jktoКафедра травматологии и ортопедииDepartment of Traumatology and Orthopaedics2226-2016ПРОФИЛЬ — 2С10.17238/2226-2016-2025-2-60-70jkto-23Research ArticleОБЗОР ЛИТЕРАТУРЫLITERATURE REVIEWПатогенетические и технические аспекты радикальных вмешательств на суставах при анкилозирующем спондилоартритеPathogenetic and Technical Aspects of Radical Surgical Procedures for Treating Ankylosing SpondylitisАхтямовИ. Ф.AkhtyamovI. F.

Ахтямов Ильдар Фуатович – д.м.н., профессор, заведующий кафедрой травматологии, ортопедии и хирургии экстремальных состояний

420012, Казань

Akhtyamov Ildar F. – Doctor of Medical Sciences, Professor, Head of the Traumatology, Orthopedics and Surgery of Extreme Conditions Department 

420012, Kazan 

Yalta60@mail.ruАль-ЛамиМ. А. Дж.Al-LamiM. A. J.

Аль-Лами Мустафа Али Джасим – аспирант кафедры травматологии ортопедии и хирургии экстремальных состояний 

420012, Казань

Al-Lami Mustafa A. J. – Graduate student, Traumatology, Orthopedics and Surgery of Extreme Conditions Department 

420012, Kazan 

ms19882002@icloud.comНуриахметоваТ. Ю.NuriakhmetovaT. Y.

Нуриахметова Татьяна Юрьевна – к.м.н., ассистент кафедры госпитальной терапии  

420012, Казань

Nuriakhmetova Tatyana Y. – Candidate of Medical Sciences, Assistant of the Department of Hospital Therapy 

420012, Kazan 

nurajnur888@mail.ruФайзрахмановаГ. М.FaizrakhmanovaG. M.

Файзрахманова Гульнара Мубараковна – к.м.н., Доцент кафедры травматологии ортопедии и хирургии экстремальных состояний 

420012, Казань

Faizrakhmanova Gulnara M. – Cand. Sci. (Med.), Associate Professor, Department of Traumatology, Orthopedics and Surgery of Extreme Conditions 

420012, Kazan 

fagumu69@mail.ruФГБОУ ВО Казанский государственный медицинский университет Минздрава РоссииРоссияKazan state medical universityRussian Federation202513032026026070Copyright © Ахтямов И.Ф., Аль-Лами М., Нуриахметова Т.Ю., Файзрахманова Г.М., 20262026Ахтямов И.Ф., Аль-Лами М., Нуриахметова Т.Ю., Файзрахманова Г.М.Akhtyamov I.F., Al-Lami M., Nuriakhmetova T.Y., Faizrakhmanova G.M.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.jkto.moscow/jour/article/view/23

Последние десятилетия ортопедическая наука выделила ряд фундаментальных направлений в восстановлении функциональных возможностей пациентов, основанных на применении высокотехнологичных методов лечения патологии опорно-двигательной системы. Артропластика стала ключевым элементом в решении проблем поздних стадий заболеваний суставов, особенно нижних конечностей. Однако, системная патология, в том числе аутоиммунные заболевания скелета, особенно ревматоидный артрит (РА) и анкилозирующий спондилоартрит (АС), делают уникальные вызовы, требующие специализированного подхода. Значение эндопротезирования по замене тазобедренного и коленного сустава в комплексном лечении АС невозможно переоценить. Радикальные вмешательства позволяют облегчить боль, восстановить функцию суставов и улучшить качество жизни столь сложной группы пациентов. Они играют важную роль в восстановлении физической активности пациента и смягчении последствий тяжелой патологии скелета. Не решая коренной задачи исцеления, метод способствует повышению качества жизни пациента, что делает его на сегодня незаменимым. Цель работы - рассмотреть варианты лечения и провести анализ публикаций отечественных и зарубежных авторов, посвященные вопросам анкилозирующего спондилоартрита с акцентом на хирургическую коррекцию поздних стадий суставных проявлений. Методология поиска источников. При подготовке обзора литературы использованы электронные базы данных научной литературы PubMed (MEDLINE) и eLibrary.Ru Поиск данных литературы произведён по следующим ключевым словам: анкилозирующий спондилоартрит, реактивный артрит, эндопротезирование, ankylosing spondylitis, rheumatoid arthritis, endoprosthetics использовали следующие КРИТЕРИИ ВКЛЮЧЕНИЯ: рандомизированные контролируемые клинические исследования, клинические случаи, систематические обзоры, метаанализы. КРИТЕРИЯМИ ИСКЛЮЧЕНИЯ являлись статьи без полнотекстовой версии, дублирующие публикации. Предпочтение отдавали работам за последние 5-10 лет. 

