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Z Rheumatol. 2018 Dec;77(10):896-898. doi: 10.1007/s00393-018-0529-z.

[Change in rheumatic hip surgery].

[Article in German]

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Universitätsklinik für Orthopädie und Unfallchirurgie, Abteilung für Orthopädie, Medizinische Universität Wien, Währinger Gürtel 18-20, 1090, Wien, Österreich.


There is a trend towards a reduction in joint-preserving hip surgery, such as synovectomy and total hip joint replacement in rheumatic patients. This is mostly due to the success of biological disease-modifying antirheumatic drugs (bDMARD) in systemic anti-rheumatic therapy. The results of hip surgery in rheumatic patients are comparable to those in non-rheumatic patients, except for prosthetic joint infections, which are higher in patients with rheumatoid arthritis. Especially in hip surgery there was a big evolution in the last few years including a broad range of minimally invasive surgical methods, such as hip arthroscopy, mini-open hip surgery and minimally invasive hip arthroplasty with bone preservation or short femoral shafts. These surgical methods also have an advantage in the treatment of typical rheumatoid pathologies and have the benefit of a rapid recovery.


Hip arthroscopy; Infection risk; Mini-open hip surgery; Minimally invasive hip arthroplasty; Mobilization

[Indexed for MEDLINE]

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