AB0900 FREQUENCY OF LOCAL COMPLICATIONS AFTER TOTAL HIP ARTHROPLASTY IN PATIENTS WITH RHEUMATIC DISEASES.

Abstract

Background:Surgical treatment of patients with rheumatic diseases (RD) is associated with an increased risk of complications. It is caused by presence of an inflammatory process, osteoporosis, reduced physical activity, severity of functional impairment, long-term glucocorticoid therapy, biological and disease-modifying antirheumatic drugs. All this provides elongated wound healing period, the development of infectious complications and increased risk of periprosthetic fractures.Objectives:To study a frequency of local complications of total hip arthroplasty (THA) in patients with inflammatory RD and osteoarthritis (OA).Methods:We analyzed 1591 THA, which were performed to RD patients between 2000 and 2019 years.Results:We performed 882 arthroplasties in patients with inflammatory RD, which consisted of patients with rheumatoid arthritis (RA), systemic lupus erythematosus (SLE), juvenile rheumatoid arthritis (JRA), ankylosing spondylitis (AS), systemic scleroderma (SSD), and also 709 operations in OA patients.Local complications after THA were 120 (7.54%), of these 83 (9.41%) in patients with inflammatory RD and 37 (5.22%) in OA patients.We revealed a significantly greater number of complications in patients with inflammatory RD (p<0.005).Conclusion:Inflammatory RD (RA, SLE, JRA, AS, SSD) patients have local complications after THA (9.41%) 1.8 times more often than OA patients (5.22%). It shows that the operative treatment of patients with RD requires a special approach, management and careful treatment of the bone and surrounding tissues during surgery.Disclosure of Interests:None declared