In recent decades, orthopedic science has identified a number of fundamental areas in restoring the functional capabilities of patients based on the use of high-tech methods for treating musculoskeletal pathologies. Arthroplasty has become a key element in solving the problems of late stages of joint diseases,  especially of the lower extremities. However, systemic pathologies, including autoimmune skeletal diseases, especially rheumatoid arthritis (RA) and ankylosing spondylitis (AS), pose unique challenges that require a specialized approach. The importance of endoprosthetics for replacing the hip and knee joint in the complex treatment of AS cannot be overestimated. Radical interventions can relieve pain, restore joint function and improve the quality of life of such a complex group of patients. They play an important role in restoring the patient's physical activity and mitigating the effects of severe skeletal pathology. Without solving the fundamental problem of healing, the method helps to improve the patient's quality of life, which makes it indispensable today. The purpose of the work is to consider treatment options and analyze publications of domestic and foreign authors on the issues of ankylosing spondylitis with an emphasis on surgical correction of late stages of articular manifestations. Source search methodology. To prepare the literature review, the electronic database of scientific literature PubMed (MEDLINE) was used. The literature was searched using the following keywords: ankylosing spondylitis, rheumatoid arthritis, hip replacement The following INCLUSION CRITERIA were used: randomized controlled clinical trials, clinical cases, systematic reviews, meta-analyses. EXCLUSION CRITERIA were articles without a full-text version, duplicate publications. Preference was given to works over the past 5-10 years. 

