Alumina Ceramic-on-Highly Cross-Linked Polyethylene Bearing in Cementless Total Hip Arthroplasty in Young Patients with Osteonecrosis of Femoral Head

In recent years, there has been an increase in the number of studies on the etiology of femoral head necrosis. We retrospectively reviewed all patients diagnosed with aseptic necrosis of the femoral in the period of 2010-2015. We recorded a total of 230 cases diagnosed with aseptic necrosis of the femoral head, group was composed of 65.7% men and 34.3% women, risk factors identified was 19.13% (post-traumatic), 13.91% (glucocorticoids), 26.52% (alcohol), 3.47% (another cause) and in 36 95% of the cases no risk factors were found. The results of the study based on the type of surgery performed on the basis of stages of disease progression, 8 patients (3.48%) benefited from osteotomy, 28 patients (12.17%) benefited of bipolar hemiarthroplasty prosthesis and 188 patients (81.74%) benefited of total hip arthroplasty. Osteonecrosis of the femoral head is characteristic to young patients between the age of 30-50 years old. Predisposing factors, alcohol and corticosteroid therapy remains an important cause of the disease. Total hip arthroplasty remains the best option for the patients with osteonecrosis of the femoral head.

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Cementless Total Hip Arthroplasty Using an Autograft of the Femoral Head for Marked Acetabular Dysplasia: Case Series

Journal of Orthopaedic Surgery ◽

10.1177/230949900401200104 ◽

2004 ◽

Vol 12 (1) ◽

pp. 14-18 ◽

Cited By ~ 7

Author(s):

T Yamaguchi ◽

M Naito ◽

I Asayama ◽

K Shiramizu

Keyword(s):

Femoral Head ◽

Total Hip Arthroplasty ◽

Hip Arthroplasty ◽

Acetabular Dysplasia ◽

Case Series ◽

Total Hip ◽

Cementless Total Hip Arthroplasty

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Short term outcome of primary un-cemented total hip arthroplasty in osteonecrosis of femoral head

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20211603 ◽

2021 ◽

Vol 7 (3) ◽

pp. 513

Author(s):

Mohmad Nawaz Rather ◽

Wajahat Ahmad Mir ◽

Shahid Shabir Khan ◽

Naseer Ahmad Mir ◽

Nadeem Ali

Keyword(s):

Femoral Head ◽

Total Hip Arthroplasty ◽

Hip Arthroplasty ◽

Short Term ◽

Range Of Movement ◽

Term Outcome ◽

Osteonecrosis Of Femoral Head ◽

Total Hip ◽

Uncemented Total Hip Arthroplasty ◽

Advanced Stages

Background: Osteonecrosis of femoral head (ONFH) is characterised by cell death in the subchondral bone caused by abnormalities of blood flow to the femoral head. About 5% to 13% of arthroplasties are performed yearly for ONFH in United States. Ficat and Arlet classification is the commonest system used for grading of ONFH. Advanced stages 3 and 4 are best managed with total hip arthroplasty (THA). THA restores hip range of movement and allows early ambulation in ONFH.Methods: After seeking approval from local institutional ethical committee 25 patients with stage 3 and stage 4 ONFH (Ficat and Arlet) were admitted from OPD of SKIMS MC and Hospital Bemina, Srinagar. The study was conducted from February 2018 to February 2020 in department of Orthopaedics SKIMS MC and Hospital Bemina, Srinagar. 25 patients with mean age of 50.64 years comprising of 13 females and 12 males with unilateral osteonecrosis of femoral head with collapsed head underwent uncemented total hip arthroplasty and were followed up to a minimum of 1 year post-operatively.Results: Outcome was evaluated by comparing pre-operative and post-operative Harris hip scores. The average Harris hip scores improved from 65.87 in the pre-operative group to 96.54 at 1-year follow-up post-operatively. Marked improvement was noted in pain scores. No revisions were performed during the study. One patient developed superficial surgical site infection which healed with supervised dressings and oral antibiotics.Conclusions: Uncemented THA has excellent short-term outcomes in advanced stages of ONFH. It provides mobile hip joint and pain free ambulation shortly after surgery.

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