Evaluation of the long-term patient-reported outcomes after hip arthroplasty or joint preserving with Sugioka femoral osteotomy in patients with femoral head osteonecrosis

被引:1
作者
Shoji, Takeshi [1 ,2 ]
Shozen, Hideki [2 ]
Ueki, Shinichi [2 ]
Kaneta, Hiroki [2 ]
Yaunaga, Yuji [3 ]
Adachi, Nobuo [2 ]
机构
[1] Hiroshima Univ, Dept Artificial Joints & Biomat, Grad Sch Biomed Sci, 1-2-3 Kasumi,Minami Ku, Hiroshima 7348551, Japan
[2] Hiroshima Univ, Grad Sch Biomed Sci, Dept Orthopaed Surg, 1-2-3 Kasumi,Minami Ku, Hiroshima 7348551, Japan
[3] Hiroshima Prefectural Rehabil Ctr, Dept Orthopaed Surg, 295-3 Taguchi, Higashihiroshima 7390036, Japan
关键词
Patient-reported outcome measures; Osteonecrosis of the femoral head; Osteotomy; Total hip arthroplasty; ANTERIOR ROTATIONAL OSTEOTOMY; NECROSIS;
D O I
10.1007/s00264-024-06118-3
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
PurposeThis study retrospectively evaluated long-term clinical outcomes and patient-reported outcome measures (PROMs) in patients with osteonecrosis of the femoral head (ONFH) who underwent transtrochanteric rotational osteotomy (TRO), curved varus osteotomy (CVO), and total hip arthroplasty (THA).MethodsWe retrospectively reviewed the 109 hips in 96 patients (46 men, 50 women) who underwent CVO, TRO, or THA for ONFH treatment. The mean follow-up period for the TRO, CVO, and THA groups was 14.8, 11.5, and 13.3 years, respectively.ResultsThe THA conversion rate of the TRO patients was significantly higher than that of the patients with CVO, and the final clinical scores in the patients with TRO did not improve compared with preoperative scores. Postoperative PROMs showed that the total and pain scores of the patients with THA were significantly higher than those of patients with TRO and CVO, while the PROM score did not change between patients with TRO and CVO. The analysis further showed that the preoperative type C2, stage 3A, or postoperative type C1 and C2 were significant predictors of decreased final PROM scores.ConclusionThis study found that CVO and THA are clinically effective treatments for ONFH, with significant improvements compared with preoperative scores. However, THA was associated with significantly higher PROMs and pain scores than those of CVO and TRO in long-term follow-up. Furthermore, our results suggest that postoperative PROMs depend mainly on the preoperative level of collapse and postoperative transposed intact ratio of the articular surface of the femoral head.
引用
收藏
页码:1201 / 1208
页数:8
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