Анкилозирующий спондилоартрит (спондилит)Эндопротезированиеревматоидный артриттотальная артропластика тазобедренного суставаАnkylosing spondyloarthritisHip replacementRheumatoid arthritisTotal hip ArthroplastyReferencesAppel H., Sieper J. Spondyloarthritis at the crossroads of imaging, pathology, and structural damage in the era of biologics. Curr Rheumatol Rep. 2008;10 (5):356-363. doi:10.1007/s11926-008-0058-xAppel H., Sieper J. Spondyloarthritis at the crossroads of imaging, pathology, and structural damage in the era of biologics. Curr Rheumatol Rep. 2008;10 (5):356-363. doi:10.1007/s11926-008-0058-xKhan M. Update on Spondyloarthropathies. Ann Intern Med. 2002 Jun 18; 136(12):896-907. DOI:10.7326/0003-4819- 136-12-200206180-00011.Khan M. Update on Spondyloarthropathies. Ann Intern Med. 2002 Jun 18; 136(12):896-907. DOI:10.7326/0003-4819-136-12-200206180- 00011.Балабанова Р.М., Эрдес Ш.Ф. Распространенность ревматических заболеваний в России в 2012-2013 гг. Научно-практическая ревматология. 2015;53(2):120-4. DOI:10.14412/1995-4484-2015-120- 124Balabanova R.M., Erdes Sh.F. THE INCIDENCE AND PREVALENCE OF RHEUMATIC DISEASES IN RUSSIA IN 2012–2013. Rheumatology Science and Practice. 2015;53(2):120-124. DOI:10.14412/1995-4484-2015-120-124Эрдес Ш.Ф., Бадокин В.В., Бочкова А.Г. и др. О терминологии спондилоартритов. Научно-практическая ревматология. 2015;53(6):657-60. DOI: 10.14412/1995-4484-2015-657-660Erdes Sh.F., Badokin V.V., Bochkova A.G., Bugrova O.V., Gaidukova I.Z., Godzenko A.A., Dubikov A.A., Dubinina T.V., Ivanova O.N., Korotaeva T.V., Lapshina S.A., Nesmeyanova O.B., Nikishina I.P., Otteva E.N., Raskina T.A., Rebrov A.P., Rumyantseva O.A., Sitalo A.V., Smirnov A.V. ON THE TERMINOLOGY OF SPONDYLOARTHRITIS. Rheumatology Science and Practice. 2015;53(6):657-660. DOI:10.14412/1995-4484-2015-657-660Ramiro S., van der Heijde D., van Tubergen A., et al. Higher disease activity leads to more structural damage in the spine in ankylosing spondylitis: 12-year longitudi- nal data from the OASIS cohort. Ann Rheum Dis. 2014 Aug;73(8):1455-61. DOI: 10.1136/annrheumdis-2014-205178. Epub 2014. May 7Ramiro S., van der Heijde D., van Tubergen A., et al. Higher disease activity leads to more structural damage in the spine in ankylosing spondylitis: 12-year longitudi- nal data from the OASIS cohort. Ann Rheum Dis. 2014 Aug;73(8):1455-61. DOI: 10.1136/annrheumdis-2014-205178. Epub 2014. May 7Румянцева Д.Г., Эрдес Ш.Ф. Аксиальный спондилоартрит: современный взгляд на концепцию и эволюцию болезни. Современная ревматология. 2019;13(4):4–10 DOI: 10/14412/1996-7012-2019-4-4-10.Rumyantseva D.G., Erdes S.F. Axial spondyloarthritis: a current look at the concept and evolution of the disease. Sovremennaya Revmatologiya=Modern Rheumatology Journal. 2019;13(4):4-10. DOI:10.14412/1996-7012-2019-4-4-10Лила А.М., Дубинина Т.В., Древаль Р.О., Лапшина С.А., Заботина А.Н. Медико-социальная значимость и расчет экономического бремени аксиального спондилоартрита в Российской Федерации. Современная ревматология. 2022;16(1):20-25. DOI:10.14412/1996-7012-2022-1-20-25Lila A.M., Dubinina T.V., Dreval R.O., Lapshina S.А., Zabotina A.N. Medical and social significance and calculation of the economic burden of axial spondyloarthritis in the Russian Federation. Sovremennaya Revmatologiya=Modern Rheumatology Journal. 2022;16(1):20-25Pedersen S.J., Wichuk S., Chiowchanwisawakit P., et al. Tumor necrosis factor inhibitor therapy but not standard ther- apy is associated with resolution of erosion in the sacroiliac joints of patients with axial spondyloarthritis. Arthritis Res Ther. 2014 Apr 22;16(2):R100. DOI: 10.1186/ar4548Pedersen S.J., Wichuk S., Chiowchanwisawakit P., et al. Tumor necrosis factor inhibitor therapy but not standard ther- apy is associated with resolution of erosion in the sacroiliac joints of patients with axial spondyloarthritis. Arthritis Res Ther. 2014 Apr 22;16(2):R100. DOI: 10.1186/ar4548Сухарева М.Л., Дубинина Т.В., Эрдес Ш.Ф., Агасаров Л.Г. Проблемы применения принципов доказательной медицины в медицинской реабилитации ревматических заболеваний. Научно-практическая ревматология. 2015;53(5):564-567. DOI:10.14412/1995-4484-2015-564- 567Sukhareva M.L., Dubinina T.V., Erdes Sh.F., Agasarov L.G. PROBLEMS In the application of principles of evidence-based medicine to the medical rehabilitation of rheumatic diseases. Rheumatology Science and Practice. 2015;53(5):564-567.Каратеев А.Е., Сухарева М.В., Лила А.М. Медицинская реабилитация в комплексном лечении ревматических заболеваний: обзор данных литературы. Научно-практическая ревматология. 2019;57(5):584-96. doi: 10.14412/1995-4484-2019-584-596Karateev A.E., Sukhareva M.V., Lila A.M. Medical rehabilitation in the combination treatment of rheumatic diseases: a review. Rheumatology Science and Practice. 