| Evaluation of core decompression for early osteonecrosis of the femoral head. | |
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MedLine Citation:
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PMID: 10853887 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Twenty-six hips (19 patients) with osteonecrosis of the femoral head with stage I or II of the disease, according to the Ficat and Arlet classification, underwent core decompression. Osteonecrosis was confirmed histologically in all 26 hips. Of 19 patients, 7 had prognostic factors traditionally associated with poor outcome including collagen vascular disease and continued use of steroids. The follow-up period averaged 7 years 10 months (range: 2 years 5 months-13 years 8 months) for 17 patients with 24 hips. Two patients died secondary to systemic illness. Seventeen hips (65.4%) had very good or good results using the Ficat criteria. Eight hips (30.8%) needed further operation [total hip arthroplasty (THA) for 7 hips, osteotomy for 1 hip]. Of the 12 hips in patients who had used steroids, 6 hips (50%) were converted to THA. Four hips in patients with systemic lupus erythematosus (SLE) needed THA (100%). We conclude that core decompression provides an effective treatment for steroid-associated osteonecrosis other than in cases with SLE, as well as providing effective treatment for non-steroid-associated osteonecrosis in the early stages of the disease. |
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Authors:
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S Maniwa; T Nishikori; S Furukawa; K Kajitani; A Iwata; U Nishikawa; M Ochi |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Archives of orthopaedic and trauma surgery Volume: 120 ISSN: 0936-8051 ISO Abbreviation: Arch Orthop Trauma Surg Publication Date: 2000 |
Date Detail:
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Created Date: 2000-10-19 Completed Date: 2000-10-19 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 9011043 Medline TA: Arch Orthop Trauma Surg Country: GERMANY |
Other Details:
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Languages: eng Pagination: 241-4 Citation Subset: IM |
Affiliation:
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Department of Orthopedics, Shimane Medical University, Izumo, Japan. smaniwa@shimane-med.ac.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Arthroplasty, Replacement, Hip Decompression, Surgical* Female Femur Head Necrosis / diagnosis, etiology, surgery* Follow-Up Studies Humans Male Middle Aged Postoperative Complications / diagnosis, surgery Reoperation Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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