Ankylosing Spondylitis
Ankylosing spondylitis is a chronic inflammatory condition that mainly affects the spine, but in many patients, the hip joints become involved over time. When the hip is affected, patients often develop progressive stiffness, reduced walking tolerance, difficulty sitting, and pain that gradually interferes with daily life.
Early management focuses on controlling inflammation through medication, physiotherapy, posture training, and rheumatology coordination. The goal is always to preserve hip movement and delay joint damage. However, long-standing ankylosing spondylitis can lead to structural joint destruction and secondary arthritis of the hip.
When hip arthritis becomes advanced and pain starts limiting function, hip replacement may be the most effective long-term option. Surgical approach selection becomes important, especially in stiff hips, and muscle-sparing techniques may support early mobilisation such as Direct Anterior (DAA) Hip Replacement, Mini Posterior Hip Replacement.
In complex or long-standing cases, implant longevity and stability require careful planning, and some patients may eventually require revision procedures later in life.
FAQs
Can ankylosing spondylitis permanently damage the hip joint?
Yes, long-term Ankylosing Spondylitis can lead to severe Hip Arthritis.
How is ankylosing spondylitis different from regular hip arthritis?
Ankylosing Spondylitis is inflammatory, while Hip Arthritis is usually degenerative.
When does ankylosing spondylitis require hip replacement surgery?
When pain and stiffness progress to advanced Hip Arthritis, surgery may be needed.
Which approach is better in stiff hips, DAA or Mini Posterior?
Both Direct Anterior (DAA) Hip Replacement and Mini Posterior Hip Replacement are chosen based on anatomy and stiffness.
Can ankylosing spondylitis patients need revision surgery later?
Some cases may eventually require Revision Hip Replacement Surgery.
Address:
B-19, Greater Kailash Enclave-1, Sarvodaya Medicentre, New Delhi 110048