2019;57(5):584-596.Tang M., Xue L., Shen Y., et al. Efficacy of long-term nonsteroidal antiinflammatory drug treatment on magnetic resonance imag- ingdetermined bone marrow oedema in early, active axial spondyloarthritis patients. Clin Rheumatol. 2018 Jan;37(1):245-50. doi: 10.1007/s10067-017-3666-x. Epub 2017 May 11Tang M., Xue L., Shen Y., et al. Efficacy of long-term nonsteroidal antiinflammatory drug treatment on magnetic resonance imag- ingdetermined bone marrow oedema in early, active axial spondyloarthritis patients. Clin Rheumatol. 2018 Jan;37(1):245-50. doi: 10.1007/s10067-017-3666-x. Epub 2017 May 11Бочкова А.Г. Роль глюкокортикоидов в лечении спондилоартритов. Современная ревматология. 2011;5(1):76-9.DOI:10.14412/1996-7012-2011-656Bochkova A.G.Rol’ glyukokortikoidovv lechenii spondiloartritov. Sovremennaya Revmatologiya Modern Rheumatology Journal. 2011;5(1):76-79.Xi Y., Jiang T., Chaurasiya B. et al. Advances in nanomedicine for the treatment of ankylosing spondylitis. Int J Nanomedicine. 2019 Oct 29;14:8521-42. doi: 10.2147/IJN.S216199Xi Y., Jiang T., Chaurasiya B. et al. Advances in nanomedicine for the treatment of ankylosing spondylitis. Int J Nanomedicine. 2019 Oct 29;14:8521-42. doi: 10.2147/ IJN.S216199Stovall R., Peloquin C., Felson D., Neogi T., Dubreuil M. Relation of NSAIDs, DMARDs, and TNF Inhibitors for Ankylosing Spondylitis and Psoriatic Arthritis to Risk of Total Hip and Knee Arthroplasty [published correction appears in J Rheumatol. 2021 Dec;48(12):1892. DOI: 10.3899/jrheum. 200453.Stovall R., Peloquin C., Felson D., Neogi T., Dubreuil M. Relation of NSAIDs, DMARDs, and TNF Inhibitors for Ankylosing Spondylitis and Psoriatic Arthritis to Risk of Total Hip and Knee Arthroplasty [published correction appears in J Rheumatol. 2021 Dec;48(12):1892. DOI: 10.3899/jrheum. 200453.Эрдес Ш.Ф. Последние достижения и перспективы терапии аксиального спондилоартрита / анкилозирующего спондилоартрита. Современная ревматология. 2021;15 (2):94–105. DOI: 10.14412/1996-7012-2021-2-94-105Erdes S.F. Recent advances and prospects of axial spondyloarthritis / ankylosing spondylitis treatment. Sovremennaya Revmatologiya=Modern Rheumatology Journal. 2021; 15(2):94-105.Аль-Лами М.А.Д., Ахтямов И.Ф., Нуриахметова Т.Ю., Лапшина С.А. Оценка эффективности замены тазобедренных суставов у пациентов со спондилоартритами. Здравоохранение Дальнего Востока. 2024:2: 9-14. DOI: 10.33454/1728-1261-2024-2-9-14.Al-Lami M.A.D.,. Akhtyamov I.F., Nuriakhmetova T.Yu., Lapshina S.A. Assessment of the effectiveness of the replacement of hip joints in patients with spondyloarthritis 2024:2: 9-14 DOI: 10.33454/1728-1261-2024-2-9-14.MacKay K., Brophy S., Mack C., Doran M., Calin A. The development and validation of a radiographic grading system for the hip in ankylosing spondylitis: the bath ankylosing spondylitis radiology hip index. J Rheumatol. 2000;27(12):2866-2872.MacKay K., Brophy S., Mack C., Doran M., Calin A. The development and validation of a radiographic grading system for the hip in ankylosing spondylitis: the bath ankylosing spondylitis radiology hip index. J Rheumatol. 2000;27(12):2866-2872.Vander Cruyssen B., Muñoz-Gomariz E., Font P. et al. Hip involvement in ankylosing spondylitis: epidemiology and risk factors associated with hip replacement surgery. Rheumatology (Oxford). 2010;49(1):73-81. doi:10.1093/rheumatology/kep174Vander Cruyssen B., Muñoz-Gomariz E., Font P. et al. Hip involvement in ankylosing spondylitis: epidemiology and risk factors associated with hip replacement surgery. Rheumatology (Oxford). 2010;49(1):73-81. doi:10.1093/rheumatology/kep174Brooker A.F., Bowerman J.W., Robinson R.A., Riley L.H. Jr. Ectopic ossification following total hip replacement. Incidence and a method of classification. J Bone Joint Surg Am. 1973; 55(8): 1629–32Brooker A.F., Bowerman J.W., Robinson R.A., Riley L.H. Jr. Ectopic ossification following total hip replacement. Incidence and a method of classification. J Bone Joint Surg Am. 1973; 55(8): 1629–32Rudwaleit M. et al. Low T cell production of TNFalpha and IFNgamma in ankylosing spondylitis: its relation to HLA-B27 and influence of the TNF-308 gene polymorphism. Ann. Rheum. Dis. 2001;60:36–42 DOI:10.1136/ard.60.1.36.).Rudwaleit M. et al. Low T cell production of TNFalpha and IFNgamma in ankylosing spondylitis: its relation to HLA-B27 and influence of the TNF-308 gene polymorphism. Ann. Rheum. Dis. 2001;60:36–42 DOI:10.1136/ard.60.1.36.).Faham M. et al. Discovery of T cell receptor beta motifs specific to HLA-B27-positive ankylosing spondylitis by deep repertoire sequence analysis. Arthritis Rheuma. 