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Hip Arthroscopic Synovectomy and Labral Repair in a Patient With Rheumatoid Arthritis With a 2-Year Follow-up

Authors :
Nobuyuki Watanabe, M.D., Ph.D.
Hirotaka Iguchi, M.D., Ph.D.
Hiroto Mitsui, M.D., Ph.D.
Kaneaki Tawada, M.D.
Satona Murakami, M.D., Ph.D.
Takanobu Otsuka, M.D., Ph.D.
Source :
Arthroscopy Techniques, Vol 3, Iss 4, Pp e523-e526 (2014)
Publication Year :
2014
Publisher :
Elsevier, 2014.

Abstract

The arthroscopic surgical procedures reported previously for a rheumatic hip joint have been primarily performed as diagnostic procedures. Only a few studies have reported the success of arthroscopic surgery in hip joint preservation. We encountered a special case in which joint remodeling was seen in a patient with rheumatoid arthritis treated with biological drugs after hip arthroscopic synovectomy and labral repair. We report the case of a 39-year-old woman with rheumatism, which was controlled with tocilizumab, prednisolone, and tacrolimus. The hip joint showed Larsen grade 3 destruction, and the Harris Hip Score was 55 points. Because of the patient's strong desire to undergo a hip preservation operation, we performed hip arthroscopic synovectomy and repair of a longitudinal labral tear. After 2.5 years, the joint space had undergone rebuilding with improvement to Larsen grade 2, and the Harris Hip Score had improved to 78 points; the patient was able to return to work with the use of 1 crutch. It is possible to perform hip arthroscopic surgery for rheumatoid arthritis with a hip preservation operation with biological drugs.

Subjects

Subjects :
Orthopedic surgery
RD701-811

Details

Language :
English
ISSN :
22126287
Volume :
3
Issue :
4
Database :
Directory of Open Access Journals
Journal :
Arthroscopy Techniques
Publication Type :
Academic Journal
Accession number :
edsdoj.5ad169d5ae4f10a431af47ec04ecf6
Document Type :
article
Full Text :
https://doi.org/10.1016/j.eats.2014.06.001