SavedAdd your journal

Journals / Mustafa Kemal Üniversitesi Tıp Dergisi / 2013 / Cilt: 4 - Sayı: 14

Osteonecrosis Of The Femoral Head. Results Of Core Decompression With And Without A Suction Drain

FEMUR BAŞI OSTEONEKROZU: VAKUM DRENLİ VE VAKUM DRENSİZ KOR DEKOMPRESYON SONUÇLARI

Raif ÖZDEN
Ömer YILDIZ
İbrahim DUMAN
Vedat URUÇ
Pages
31–38
Publication Date
2015-03-03
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusions: Treatment of the early stage of osteonecrosis of the femoral head with CD improved the HHS but combined with the a suction drain into the core tract after CD seems to be not better than simple CD

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objectives: The aim of this study is to compare the clinical outcomes of the femoral head osteonecrosis treatead with core decompression (CD) combined with a suction drain into the core tract versus simple CD.
📊
Key Findings & Data:Materials and Methods: Thirtynine osteonecrotic hips in 25 patients were divided into 2 groups.
💡
Conclusion & Impact:Conclusions: Treatment of the early stage of osteonecrosis of the femoral head with CD improved the HHS but combined with the a suction drain into the core tract after CD seems to be not better than simple CD
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Femur başı osteonekrozu · Kor dekompresyon · Kalça

Abstract

Objectives: The aim of this study is to compare the clinical outcomes of the femoral head osteonecrosis treatead with core decompression (CD) combined with a suction drain into the core tract versus simple CD. Materials and Methods: Thirtynine osteonecrotic hips in 25 patients were divided into 2 groups. Patients in group 1 (19 hips) were treated with CD, and those in group 2 (20 hips) received suction drain into the core tract after CD. Outcome between the 2 groups were compared clinically. Clinical assessments included assessment Harris hip score (HHS). Difference in HHS between the two groups were calculated using the Mann-Whitney U test. Results: At the end 6 months, patients compared with HHS. No significant differences were found between the two groups, but there was significant statical difference within the groups. Conclusions: Treatment of the early stage of osteonecrosis of the femoral head with CD improved the HHS but combined with the a suction drain into the core tract after CD seems to be not better than simple CD

Özet

Amaç: Bu çalışmanın amacı sadece kordekompresyon yapılan hastalar ile kordekompresyondan sonra, açılan tünelevakumlu dren konulan hastalarınsonuçlarını karşılaştırmaktır.Yöntem ve Gereç: 25 hastanın 39 kalçasıiki eşit gruba bölündü. Birinci gruba(n=19) sadece kor dekompresyon, ikincigruba (n=20) ise kor dekompresyondansonra açılan tünele vakumlu dren konuldu.İki gup arasındaki fark klinik olarakkarşılaştırıldı. Klinik olarak Harris kalçaskorlaması kullanıldı. İki grubukarşılaştırmak için Mann-Whitney U testiuygulandı.Bulgular: Altıncı ayda, Harris kalçaskorlaması ile hastalar karşılaştırıldığındaiki grup arasında anlamlı fark bulunamadı.Fakat gruplar kendi içindekarşılaştırıldığında kor dekompresyonunsonuçları önemli ölçüde iyileştirdiğigözlenmiştir.Sonuç: Erken evre osteonekrozuntedavisinde kor dekompresyon Harris kalçaskorunu önemli ölçüde iyileştirmiştir fakatkor dekompresyon ile açılan tünelevakumlu dren konulmasının, sonuç üzerineherhangi bir etkisi olmadığı gözlenmiştir.

🔖

Cite This Article

ÖZDEN, R., YILDIZ, Ö., DUMAN, İ., URUÇ, V. (2015). Osteonecrosis Of The Femoral Head. Results Of Core Decompression With And Without A Suction Drain. Mustafa Kemal Üniversitesi Tıp Dergisi, Cilt: 4 - Sayı: 14, 31–38. https://ajindex.com/articles/692955

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (13)

  1. Mont MA, Hungerford DS. Non-traumatic avascular necrosis of the femoral head. J Bone Joint Surg Am 1995;77(3):459-74.
  2. Lavernia CJ, Sierra RJ, Grieco FR. Osteonecrosis of the femoral head. J Am Acad Orthop Surg 1999;7(4):250–61.
  3. Lai KA, Shen WJ, Yang CY, Shao CJ, Hsu JT, Lin RM. The use of alendronate to prevent early collapse of the femoral head in patients with nontraumatic osteonecrosis. A randomized clinical study. J Bone Joint Surg Am2005; 87(10):2155–9.
  4. Agarwala S, Jain D, Joshi VR, Sule A. Efficacy of alendronate, a bisphosphonate, in the treatment of AVN of the hip. A prospective open-label study. Rheumatology;44(3):352–9.
  5. Reis ND, Schwartz O, Militianu D, Ramon Y, Levin D, Norman D, et al. Hyperbaric oxygen therapy as a treatment for stage-I avascular necrosis of the femoral head. J Bone Joint Surg Br 2003;85(3):371–5.
  6. Aaron RK, Steinberg ME. Electrical stimulation of osteonecrosis of the femoral head. Semin Arthroplasty 1991;2(3):214–21.
  7. Wang CJ, Wang FS, Huang CC, Yang KD, Weng LH, Huang HY. Treatment for osteonecrosis of the femoral head: comparison of extracorporeal shock waves with core decompression and bone-grafting. J Bone Joint Surg Am2005;87(11):2380–7.
  8. Linovitz RJ, Pathria M, Bernhardt M, Green D, Law MD, McGuire RA, et al. Combined magnetic fields accelerate and increase spine fusion: a double blind, randomized, placebo controlled study. Spine 2002;27(13):1383–9.
  9. Radke S, Kirschner S, Seipel V, Rader C, Eulert J. Magnetic resonance imaging criteria of successful core decompression in avascular necrosis of the hip. Skeletal Radiol;33(9):519–23.
  10. Mont MA, Ragland PS, Etienne G. Core decompression of the femoral head for osteonecrosis using percutaneous multiple small-diameter drilling. Clin Orthop Relat Res;(429):131–8.
  11. Koo KH, Kim R, Ko GH, et al. Preventing collapse in early osteonecrosis of the femoral head. A randomised clinical trial of core decompression. J Bone Joint Surg Br;77(6):870-4
  12. Steinberg ME, Brighton CT, Corces A, Hayken GD, Steinberg DR, Strafford B, Tooze SE, Fallon M. Osteonecrosis of thefemoral head. Results of core decompression and grafting with and without electrical stimulation. Clin Orthop Relat Res.1989;(249):199– - Gangji V, Hauzeur JP. Treatment of osteonecrosis of the femoral head with implantation of autologous bone-marrow cells. Surgical technique. J Bone Joint Surg Am;87(1):106-112.
  13. Hernigou P, Beaujean F. Treatment of osteonecrosis with autologous bone marrow grafting. Clin Orthop Relat Res. 2002;(405)