2017;69:774–784. DOI:10.1002/art.40028.Faham M. et al. Discovery of T cell receptor beta motifs specific to HLA-B27-positive ankylosing spondylitis by deep repertoire sequence analysis. Arthritis Rheuma. 2017;69:774–784. DOI:10.1002/art.40028.Bowness P. et al. Th17 cells expressing KIR3DL2+ and responsive to HLA-B27 homodimers are increased in ankylosing spondylitis. J. Immunol. 2011;186:2672–2680. DOI:10.4049/jimmunol.1002653.Bowness P. et al. Th17 cells expressing KIR3DL2+ and responsive to HLA-B27 homodimers are increased in ankylosing spondylitis. J. Immunol. 2011;186:2672–2680. DOI:10.4049/jimmunol.1002653.Ward M.M. Increased Rates of Both Knee and Hip Arthroplasties in Older Patients with Ankylosing Spondylitis. J Rheumatol. 2019;46(1):31- 37. DOI:10.3899/jrheum.171316Ward M.M. Increased Rates of Both Knee and Hip Arthroplasties in Older Patients with Ankylosing Spondylitis. J Rheumatol. 2019;46(1):31- 37. DOI:10.3899/jrheum.171316Hawley S., Sacks S., Bowness P., Prieto-Alhambra D. Incidence of Total Hip and Knee Replacement in UK Patients with Ankylosing Spondylitis. J Rheumatol. 2018;45(9):1334-1336. DOI:10.3899/jrheum.171387Hawley S., Sacks S., Bowness P., Prieto-Alhambra D. Incidence of Total Hip and Knee Replacement in UK Patients with Ankylosing Spondylitis. J Rheumatol. 2018;45(9):1334-1336. DOI:10.3899/jrheum.171387Di Martino A., Ursini F., Bordini B. et al. Perioperative treatment with TNF inhibitors does not affect survival of total hip arthroplasty in inflammatory arthritis: A registry-based cohort study. Semin Arthritis Rheum. 2023; 60: 152201. DOI:10.1016/j.semarthrit.2023.152201.Di Martino A., Ursini F., Bordini B. et al. Perioperative treatment with TNF inhibitors does not affect survival of total hip arthroplasty in inflammatory arthritis: A registry-based cohort study. Semin Arthritis Rheum. 2023; 60: 152201. DOI:10.1016/j.semarthrit.2023.152201.Tsay P.J., Hsu S.W., Peng H.C. et al. Trachway intubating stylet for tracheal intubation in an ankylosing spondylitis patient undergoing total hip replacement under general anesthesia. Acta Anaesthesiol Taiwan. 2011; 49(4): 159–61. DOI:10.1016/j.aat.2011.11.005Tsay P.J., Hsu S.W., Peng H.C. et al. Trachway intubating stylet for tracheal intubation in an ankylosing spondylitis patient undergoing total hip replacement under general anesthesia. Acta Anaesthesiol Taiwan. 2011; 49(4): 159–61. DOI:10.1016/j.aat.2011.11.005Chung B.C., Stefl M., Kang H.P. et al. Increased dislocation rates following total hip arthroplasty in patients with ankylosing spondylitis. Hip Int. 2023; 33(6): 1026–34. DOI:10.1177/11207000221126968. PMID: 36192824.Chung B.C., Stefl M., Kang H.P. et al. Increased dislocation rates following total hip arthroplasty in patients with ankylosing spondylitis. Hip Int. 2023; 33(6): 1026–34. DOI:10.1177/11207000221126968. PMID: 36192824.Debarge R., Demey G., Roussouly P. Radiological analysis of ankylosing spondylitis patients with severe kyphosis before and after pedicle subtraction osteotomy. Eur Spine J. 2010; 19(1): 65–70Debarge R., Demey G., Roussouly P. Radiological analysis of ankylosing spondylitis patients with severe kyphosis before and after pedicle subtraction osteotomy. Eur Spine J. 2010; 19(1): 65–70Jacob M.K., Reddy P.K., Kuruvilla R.S., John C.V., Poonnoose P.M., Oommen A.T. Functional and clinical outcome with modified lateral approach total hip arthroplasty in stiff hips with ankylosing spondylitis. World J Orthop. 2022;13(8):714-724. Published 2022 Aug 18. DOI:10.5312/wjo. v13.i8.714.Jacob M.K., Reddy P.K., Kuruvilla R.S., John C.V., Poonnoose P.M., Oommen A.T. Functional and clinical outcome with modified lateral approach total hip arthroplasty in stiff hips with ankylosing spondylitis. World J Orthop. 2022;13(8):714-724. Published 2022 Aug 18. DOI:10.5312/wjo. v13.i8.714.Song L., Yu J., Zhang T. Therapeutic effect of artificial total hip arthroplasty on flexion regidity of hip joint in ankylosing spondylitis. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2009; 23(2): 205–8.Song L., Yu J., Zhang T. Therapeutic effect of artificial total hip arthroplasty on flexion regidity of hip joint in ankylosing spondylitis. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2009; 23(2): 205–8.Zhu X.B., Yuan L.L., Han G.S. et al. Short term effect of total hip arthroplasty through direct anterior approach for the treatment of ankylosing spondylitis with hip flexion deformity. Zhongguo Gu Shang. 2019; 32(2): 141–45. DOI:10.3969/j.issn.1003-0034.2019.02.009Zhu X.B., Yuan L.L., Han G.S. et al. Short term effect of total hip arthroplasty through direct anterior approach for the treatment of ankylosing spondylitis with hip flexion deformity. Zhongguo Gu Shang. 