Review Article

Total Hip Arthroplasty in Systemic Lupus Erythematosus: A Systematic Review

Table 2

Total hip arthroplasty outcomes from nine studies. No recorded value is indicated by “NR.”

Paper patients (THA)Gender
(F = Female,
M = Male)
Mean age (years)HHS pre-/postoperativeMCHS pre-/postoperativeComplications (%)Revision (%)Mortality (%)Notes

Kang et al. 2013 [13]24 (28)19 F, 5 M38.833.0/84.3NR11.1
(i) 1 culture negative prolonged wound drainage, 1 culture positive prolonged wound drainage managed with antibiotics, 1 urinary tract infection
012.5
(i) 1 intracranial bleed at 18 months, 1 pneumonitis and heart failure at 24 months, 1 myocardial infarction at 60 months.
Complication rate higher than unit average of 3.1%. Rate of 11.1% is for 27 THA; authors do not supply reason for omitting 1 THA.

Issa et al. 2013 [9]44 (60)37 F, 7 M4244/87NR1.7
(i) 1 lupus pleuritis
1.7
(i) 1 aseptic loosening
NR

Shigemura et al. 2013 [14]11 (14)9 F, 2 M35.237.4/94.5NRNR
(i) include 2 dislocations and 1 peroneal nerve palsy
14.3
(i) 1 polyethylene insert dislodged, 1 osteolysis and polyethylene insert dislodged
NRComplication rates “not low,” however no absolute value provided.

Ito et al. 2007 [15]20 (25)NRNRNR/84.3NRNR4.0
(i) 1 aseptic loosening
NRMajority of data in study was a combination of THA and bipolar hemiarthroplasty, limiting results.

Chen et al. 1999 [16]14 (17)13 F, 1 M29.850.7/95.5NRNR
(i) included 1 superficial infection, 1 dislocation, 1 groin pain and 3 polyethylene wear
0NRNo absolute complication rates documented.

Brinker et al. 1994 [17]6 (8)5 F, 1 M38.953.1/83.5NRNR016.7
(i) cause not stated
Subset of patients from study examining THA in osteonecrosis of multiple aetiologies.

Low et al. 1991 [18]6 (10)5 F, 1 M31.2NR10.4/75.520
(i) 1 transient sciatic nerve palsy, 1 aseptic loosening
NRNR

Hanssen et al. 1987 [19]23 (29)20 F, 3 M44NRNR/76.044.8
(i) 5 delayed wound healing, 4 superficial wound infections, 2 SLE exacerbations, 2 wound haematomas, 2 transfusion reactions, 1 thrombocytopenia, 1 psychosis, 1 dislocation, 1 urinary tract infection
030.4
(i) 1 sepsis, 1 chronic renal failure, 1 stroke, 1 heart failure, 1 intrapulmonary haemorrhage, 1 acute SLE flare, 1 cause unknown.
No pre-operative MCHS score. 22 complications occurred in 13 THA.

Chen and Lin 1987 [20]14 (23)13 F, 1 M32.854.9/91.3NR(i) 8.7
(ii) 1 dislocation, 1 acetabular component loosening
8.7
(i) 1 dislocation, 1 acetabular component loosening
14.3
(i) 2 SLE and infection