| Cementoplasty in the treatment of avascular necrosis of the hip. | |
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MedLine Citation:
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PMID: 19132783 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: This retrospective study evaluated the role of percutaneous cementoplasty in the treatment of avascular necrosis (AVN) of the hip in order to postpone or avoid total hip replacement. METHODS: The study population comprised 40 patients (47 hips) with mean age of 46 +/- 4.7 years and mean body mass index of 26.7 +/- 4.6 kg/m(2). AVN was classified according to the Ficat-Arlet classification as one stage I, 30 stage II, and 16 stage III. The minimum followup was 9 months. RESULTS: It was found that 74.5% of hips were secondarily operated for total hip replacement a mean of 19.9 +/- 15 months (median 14 mo) after cementoplasty. As well, 94% of patients with stage 3AVN and 68% with stage 2AVN underwent surgery. Twelve hips were not operated, with a mean followup of 39 +/- 19.2 months. Pain decreased by more than 80% after cementoplasty in two-thirds of patients, but the mean pain-free interval was only 8.1 +/- 6.6 months (median 5 mo). Nineteen of the 29 working patients were able to transiently return to work. The outcome was more unfavorable with radiological stage III AVN, joint effusion, and/or a double-line sign around the lesions on magnetic resonance images. CONCLUSION: Despite early relief of pain, the results of the cementoplasty technique were disappointing, with need for arthroplasty surgery in most cases within 2 years. Alternative percutaneous techniques using different filler materials with osteoinductive properties should be evaluated in further studies. |
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Authors:
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Nicolas Reuter; Alban Romier; Zephir Hambourg; Frédéric Palmieri; Dominique Fayet; Béatrice Pallot-Prades; Philippe Collet; Michel-Henry Fessy; Frédéric Farizon; Fabrice G Barral; Thierry Thomas |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of rheumatology Volume: 36 ISSN: 0315-162X ISO Abbreviation: J. Rheumatol. Publication Date: 2009 Feb |
Date Detail:
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Created Date: 2009-02-11 Completed Date: 2009-04-21 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7501984 Medline TA: J Rheumatol Country: Canada |
Other Details:
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Languages: eng Pagination: 385-9 Citation Subset: IM |
Affiliation:
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Service de Rhumatologie, INSERM U890, CHU de Saint-Etienne, 25 Boulevard Pasteur, 42055 Saint-Etienne Cedex 2, France. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Activities of Daily Living Adult Arthralgia / etiology, surgery Bone Cements / therapeutic use* Causality Disability Evaluation Disease Progression Female Femur Head / pathology, radiation effects, surgery Femur Head Necrosis / pathology, radiography, surgery* Hip Joint / pathology, radiography, surgery* Humans Male Middle Aged Orthopedic Procedures / methods* Outcome Assessment (Health Care) Postoperative Complications / etiology, pathology, physiopathology Reconstructive Surgical Procedures / methods* Retrospective Studies Risk Factors Surgical Procedures, Minimally Invasive / methods* Treatment Outcome |
| Chemical | |
Reg. No./Substance:
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0/Bone Cements |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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