Rapidly destructive hip osteoarthritis：5 cases report
YAO Li-bing
Abstract：Objective To review the clinical outcome process of 5 patients ( 7 hips ) with rapidly destructive hip osteoarthritis, to investigate the improvement of Bekki-rapidly destructive osteoarthritis ( RDO ) typing, to analyze the laboratory tests and auxiliary examinations, to explore the course characteristics of the patients and to preliminarily discuss the diagnosis and treatment of this disease.Methods The clinical presentations and outcomes of 5 patients ( 7 hips ) with rapidly destructive hip osteoarthritis who were adopted from 2004 to 2012 were reviewed.Results The clinical manifestations of the 5 patients ( 7 hips ) included ill-positioned pain and dysfunction in the affected limbs in the early period, and later pain in the middle part of the groin was noticed. The laboratory tests revealed that the alkaline phosphatase, erythrocyte sedimentation rate, transaminase were mildly elevated, and no speciifc changes were found in the rest test results. Within half a year, the radiography showed fast and progressive destruction in the affected limbs and hips. According to the image changes, there were 4 types in all, including type I of narrowing the gap, type II of bone tissue atrophy, type III of bone tissue disintegration and fragmentation and type IV of bone tissue absorption. Good results were achieved in the patients when they underwent the surgery.Conclusions The clinical manifestations of the 5 patients with rapidly destructive hip osteoarthritis are representative, and the modified RDO typing could provide effective help for the clinical diagnosis and treatment.
Keywords：Hip jointArthroplastyreplacementhipOsteoarthritistyping
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 424-428 )