Operative treatment of avascular necrosis of the femoral head after proximal femur fractures in adolescents

Bartoníček, Jan; Vávra, J; Bartoška, Radek; Havránek, P

doi:10.1007/s00264-011-1272-0

Cited by 22 publications

(43 citation statements)

References 26 publications

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“…Traumatic cases are induced by fractures to the proximal femur. [11] The majority of atraumatic cases are steroid-induced or chemotherapyinduced. [12,13] Other diagnoses leading to THA in adolescent patients include osteoarthritis, juvenile rheumatoid arthritis, congenital deformity of the hip, juvenile osteochondrosis, rheumatoid arthritis, and malignant neoplasm.…”

Section: Discussionmentioning

confidence: 99%

Comparing hospital and patient demographics of adolescent versus adult patients undergoing primary total hip arthroplasty

Pratt

Nguyen

Tzeng

et al. 2015

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Objective: Widening surgical indications and advances in technology have facilitated an increased number of total hip arthroplasty (THA) procedures among the adolescent population. The purpose of this study is to improve the understanding of inpatient and hospital demographics of adolescent THA patients as well as to compare these demographics with that of their more prevalent adult counterparts. Methods: Data from the Kids' Inpatient Database and the Nationwide Inpatient Sample from 1997-2009 with a total of 1,652 adolescent and 603,968 adult THA patients were analyzed. Results: Trends among the adolescent THA population included significant increases in procedures, total charges, and complication rates, while length of stay significantly decreased. Conclusions: The comparison between adult and adolescent demographics found differences in diagnosis, ethnicity, insurance type, discharge status, and total charges.

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Section: Discussionmentioning

confidence: 99%

Comparing hospital and patient demographics of adolescent versus adult patients undergoing primary total hip arthroplasty

Pratt

Nguyen

Tzeng

et al. 2015

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“…Conversion to THA was not necessary in any of the cases. We had a similar experience with shelf operation as a coverage procedure in combination with the valgus intertrochanteric osteotomy [29,30].…”

Section: Discussionmentioning

confidence: 99%

“…Migaud et al [11] evaluated 56 hips in 48 patients with a mean age of 32 years (range, 17-56) and a mean follow-up of 17 years (range, [15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30]. Pre-operative joint space narrowing was observed in 32 of 56 shelf arthroplasties.…”

Section: Discussionmentioning

confidence: 99%

Bosworth hip shelf arthroplasty in adult dysplastic hips: ten to twenty three year results

Bartoníček

Vávra

Chochola

2012

International Orthopaedics (SICOT)

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Purpose Hip shelf arthroplasty is currently considered to be a salvage procedure. The aim of the study is to present outcomes of Bosworth hip shelf arthroplasty in adolescent dysplastic hips with a minimum ten-year follow-up. Methods The basic group comprised 25 hips in 18 patients with the mean age of 31 years (range, 16-52) at the time of operation. Subgroup A included 20 hips that were evaluated prior to operation as spherical, centric hips without osteoarthritic changes (acetabular dysplasia). The heterogeneous subgroup B comprised five hips. Of these, three hips were evaluated as aspheric, without osteoarthritic changes, and two hips as aspheric, with osteoarthritic changes of grade 2 according to Tönnis. In addition, two hips in subgroup B were evaluated as decentred (subluxated), one hip without and one hip with osteoarthritic changes. The mean follow-up was 15 years (range, ten-23). Results In subgroup A, the positive effect of operation had lasted at the time of the final follow-up for ten to 22 years postoperatively (average follow-up 14 years) in 19 hips. Only one female patient, 46 years old at the time of operation, developed hip osteoarthritis within ten years, that was treated by THA. In subgroup B, a lasting positive effect of operation was recorded in two cases at the time of the final follow-up (12 and 15 years). The third female patient with an aspheric and decentred hip developed severe hip osteoarthritis 21 years after shelf procedure that was treated by THA. In two patients who had hip osteoarthritis already before the operation, the positive effect of the shelf procedure survived over 13 and 20 years. Although hip osteoarthritis progressed, THA was performed as late as 15 and 23 years after the shelf procedure. The mean Harris hip score in 21 hips with a still functional hip shelf was 68 (range, 56-82) before and 90 (range, 76-100) after the surgery. Conclusion The best outcomes of Bosworth hip shelf arthroplasty may be expected in a dysplastic spherical centred hip without osteoarthritic changes. In the presence of asphericity, decentration and osteoarthritic changes, neither the effect of the surgery nor its survival can be clearly predicted.

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“…The intraoperative blood loss and perioperative complications were recorded to assess the hip joint post-operative recovery rate and the imaging stability. The clinical efficacy was evaluated on the basis of the Harris hip score [6]: 90-100 points, excellent or hip joints without pain; 80-89 points, good or hip joints with mild discomfort and substantially unrestricted activities; 70-79 points, fair or hip joints with mild pain and slightly restricted activities; and below 70 points, poor. Imaging stability was evaluated on the basis of Ficat Osteonecrosis Score [7]: in stage I, X-ray reveals that the dead bone is replaced with a new bone and thus indicates significant recovery from necrosis; in Stage II, the X-ray shows that the new bone can support the load-bearing part, without any collapse or any aggravated collapse on the articular surface; in stage III, X-ray indicates that collapse or any aggravated collapse occurred on the articular surface and the condition exacerbates.…”

Section: Indexes For Efficacy Evaluationmentioning

confidence: 99%

Analysis of the long-term efficacy of core decompression with synthetic calcium-sulfate bone grafting on non-traumatic osteonecrosis of the femoral head

Zhao

Hao

2018

Med Sci (Paris)

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> Objective: to investigate the safety and longterm efficacy of core decompression with synthetic calcium-sulfate bone grafting on non-traumatic osteonecrosis of the femoral head. Method: a total of 76 patients with non-traumatic osteonecrosis of the femoral head were admitted to our hospital from February 2012 to November 2014 and included in the study. All the patients were treated by core decompression with synthetic calcium-sulfate bone grafting. After treatment, the patients were followed-up for 12 months. The operation time, intraoperative blood loss, and perioperative complications were also recorded intraoperatively to evaluate the clinical efficacy and safety. The preoperative and postoperative pain scores measured by visual analogy score (VAS) were also recorded and compared. Results: all of the 76 patients were successfully operated and included in the study. The mean operation time was 34.6±14.2 min, and the intraoperative blood loss was 23.6±8.9 mL. The patients hip functions were assessed on the basis of the Harris hip score, 3 and 12 months after operation. The excellent rates 3 and 12 months after operation were significantly higher than those before operation (P<0.05). The imaging stabilities of the hip joints 3 and 12 months after operation were significantly higher than those before operation (P<0.05). The patient postoperative pain scores (VAS score) gradually decreased. The VAS scores 12 months after operation were significantly lower than those before operation (P<0.05). Conclusion: the long-term efficacy of core decompression with synthetic calcium-sulfate bone grafting on non-traumatic osteonecrosis of the femoral head is good and accompanied with significantly improved postoperative joint functions. <

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Operative treatment of avascular necrosis of the femoral head after proximal femur fractures in adolescents

Cited by 22 publications

References 26 publications

Comparing hospital and patient demographics of adolescent versus adult patients undergoing primary total hip arthroplasty

Comparing hospital and patient demographics of adolescent versus adult patients undergoing primary total hip arthroplasty

Bosworth hip shelf arthroplasty in adult dysplastic hips: ten to twenty three year results

Analysis of the long-term efficacy of core decompression with synthetic calcium-sulfate bone grafting on non-traumatic osteonecrosis of the femoral head

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