to rise from a chair, go up and down stairs, and get in and out of a car, bus or train. Of the 14 married patients (not including 2 patients who were unable to walk and 5 patients > 60 yr of age) 7 were able to perform sexual intercourse as well as they were able to when healthy. The patients who underwent bilateral total replacement of hip and knee joints often presented various problems, for example with regard to indications, the operative technique to use, as well as complications such as heart disease, pulmonary disease and secondary amyloidosis. Bilateral total replacement of hip and knee joints can accomplish the operative objectives of eliminating pain and improving the quality of daily life in severely handicapped rheumatoid patients.

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Accession: 004823671

Download citation: RISBibTeXText

PMID: 6466058

DOI: 10.1007/bf00451311


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