2019; 32(2): 141–45. DOI:10.3969/j.issn.1003-0034.2019.02.009Li L., Fu J, Xu C. et al. Fourth-Generation Ceramic-on-Ceramic THA in Patients with Ankylosing Spondylitis: A Minimum 10-Year FollowUp. Orthop Surg. 2022;14(5):860-867. . DOI:10.1111/os.13259Li L., Fu J, Xu C. et al. Fourth-Generation Ceramic-on-Ceramic THA in Patients with Ankylosing Spondylitis: A Minimum 10-Year FollowUp. Orthop Surg. 2022;14(5):860-867. . DOI:10.1111/os.13259Owen A.R., Markos J.R., Mabry T.M., Taunton M.J., Berry D.J., Abdel M.P. Contemporary Primary Total Knee Arthroplasty is Durable in Patients Diagnosed With Ankylosing Spondylitis. J Arthroplasty. 2020;35(11):3161-3165. DOI:10.1016/j.arth.2020.06.033Owen A.R., Markos J.R., Mabry T.M., Taunton M.J., Berry D.J., Abdel M.P. Contemporary Primary Total Knee Arthroplasty is Durable in Patients Diagnosed With Ankylosing Spondylitis. J Arthroplasty. 2020;35(11):3161-3165. DOI:10.1016/j.arth.2020.06.033Man S., Ji X., Zhang L., Hu Z., Lv Y., Zhou Y., Song H., Huang F. Effects of types and degrees of ankylosing spondylitis hip structural damages on post-total hip arthroplasty outcome measurements. Medicine (Baltimore). 2020 Nov 13;99(46):e23174. PMID: 33181692; PMCID: PMC7668424. DOI: 10.1097/MD.0000000000023174Man S., Ji X., Zhang L., Hu Z., Lv Y., Zhou Y., Song H., Huang F. Effects of types and degrees of ankylosing spondylitis hip structural damages on post-total hip arthroplasty outcome measurements. Medicine (Baltimore). 2020 Nov 13;99(46):e23174. PMID: 33181692; PMCID: PMC7668424. DOI: 10.1097/MD.0000000000023174Im C.J., Lee C.Y., Beom J.Y., Kim M.G., Yoon T.R., Park K.S. Stricter correction of leg length discrepancy is required during total hip arthroplasty in patients with ankylosing spondylitis. BMC Musculoskelet Disord. 2023;24(1):781. Published 2023 Oct 3. DOI:10.1186/s12891-023-06908-7Im C.J., Lee C.Y., Beom J.Y., Kim M.G., Yoon T.R., Park K.S. Stricter correction of leg length discrepancy is required during total hip arthroplasty in patients with ankylosing spondylitis. BMC Musculoskelet Disord. 2023;24(1):781. Published 2023 Oct 3. DOI:10.1186/s12891-023-06908-7Ward M.M. Complications of Total Hip Arthroplasty in Patients With Ankylosing Spondylitis. Arthritis Care Res (Hoboken). 2019;71(8):1101-1108 DOI:10.1002/acr.23582Ward M.M. Complications of Total Hip Arthroplasty in Patients With Ankylosing Spondylitis. Arthritis Care Res (Hoboken). 2019;71(8):1101-1108 DOI:10.1002/acr.23582Lian Q., Lian Y., Li K. et al. Complications of primary total hip arthroplasty among patients with rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, and primary osteoarthritis. BMC Musculoskelet Disord. 2022;23(1):924. Published 2022 Oct 19. DOI:10.1186/s12891-022-05891-9Lian Q., Lian Y., Li K. et al. Complications of primary total hip arthroplasty among patients with rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, and primary osteoarthritis. BMC Musculoskelet Disord. 2022;23(1):924. Published 2022 Oct 19. DOI:10.1186/s12891-022-05891-9Bukowski B.R., Clark N.J., Taunton M.J. et al. Primary total hip arthroplasty in patients with ankylosing spondylitis. J Arthroplasty. 2021; 36(7S): S282–S289. DOI:10.1016/j.arth.2021.01.054. PMID: 33602587.Bukowski B.R., Clark N.J., Taunton M.J. et al. Primary total hip arthroplasty in patients with ankylosing spondylitis. J Arthroplasty. 2021; 36(7S): S282–S289. DOI:10.1016/j.arth.2021.01.054. PMID: 33602587.Miller L.L., Prieto-Alhambra D., Trela-Larsen L. et al. Revision and 90-day mortality following hip arthroplasty in patients with inflammatory arthritis and ankylosing spondylitis enrolled in the National Joint Registry for England and Wales. Hip Int. 2022; 32(3): 371–78. DOI:10.1177/1120700021990592. PMID: 33601915Miller L.L., Prieto-Alhambra D., Trela-Larsen L. et al. Revision and 90-day mortality following hip arthroplasty in patients with inflammatory arthritis and ankylosing spondylitis enrolled in the National Joint Registry for England and Wales. Hip Int. 2022; 32(3): 371–78. DOI:10.1177/1120700021990592. PMID: 33601915Hu Y., Jiang W.Z., Pan C.L., Wang T. Active ankylosing spondylitis increases blood loss during total hip arthroplasty for a stiff hip joint. BMC Musculoskelet Disord. 2020;21(1):243. Published 2020 Apr 15 DOI:10.1186/s12891-020-03278-2Hu Y., Jiang W.Z., Pan C.L., Wang T. Active ankylosing spondylitis increases blood loss during total hip arthroplasty for a stiff hip joint. BMC Musculoskelet Disord. 