Minimum 10-Year Results of Sugioka??s Osteotomy for Femoral Head Osteonecrosis

Inao, Shigenori; Ando, Mifumi; Gotoh, Eiji; Matsuno, Takeo

doi:10.1097/00003086-199911000-00017

Cited by 40 publications

(32 citation statements)

References 8 publications

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“…The description of prosthesis and fixation was less well ratedseven of the 18 published observational studies and the one published RCT did not adequately describe the procedure. 33,41,[48][49][50]53,55 One concern, relating to the description of the study sample, was that only five (26%) of the 19 published studies adequately described how the sample was selected, [6][7][8]24,45,46,48 and only six of the 19 (32%) published studies specified the inclusion and exclusion criteria. [6][7][8]43,45,46,48,52 None of the unpublished studies adequately described the method of selection of the study sample or specified the inclusion and exclusion criteria.…”

Section: Methodological Quality Of Studiesmentioning

confidence: 99%

“…Of these, one was an RCT, 18 were single-intervention observational studies and three were systematic reviews which included THR studies. 1,30,38 Unpublished data from three industry submissions, [20][21][22] 43 12 on osteotomy [44][45][46][47][48][49][50][51][52][53][54][55] and one on arthrodesis. 33 No published studies relating to arthroscopy were included.…”

Section: Description Of Included Studiesmentioning

confidence: 99%

“…[44][45][46][47]51,52,54 As there are many different types of osteotomy, it is essential that a good description of the procedure is provided. The description of the study sample was generally poor, with the method of selection of the sample being adequately described in only three studies 45,46,48 and the exclusion and inclusion criteria being clearly specified in only four studies. 45,46,48,52 Both the control of bias in study design and the completeness of follow-up were generally poor in all the osteotomy studies because of their uncontrolled nature.…”

Section: Osteotomymentioning

confidence: 99%

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A systematic review of the effectiveness and cost-effectiveness of metal-on-metal hip resurfacing arthroplasty for treatment of hip disease

Vale

Wyness

McCormack

et al. 2002

Health Technol Assess

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Section: Methodological Quality Of Studiesmentioning

confidence: 99%

Section: Description Of Included Studiesmentioning

confidence: 99%

Section: Osteotomymentioning

confidence: 99%

See 1 more Smart Citation

A systematic review of the effectiveness and cost-effectiveness of metal-on-metal hip resurfacing arthroplasty for treatment of hip disease

Vale

Wyness

McCormack

et al. 2002

Health Technol Assess

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“…studies have reproduced similar outcomes in patients with ONFH using this technique [14][15][16]21]. Inao et al [15] reported that 11 of 14 hips had no collapse of the femoral head at a mean of 13.2 years followup after TRO.…”

Section: Introductionmentioning

confidence: 80%

“…Inao et al [15] reported that 11 of 14 hips had no collapse of the femoral head at a mean of 13.2 years followup after TRO. In another study, Koo et al [21] reported his patients experienced no additional collapse at a mean followup of 54 months.…”

Section: Introductionmentioning

confidence: 99%

Transtrochanteric Rotational Osteotomy for Nontraumatic Osteonecrosis of the Femoral Head in Young Adults

Biswal

Hazra

Yun

et al. 2009

Clin Orthop Relat Res

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Transtrochanteric rotational osteotomy (TRO) is a controversial procedure with reported inconsistent results. We reviewed 50 patients (60 hips) who underwent this procedure for extensive osteonecrosis of the femoral head, focusing on varization to determine its effectiveness as a head-preserving procedure in young adults. The mean age of the patients was 28 years (range, 18-46 years). Using the Ficat-Arlet classification, 40 hips had Stage II and 20 hips had Stage III involvement. According to the classification system of Shimizu et al., the extent of the lesions were Grade C in 54 hips and Grade B in six hips; the location of the lesions were Grade c in 56 hips and Grade b in four hips. Minimum followup was 18 months (mean, 84 months; range, 18-156 months). The mean preoperative Harris hip score was 44.7 points (range, 32-62 points) which improved to an average postoperative score of 80.1 points (range, 44-100 points) at the latest followup. Forty-four hips showed no radiographic evidence of progression of collapse. Ten hips showed progressive collapse, seven hips showed progressive varus deformity, three hips had stress fractures of the femoral neck, and one hip had infection. We believe TRO with varization is worth attempting for extensive osteonecrosis of the femoral head in young adults, although failures and complications are not uncommon.

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Femoral head osteonecrosis: Why choose free vascularized fibula grafting

et al. 2010

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Osteonecrosis of the femoral head is a disease in which bone death occurs and usually progresses to articular incongruity and subsequent osteoarthritis. To delay the process of the disease and the conversion to total hip arthroplasty, many surgical techniques have been described. Core decompression, nonvascularized autologous bone grafts, porous tantalum implant procedure, and various osteotomies have been used for the management of early precollapse stage osteonecrosis of the femoral head. However, none of these procedures is neither entirely effective nor can obtain predictable results. With the progress of microsurgery, the implantation of a free vascularized fibula graft to the necrotic femoral head has provided the most consistently successful results. Although the procedure is technically demanding, there is growing recognition that the use of free vascularized fibula graft may improve patient quality of life by functional improvement and pain alleviation. The success of the procedure is related to decompression of the femoral head, excision of the necrotic bone, and addition of cancellous bone graft with osteoinductive and osteoconductive properties, which augments revascularization and neoosteogenesis of the femoral head. Free vascularized fibula graft, especially in younger patients, is a salvaging procedure of the necrotic femoral head in early precollapse stages. In postcollapse osteonecrosis, the procedure appears to delay the need for total hip arthroplasty in the majority of patients. The purpose of this review article is to update knowledge about treatment strategies in femoral head osteonecrosis and to compare free vascularized fibula grafting to traditional and new treatment modalities.

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Minimum 10-Year Results of Sugioka??s Osteotomy for Femoral Head Osteonecrosis

Cited by 40 publications

References 8 publications

A systematic review of the effectiveness and cost-effectiveness of metal-on-metal hip resurfacing arthroplasty for treatment of hip disease

A systematic review of the effectiveness and cost-effectiveness of metal-on-metal hip resurfacing arthroplasty for treatment of hip disease

Transtrochanteric Rotational Osteotomy for Nontraumatic Osteonecrosis of the Femoral Head in Young Adults

Femoral head osteonecrosis: Why choose free vascularized fibula grafting

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