Hidetoshi Tsushima, Sakuragi Takahide, Yukio Akasaki, Toshifumi Fujiwara, Daisuke Hara, Satoshi Ikemura, Kouji Sakuraba, Satoshi Kamura, Hisaaki Miyahara, Hisakata Yamada, Jun-Ichi Fukushi, Yasuharu Nakashima
OBJECTIVES: The treatments for rheumatoid arthritis (RA) have been greatly improved, and the tight control of disease activity yields superior clinical outcomes. This study aimed to elucidate the accompanying changes in hip destruction following the implementation of a treat-to-target strategy for patients with RA. METHODS: We extracted 190 hips over two periods, i.e., the early period (1998-2003) and late period (2013-2019), with 103 and 87 hips, respectively. The observed rheumatic changes, such as inward migration, upward migration, and femoral head collapse, were quantitatively evaluated, while osteoarthritic changes, such as the formation of a capital drop, were investigated from radiographs before primary total hip arthroplasty...
February 14, 2023: Modern Rheumatology