Shanahan W R, Kaprove R E, Major P A, Hunter T, Baragar F D
J Rheumatol. 1982 Jan-Feb;9(1):101-4.
Clinical and radiographic follow-up examinations were obtained on 12 patients with ankylosing spondylitis (AS) who had undergone total hip replacement (THR). Four of these patients had bilateral THRs performed. The mean follow-up of these 16 THRs was 89 months (range 7-144 months). The THR had achieved excellent pain relief in 15 hips. Postoperative ankylosis did not occur. One arthroplasty has to be removed because of the development of protrusio acetabulum.. Radiographic follow-up was obtained in 14 hips. Six were found to have moderate periarticular ossification which did not significantly affect function. In our experience the risk of postoperative periarticular ossification developing in patients with AS is not a contraindication to hip replacement.
对12例行全髋关节置换术（THR）的强直性脊柱炎（AS）患者进行了临床和影像学随访检查。其中4例患者接受了双侧THR。这16次THR的平均随访时间为89个月（范围7 - 144个月）。15个髋关节的THR术后疼痛缓解效果极佳。未发生术后关节强直。1例关节成形术因髋臼内陷而不得不取出。对14个髋关节进行了影像学随访。发现6个髋关节有中度关节周围骨化，但对功能无明显影响。根据我们的经验，AS患者术后发生关节周围骨化的风险并非髋关节置换的禁忌证。
