Clinical Outcomes of Total Hip Arthroplasty in Patients with Ankylosed Hip

Document Type : RESEARCH PAPER

Authors

1 Department of Orthopedics, Sina hospital Tehran University of Medical Sciences, Tehran, Iran

2 Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.

Abstract

Background:
 
Various drugs are administered intra-articularly to provide postoperative analgesia after arthroscopic
knee surgery. The purpose of this study was to assess the analgesic effects of intra-articular injection of a dexmedetomidine
 
following knee arthroscopy.
 
 
Methods:
 
Forty six patients schadualed for arthroscopic knee surgery under general anaesthesia, were randomly
devided into two groups. Intervention group received 1μg/kg dexmedetomidine (D) and isotonic saline. Control group
 
received 25ml isotonic saline (P). Analgesic effects were evaluated by measuring pain intensity (VAS scores) and
 
duration of analgesia.
 
 
Results:
 
There was no significant difference between the two groups in terms of age, sex and weight. The mean of
post-operation pain severity in 1, 3, 6,12, and 24 h was significantly lower in the intervention group (D) in comparison
 
with the control group (P). the mean of the total dose of tramadol consumption was significantly lower in the interven
 
 
 
tion
group in comparison with the control group (
 
 
P
<0.001).
 
Conclusions:
 
Intra-articular injection of dexmedetomidine at the end of arthroscopic knee surgery, alleviates the
 
patients’ pain; reducing the postoperative need for narcotics as analgesics, and increase the first analgesic request
after operation.

Keywords

References

  1. Amstutz HC, Sakai DN. Total joint replacement for ankylosed hips. Indications, technique, and preliminary results. J Bone Joint Surg Am.1975; 57:619-25.

  2. Hardinge K, Williams D, Etienne A, MacKenzie D, Charnley J. Conversion of fused hips to low friction arthroplasty. J Bone Joint Surg Br. 1977; 59(4):385-92.

  3. Callaghan JJ, Brand RA, Pedersen DR. Hip arthrodesis. A long-term followup. J Bone Joint Surg Am. 1985; 67:1328-35.

  4. Roberts CS, Fetto JF. Functional outcome of hip fusion in the young patient. Follow-up study of 10 patients. J Arthroplasty. 1990; 5:89-96.

  5. Sponseller PD, McBeath AA, Perpich M. Hip arthrodesis in young patients. A long-term follow-up study. J Bone Joint Surg Am. 1984; 66:853-9.

  6. Gore DR, Murray MP, Sepic SB, Gardner GM. Walking patterns of men with unilateral surgical hip fusion. J Bone Joint Surg Am. 1975; 57:759-65.

  7. Garvin KL, Pellicci PM, Windsor RE, Conrad EU, Insall JN, Salvati EA. Contralateral total hip arthroplasty or ipsilateral total knee arthroplasty in patients who have a long-standing fusion of the hip. J Bone Joint Surg Am.1989; 71:1355-62.

  8. Brewster RC, Coventry MB, Johnson EJ Jr. Conversion of the arthrodesed hip to a total hip arthroplasty. J Bone Joint Surg Am. 1975; 57:27-30.

  9. Lubahn JD, Evarts CM, Feltner JB. Conversion of ankylosed hips to total hip arthroplasty. Clin Orthop. 1980; 153:146-52.

  10. Kilgus DJ, Amstutz HC, Wolgin MA, Dorey FJ. Joint replacement for ankylosed hips. J Bone Joint Surg Am. 1990; 72:45-54.

  11. Reikeras O, Bjerkreim I, Gundersson R. Total hip arthroplasty for arthrodesed hips. 5- to 13-year results. J Arthroplasty. 1995; 10:529-31.

  12. Strathy GM, Fitzgerald RJ. Total hip arthroplasty in the ankylosed hip. A ten year follow-up. J Bone Joint Surg Am. 1988; 70:963-6.

  13. Haverkamp D1, Sierevelt IN, van den Bekerom MP, Poolman RW, van Dijk CN, Marti RK. The validity of patient satisfaction as single question in outcome measurement of total hip arthroplasty. J Long Term Eff Med Implants. 2008; 18 (2): 145-50.

  14. Kim YL, Shin S, Nam KW, Yoo JJ, Kim YM, Kim HJ. Total hip arthroplasty for bilaterally ankylosed hips. J Arthroplasty. 2007; 22(7):1037-41.

  15. Bangjian H, Peijian T, Ju L. Bilateral synchronous total hip arthroplasty for ankylosed hips. Int Orthop. 2012;36(4):697-701.

  16. Joshi AB, Markovic L, Hardinge K, Murphy JC. Total hip arthroplasty in ankylosing spondylitis: an analysis of 181 hips. J Arthroplasty. 2002; 17(4):427-33.

  17. Hamadouche M, Kerboull L, Meunier A. Total hip arthroplasty for the treatment of ankylosed hips: a five to twenty-one year follow-up study. J Bone Joint Surg Am. 2001; 83(7):992-8.

 

Files

History

  • Receive Date: 11 January 2014
  • Revise Date: 29 January 2014
  • Accept Date: 23 February 2014

Share

How to cite

Statistics