2020;21(1):243. Published 2020 Apr 15 DOI:10.1186/s12891-020-03278-2Mekkawy K.L., Rodriguez H.C., Mercadal G. et al. Ankylosing spondylitis in patients undergoing total hip arthroplasty increases the risk of medical and implant-related complications: A case control analysis. Hip Int. 2024; 34(5): 602–7. DOI:10.1177/11207000241267706Mekkawy K.L., Rodriguez H.C., Mercadal G. et al. Ankylosing spondylitis in patients undergoing total hip arthroplasty increases the risk of medical and implant-related complications: A case control analysis. Hip Int. 2024; 34(5): 602–7. DOI:10.1177/11207000241267706Li L., Fu J., Xu C. et al. Factors associated with blood loss in ankylosing spondylitis patients with hip involvement undergoing primary total hip arthroplasty: a cross-sectional retrospective study of 243 patients. J Orthop Surg Res. 2020;15(1):541. Published 2020 Nov 18. DOI:10.1186/s13018-020-02064-zLi L., Fu J., Xu C. et al. Factors associated with blood loss in ankylosing spondylitis patients with hip involvement undergoing primary total hip arthroplasty: a cross-sectional retrospective study of 243 patients. J Orthop Surg Res. 2020;15(1):541. Published 2020 Nov 18. DOI:10.1186/s13018-020-02064-zLi J., Zhao J., He C., Tong W., Zou Y., Xu W. Comparison of Blood Loss After Total Hip Arthroplasty Between Ankylosing Spondylitis and Osteoarthritis. J Arthroplasty. 2016;31(7):1504-1509. DOI:10.1016/j.arth.2015.12.049Li J., Zhao J., He C., Tong W., Zou Y., Xu W. Comparison of Blood Loss After Total Hip Arthroplasty Between Ankylosing Spondylitis and Osteoarthritis. J Arthroplasty. 2016;31(7):1504-1509. DOI:10.1016/j.arth.2015.12.049Shi D., Xu X., Song K. et al. Comparison of venous thromboembolism after total hip arthroplasty between ankylosing spondylitis and osteoarthritis. Biomed Res Int. 2014;2014:712895. DOI:10.1155/2014/712895Shi D., Xu X., Song K. et al. Comparison of venous thromboembolism after total hip arthroplasty between ankylosing spondylitis and osteoarthritis. Biomed Res Int. 2014;2014:712895. DOI:10.1155/2014/712895Chung B.C., Stefl M., Kang H.P. et al. Increased dislocation rates following total hip arthroplasty in patients with ankylosing spondylitis. Hip Int. 2023;33(6):1026-1034. DOI:10.1177/11207000221126968Chung B.C., Stefl M., Kang H.P. et al. Increased dislocation rates following total hip arthroplasty in patients with ankylosing spondylitis. Hip Int. 2023;33(6):1026-1034. DOI:10.1177/11207000221126968Katakam A., Bedair H.S., Melnic C.M. Do All Rigid and Unbalanced Spines Present the Same Risk of Dislocation After Total Hip Arthroplasty? A Comparison Study Between Patients With Ankylosing Spondylitis and History of Spinal Fusion. J Arthroplasty. 2020;35(12):3594-3600. DOI:10.1016/j.arth.2020.06.048Katakam A., Bedair H.S., Melnic C.M. Do All Rigid and Unbalanced Spines Present the Same Risk of Dislocation After Total Hip Arthroplasty? A Comparison Study Between Patients With Ankylosing Spondylitis and History of Spinal Fusion. J Arthroplasty. 2020;35(12):3594-3600. DOI:10.1016/j.arth.2020.06.048Bukowski B.R., Clark N.J., Taunton M.J., Freedman B.A., Berry D.J., Abdel M.P. Primary Total Hip Arthroplasty in Patients With Ankylosing Spondylitis. J Arthroplasty. 2021;36(7S):S282-S289. DOI:10.1016/j.arth.2021.01.054 4Bukowski B.R., Clark N.J., Taunton M.J., Freedman B.A., Berry D.J., Abdel M.P. Primary Total Hip Arthroplasty in Patients With Ankylosing Spondylitis. J Arthroplasty. 2021;36(7S):S282-S289. DOI:10.1016/j.arth.2021.01.054Ran T.F., Ke S., Li J. et al. Relieved Low Back Pain after Total Hip Arthroplasty in Patients with Both Hip Osteoarthritis and Lumbar Degenerative Disease. Orthop Surg. 2021;13(6):1882-1889. DOI:10.1111/ os.13135Ran T.F., Ke S., Li J. et al. Relieved Low Back Pain after Total Hip Arthroplasty in Patients with Both Hip Osteoarthritis and Lumbar Degenerative Disease. Orthop Surg. 2021;13(6):1882-1889. DOI:10.1111/os.13135Jacob M.K., Reddy P.K., Kuruvilla R.S., John C.V., Poonnoose P.M., Oommen A.T. Functional and clinical outcome with modified lateral approach total hip arthroplasty in stiff hips with ankylosing spondylitis. World J Orthop. 2022;13(8):714-724. Published 2022 Aug 18. DOI:10.5312/wjo.v13.i8.714Jacob M.K., Reddy P.K., Kuruvilla R.S., John C.V., Poonnoose P.M., Oommen A.T. Functional and clinical outcome with modified lateral approach total hip arthroplasty in stiff hips with ankylosing spondylitis. World J Orthop. 2022;13(8):714-724. Published 2022 Aug 18. DOI:10.5312/wjo.v13.i8.714Chen L., Zhou Y., Zhang L., Huang Y., Tang H. Revision total hip arthroplasty in patients with ankylosing spondylitis: Mid-term results. Orthop Traumatol Surg Res. 2023;109(7):103504. DOI:10.1016/j.otsr.2022.103504Chen L., Zhou Y., Zhang L., Huang Y., Tang H. Revision total hip arthroplasty in patients with ankylosing spondylitis: Mid-term results. Orthop Traumatol Surg Res. 2023;109(7):103504. DOI:10.1016/j.otsr.2022.103504Aissaoui N., Rostom S., Hakkou J. et al. Fatigue in patients with ankylosing spondylitis: prevalence and relationships with disease-specific variables, psychological status, and sleep disturbance. Rheumatol Int. 2012;32(7):2117-2124. DOI:10.1007/s00296-011-1928-5Aissaoui N., Rostom S., Hakkou J. et al. Fatigue in patients with ankylosing spondylitis: prevalence and relationships with disease-specific variables, psychological status, and sleep disturbance. Rheumatol Int. 2012;32(7):2117-2124. DOI:10.1007/s00296-011-1928-5Sağ S., Nas K., Sağ M.S., Tekeoğlu İ., Kamanlı A. Relationship of work disability between the disease activity, depression and quality of life in patients with ankylosing spondylitis. J Back Musculoskelet Rehabil. 