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Hip Replacement in Patients with Ankylosing Spondylitis

Rajesh Malhotra and Gaurav Sharma

Hip involvement in Ankylosing spondylitis (AS) patients with preexisting spinal deformity further compromises their posture and limits their mobility. Although medical management has improved the outcome and may have reduced the need for surgery, orthopedic surgery and in particular Total Hip Arthroplasty (THA) is often required to manage pain and restore function and mobility.

THA remains the most effective treatment strategy to relieve pain and improve ambulatory status in these patients. However many important considerations regarding preoperative evaluation and surgical technique must be taken into account in order to improve the results of THA in this subgroup of patients.