Etiologic Classification Criteria of ARCO on Femoral Head Osteonecrosis Part 1: Glucocorticoid-Associated Osteonecrosis

被引：83

作者：

Yoon, Byung-Ho ^{[1
]}

Jones, Lynne C. ^{[2
]}

Chen, Chung-Hwan ^{[3
]}

Cheng, Edward Y. ^{[4
]}

Cui, Quanjun ^{[5
]}

Drescher, Wolf ^{[6
]}

Fukushima, Wakaba ^{[7
]}

Gangji, Valerie ^{[8
]}

Goodman, Stuart B. ^{[9
]}

Ha, Yong-Chan ^{[10
]}

Hernigou, Philippe ^{[11
]}

Hungerford, Marc ^{[12
]}

Iorio, Richard ^{[13
]}

Jo, Woo-Lam ^{[14
]}

Khanduja, Vikas ^{[15
]}

Kim, Harry ^{[16
]}

Kim, Shin-Yoon ^{[17
]}

Kim, Tae-Young ^{[18
]}

Lee, Hee Young ^{[19
]}

Lee, Mel S. ^{[20
]}

Lee, Young-Kyun ^{[21
]}

Lee, Yun Jong ^{[22
,23
]}

Mont, Michael A. ^{[24
]}

Sakai, Takashi ^{[7
]}

Sugano, Nobuhiko ^{[7
]}

Takao, Masaki ^{[7
]}

Yamamoto, Takuaki ^{[25
]}

Koo, Kyung-Hoi ^{[21
]}

机构：

[1] Inje Univ, Seoul Paik Hosp, Coll Med, Dept Orthopaed Surg, Seoul, South Korea

[2] Johns Hopkins Univ, Sch Med, Ctr Metab & Obes Res, Dept Orthopaed Surg, Baltimore, MD USA

[3] Kaohsiung Med Univ Hosp, Dept Orthopaed Surg, Kaohsiung, Taiwan

[4] Univ Minnesota, Sch Med, Dept Orthopaed Surg, Minneapolis, MN 55455 USA

[5] Univ Virginia, Sch Med, Dept Orthopaed Surg, Charlottesville, VA 22908 USA

[6] Rhein Westfal TH Aachen, Dept Orthoped & Trauma Surg, Aachen, Germany

[7] Osaka Univ, Grad Sch Med, Dept Orthopaed Med Engn, Suita, Osaka, Japan

[8] Univ Libre Bruxelles, Hop Erasme, Dept Rheumatol & Phys Med, Brussels, Belgium

[9] Stanford Univ, Sch Med, Dept Orthopaed Surg, Redwood City, CA USA

[10] Chung Ang Univ, Coll Med, Dept Orthopaed Surg, Seoul, South Korea

[11] Hop Henri Mondor, Dept Orthopaed Surg, Creteil, France

[12] Mercy Med Ctr, Dept Orthoped Surg, Baltimore, MD USA

[13] NYU, Hosp Joint Dis, Langone Med Ctr, Dept Orthopaed Surg, New York, NY USA

[14] Catholic Univ Korea, Coll Med, Seoul St Marys Hosp, Dept Orthopaed Surg, Seoul, South Korea

[15] Addenbrookes Cambridge Univ Hosp, Dept Trauma & Orthopaed, Cambridge, England

[16] UT Southwestern Med Ctr, Dept Orthopaed Surg, Dallas, TX USA

[17] Kyungpook Natl Univ, Grad Sch Med, Dept Orthoped Surg, Daegu, South Korea

[18] Konkuk Univ, Med Ctr, Dept Orthoped Surg, Seoul, South Korea

[19] Seoul Natl Univ, Bundang Hosp, Ctr Prevent Med & Publ Hlth, Seongnam, South Korea

[20] Kaohsiung Chang Gung Mem Hosp, Dept Orthopaed Surg, Kaohsiung, Taiwan

[21] Seoul Natl Univ, Bundang Hosp, Dept Orthopaed Surg, 166 Gumi Ro,KS009, Seongnam 463707, South Korea

[22] Seoul Natl Univ, Bundang Hosp, Dept Internal Med, Seongnam, South Korea

[23] Seoul Natl Univ, Coll Med, Seongnam, South Korea

[24] Sinai Hosp Baltimore, Ctr Joint Preservat & Replacement, Rubin Inst Adv Orthoped, Dept Orthopaed Surg, Baltimore, MD USA

[25] Fukuoka Univ, Fac Med, Dept Orthopaed Surg, Fukuoka, Fukuoka, Japan

来源：

JOURNAL OF ARTHROPLASTY | 2019年 / 34卷 / 01期

关键词：

osteonecrosis; avascular necrosis; femoral head; glucocorticoid; corticosteroid; Delphi; SYSTEMIC-LUPUS-ERYTHEMATOSUS; AVASCULAR NECROSIS; NONTRAUMATIC OSTEONECROSIS; ASYMPTOMATIC OSTEONECROSIS; CORTICOSTEROID-THERAPY; IDIOPATHIC OSTEONECROSIS; RENAL-TRANSPLANTATION; NATURAL-HISTORY; RISK; POLYMORPHISMS;

D O I：

10.1016/j.arth.2018.09.005

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：

Background: Glucocorticoid usage, a leading cause of osteonecrosis of the femoral head (ONFH), and its prevalence was reported in 25%-50% of non-traumatic ONFH patients. Nevertheless, there have been no unified criteria to classify glucocorticoid-associated ONFH (GA-ONFH). In 2015, the Association Research Circulation Osseous addressed the issue of developing a classification scheme. Methods: In June 2017, a task force was set up to conduct a Delphi survey concerning ONFH. The task force invited 28 experts in osteonecrosis/bone circulation from 8 countries. Each round of the Delphi survey consists of questionnaires, analysis of replies, and feedback reports to the panel. After 3 rounds of the survey, the panel reached a consensus on the classification criteria. The response rates were 100% (Round 1), 96% (Round 2), and 100% (Round 3), respectively. Results: The consensus on the classification criteria of GA-ONFH included the following: (1) patients should have a history of glucocorticoid use >2 g of prednisolone or its equivalent within a 3-month period; (2) osteonecrosis should be diagnosed within 2 years after glucocorticoid usage, and (3) patients should not have other risk factor(s) besides glucocorticoids. Conclusion: Association Research Circulation Osseous established classification criteria to standardize clinical studies concerning GA-ONFH. (C) 2018 Elsevier Inc. All rights reserved.

引用

页码：163 / +

页数：7

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