Total Hip Arthroplasty in Ankylosing Spondylitis
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Abstract
Ankylosing spondylitis (AS) is a chronic inflammatory disease affecting the spine, hip joints, and sacroiliac joints. Approximately 24–36% of patients develop hip ankylosis, severely limiting mobility and quality of life. Total Hip Arthroplasty (THA) is often necessary to restore function. However, THA in AS patients is complex due to spinal deformities, reduced spinopelvic mobility, and potential cardiopulmonary complications. Careful preoperative assessment, including evaluation of hip range of motion, spinal alignment, and systemic health, is critical. Surgical approach selection must address the specific type of hip deformity to enable effective soft tissue release. Potential complications include intraoperative fractures and heterotrophic ossification. Accurate positioning of the acetabular component, particularly minimizing anteversion, is essential to prevent instability. Postoperative outcomes are promising, with significant improvements in hip mobility and pain relief. A multidisciplinary team approach, involving orthopedic surgeons, anesthesiologists, and internists, is crucial to managing the complex needs of AS patients undergoing THA and achieving optimal surgical outcomes.
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บทความที่ส่งมาลงพิมพ์ต้องไม่เคยพิมพ์หรือกำลังได้รับการพิจารณาตีพิมพ์ในวารสารอื่น เนื้อหาในบทความต้องเป็นผลงานของผู้นิพนธ์เอง ไม่ได้ลอกเลียนหรือตัดทอนจากบทความอื่น โดยไม่ได้รับอนุญาตหรือไม่ได้อ้างอิงอย่างเหมาะสม การแก้ไขหรือให้ข้อมูลเพิ่มเติมแก่กองบรรณาธิการ จะต้องเสร็จสิ้นเป็นที่เรียบร้อยก่อนจะได้รับพิจารณาตีพิมพ์ และบทความที่ตีพิมพ์แล้วเป็นสมบัติ ของลำปางเวชสาร
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