Inefficacy of the cementation of femoral head collapse in glucocorticoid-induced osteonecrosis

被引:0
作者
Valérie Gangji
Marcel Rooze
Viviane De Maertelaer
Jean-Philippe Hauzeur
机构
[1] Erasme University Hospital,Department of Rheumatology
[2] Université Libre de Bruxelles (ULB),Department of Orthopedics Surgery
[3] Erasme University Hospital,IRIBHM & Service of Biostatistics and Medical Informatics
[4] Université Libre de Bruxelles (ULB),Department of Rheumatology
[5] Université Libre de Bruxelles (ULB),undefined
[6] CHU Sart Tilman,undefined
[7] B35,undefined
来源
International Orthopaedics | 2009年 / 33卷
关键词
Femoral Head; Visual Analogue Scale Score; Chondral Lesion; Core Decompression; Cement Injection;
D O I
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中图分类号
学科分类号
摘要
The objective of this paper was to assess the efficacy of cementation of the femoral head in stage III glucocorticoid-induced osteonecrosis. Ten hips (nine patients) were treated by the injection of low-viscosity cement to reduce the collapse. The follow up included clinical and radiological assessments preoperatively and at 3, 6 and 12 months after surgery. The visual analogue scale (VAS) score, the Lequesne index and the Western Ontario and McMaster University Osteoarthritis Index (WOMAC) score did not show any significant improvement. Eight of the ten hips showed a worsening of the collapse and required total hip arthroplasty during follow up. The mean time before total hip replacement was 8.6 ± 7 months. The other two hips did not show any relapse of collapse nor functional worsening at the maximum follow up of 5 years. Our results suggest that cement injection is not a treatment that should be proposed for glucocorticoid-induced osteonecrosis.
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页码:639 / 642
页数:3
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