2018;31(3):499-505. doi:10.3233/BMR-169657Sağ S., Nas K., Sağ M.S., Tekeoğlu İ., Kamanlı A. Relationship of work disability between the disease activity, depression and quality of life in patients with ankylosing spondylitis. J Back Musculoskelet Rehabil. 2018;31(3):499-505. doi:10.3233/BMR-169657Аkland G., Gran J.T., Nossent J.C. Increased mortality in ankylosing spondylitis is related to disease activity. Ann Rheum Dis. 2011;70(11):1921– 1925. DOI: 10.1136/ard.2011.151191Аkland G., Gran J.T., Nossent J.C. Increased mortality in ankylosing spondylitis is related to disease activity. Ann Rheum Dis. 2011;70(11):1921– 1925. DOI: 10.1136/ard.2011.151191Van Eijk I.C., Peters M.J., Serné E.H., et al. Microvascular function is impaired in ankylosing spondylitis and improves after tumour necrosis factor alpha blockade. Ann Rheum Dis. 2009;68(3):362-366. DOI:10.1136/ard.2007.086777Van Eijk I.C., Peters M.J., Serné E.H., et al. Microvascular function is impaired in ankylosing spondylitis and improves after tumour necrosis factor alpha blockade. Ann Rheum Dis. 2009;68(3):362-366. DOI:10.1136/ard.2007.086777Klingberg E., Lorentzon M., Mellstrom D., Geijer M., Gothlin J., Hilme E. et al. Osteoporosis in ankylosing spondylitis - prevalence, risk factors and methods of assessment. Arthritis Res Ther. 2012;14(3):R108. DOI: 10.1186/ar3833.Klingberg E., Lorentzon M., Mellstrom D., Geijer M., Gothlin J., Hilme E. et al. Osteoporosis in ankylosing spondylitis - prevalence, risk factors and methods of assessment. Arthritis Res Ther. 2012;14(3):R108. DOI: 10.1186/ar3833.Лапшина С.А., Ахтямов И.Ф., Гильмутдинов И.Ш., Аль-Лами М.А.Д. Эндоротезирование тазобедренных суставов у пациентов с анкилозирующим спондилоартритом. Практическая медицина. 2019;17(6):35-38 DOI:10.32000/2072-1757-2019-6-35-38Lapshina S.A., Akhtyamov I.F., Gilmutdinov I.Sh., Al-Lami M.A.J. Hip arthroplasty in patients with ankylosing spondylitis. Practical medicine. 2019;17(6):35-38.Новиков Ю.О., Богачев А.А., Цыкунов М.Б. Дифференциальная диагностика мышечно-скелетных болей при спондилоартрозе и остеоартрозе с использованием магнитно-резонансной томографии. Вестник травматологии и ортопедии им. Н.Н. Приорова. 2024;31(3):325−336. DOI: 10.17816/vto629188.Novikov Yu.O., Bogachev A.A., Tsykunov M.B. Differential diagnostics of musculoskeletal pain in spondyloarthrosis and osteoarthrosis using magnetic resonance imagraphy. N.N. Priorov Journal of Traumatology and Orthopedics. 2024;31(3):325−336.Цыкунов М.Б. Использование категорий международной классификации функционирования для оценки нарушений при патологии опорно-двигательной системы. Часть 1. Вестник травматологии и ортопедии им. Н.Н. Приорова. -2019;1:58-66. DOI: 10.17116/vto201901158Tsykunov M.B. Rehabilitation diagnosis in the pathology of the musculoskeletal system using categories of the international classification of functioning. N.N. Priorov Journal of Traumatology and Orthopedics. 2019;1:58-66.Подряднова М.В., Балабанова Р.М., Урумова М.М., Эрдес Ш.Ф. Взаимосвязь клинических характеристик анкилозирующего спондилоартрита с трудоспособностью и производительностью труда. Научно-практическая ревматология. 2014;52(5):513–519. DOI:10.14412/1995-4484-2014-513-519Podryadnova M.V., Balabanova R.M., Urumova M.M., Erdes Sh.F. Correlation between clinical characteristics of ankylosing spondylitis and work capacity and productivity. Rheumatology Science and Practice. 2014;52(5):513–519.Ward M.M., Deodhar A., Gensler L.S. et al. 2019 Update of the American College of Rheumatology/Spondylitis Association of America. Spondyloarthritis Research and Treatment Network Recommendations for the Treatment of Ankylosing Spondylitis and Nonradiographic Axial Spondyloarthritis. Arthritis Care Res (Hoboken). 2019 Oct; 71(10):1285- 99. DOI: 10.1002/acr.24025. Epub 2019 Aug 21.Ward M.M., Deodhar A., Gensler L.S. et al. 2019 Update of the American College of Rheumatology/Spondylitis Association of America. Spondyloarthritis Research and Treatment Network Recommendations for the Treatment of Ankylosing Spondylitis and Nonradiographic Axial Spondyloarthritis. Arthritis Care Res (Hoboken). 2019 Oct; 71(10):1285- 99. DOI: 10.1002/acr.24025. Epub 2019 Aug 21.

The authors declare that there are no conflicts of interest present.