| Survival analysis of hips treated with flexion osteotomy for femoral head necrosis. | |
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MedLine Citation:
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PMID: 14516029 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The treatment of osteonecrosis of the femoral head (FHN) is controversial. It mainly occurs in young patients in whom total hip replacement is best avoided because of an increased risk of revision. The objective of this long-term follow-up study was to evaluate the outcome of intertrochanteric flexion osteotomy as a hip joint preserving operation for FHN. Over a 19-year period we carried out 70 intertrochanteric flexion osteotomies for FHN in 64 patients. The mean follow-up was 10.4 years (3.0 to 20.3). The overall mean Harris hip score increased from 51 points preoperatively to 71 points postoperatively. Six patients (9%) developed early postoperative complications. A total of 19 hips (27%) underwent total hip arthroplasty at a mean of 8.7 years after osteotomy. The five-year survival rate was 90%. Survival rates of hips in Ficat stage 2 were higher than those in stages 3 or 4. Hips with a preoperative necrotic angle of <200 degrees had a better survival probability than those with a necrotic angle >200 degrees. Our findings suggest that flexion osteotomy is a safe and effective procedure in Ficat stage 2 and 3 FHN, preferably with a necrotic angle of <200 degrees. |
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Authors:
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W Drescher; M Fürst; H J Hahne; A Helfenstein; W Petersen; J Hassenpflug |
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Publication Detail:
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Type: Evaluation Studies; Journal Article |
Journal Detail:
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Title: The Journal of bone and joint surgery. British volume Volume: 85 ISSN: 0301-620X ISO Abbreviation: J Bone Joint Surg Br Publication Date: 2003 Sep |
Date Detail:
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Created Date: 2003-09-30 Completed Date: 2003-10-20 Revised Date: 2010-11-10 |
Medline Journal Info:
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Nlm Unique ID: 0375355 Medline TA: J Bone Joint Surg Br Country: England |
Other Details:
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Languages: eng Pagination: 969-74 Citation Subset: AIM; IM |
Affiliation:
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Department of Orthopaedics, Christian-Albrechts-University, Kiel, Germany. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Arthroplasty, Replacement, Hip Female Femur / surgery* Femur Head Necrosis / etiology, radiography, surgery* Follow-Up Studies Hip Joint / radiography Humans Male Middle Aged Osteotomy / methods*, rehabilitation Postoperative Complications Range of Motion, Articular Reoperation Retrospective Studies Risk Factors Survival Analysis Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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