scholarly journals Evaluation of CE angle of Wiberg for the functional outcome in various hip pathologies: an observational study

2018 ◽  
Vol 5 (1) ◽  
pp. 182
Author(s):  
Juzer Bagwala ◽  
Susheel Soni
Keyword(s):  
Femoral Head ◽  
Observational Study ◽  
Functional Outcome ◽  
Avascular Necrosis ◽  
Femoroacetabular Impingement ◽  
Operative Management ◽  
Developmental Dysplasia ◽  
Developmental Dysplasia Of Hip ◽  
Necrosis Of Femoral Head ◽  
Non Operative Management

<p class="abstract"><strong>Background:</strong> The objective of the study was to evaluate CE Angle of Wiberg for the functional outcome in various hip pathologies.</p><p class="abstract"><strong>Methods:</strong> This is a non-randomised prospective, observational study carried out for the period of 15 months. In this study 35 hips of 28 patients with hip pathologies with age more than 5 years of both genders, hip pathologies like CAM and/or Pincer type of femoroacetabular impingement, Acetabular retroversion, Perthes like deformity, osteoarthritis hip, avascular necrosis of femoral head, developmental dysplasia of hip were studed.<strong></strong></p><p class="abstract"><strong>Results:</strong> In this prospective study out of 28 patients 9 (32.14%) were FAI, 8 (28.57%) were OA hip, 8 (28.57%) were avascular necrosis of femoral head and 3 case (10.71%) is of Perthes' disease. In FAI cases 4(44.44%) patients were of Pincer type, 5 (55.55%) were of combined type with no any case of isolated CAM form. All were unilateral involvement with average CE angle of 32.67<sup>0</sup>±11.67<sup>0</sup>. In Pincer type mean CE angle was 36.25<sup>0 </sup>±7.5<sup>0 </sup>while in Combined form the mean CE angle was 29.8<sup>0</sup>±14.4<sup>0</sup>. Out of 4 patients of Pincer FAI, 3 patients of Pincer type had CE angle between 25<sup>0</sup>-40<sup>0 </sup>which comes under normal range of CE angle, so all were planned for non operative management.</p><strong>Conclusions:</strong> We have found that all the hip pathologies reported to us had spectrum of variations in CE angle depending on the severity of disease. Variation was maximum seen in osteoarthritis and femoroacetabular impingement, in the cases of FAI maximum was of Pincer type.

Is Kalamchi and MacEwen Group I avascular necrosis of the femoral head harmless in developmental dysplasia of the hip?

2010 ◽  
Vol 20 (2) ◽  
pp. 156-162 ◽  
Author(s):  
Haluk Ağuş ◽  
Hakan Ömeroğlu ◽  
Ali Biçimoğlu ◽  
Yücel Tümer
Keyword(s):  
Femoral Head ◽  
Avascular Necrosis ◽  
Developmental Dysplasia ◽  
Group I ◽  
Dysplasia Of The Hip

Avascular Necrosis of Femoral Head: Findings of Contrast-Enhanced MR Imaging

1995 ◽  
Vol 32 (6) ◽  
pp. 953
Author(s):  
Young Min Kim ◽  
Hee Joong Kim ◽  
Heung Sik Kang ◽  
Chu Wan Kim ◽  
Yong Moon Shin
Keyword(s):  
Femoral Head ◽  
Mr Imaging ◽  
Avascular Necrosis ◽  
Contrast Enhanced ◽  
Necrosis Of Femoral Head

scholarly journals Effects of the acetabular fracture index and other factors of posterior wall acetabular fracture on functional outcome

2017 ◽  
Vol 45 (4) ◽  
pp. 1394-1405 ◽  
Author(s):  
Hai-Tao Long ◽  
Zhen-Han Deng ◽  
Min Zou ◽  
Zhang-Yuan Lin ◽  
Jian-Xi Zhu ◽  
...  
Keyword(s):  
Physical Therapy ◽  
Femoral Head ◽  
Functional Outcome ◽  
Avascular Necrosis ◽  
Lower Limb ◽  
Acetabular Fracture ◽  
Posterior Wall ◽  
Functional Score ◽  
Related Data ◽  
Limb Fracture

Objective To analyze the effects of the acetabular fracture index (AFI) and other factors on the functional outcome of patients with acetabular fractures involving the posterior wall. Methods Forty-eight patients who underwent surgery in our department were reviewed. According to the AFI, which indicates the percentage of remaining intact posterior acetabular arc, the patients were divided into Group A (AFI ≤ 25%, 11 patients), Group B (25% < AFI ≤ 50%, 23 patients), Group C (50% < AFI ≤ 75%, 7 patients), and Group D (75% < AFI ≤ 100%, 7 patients). The AFI was measured with a computed tomography picture archiving and communication system or calculated with the cosine theorem. A nonparametric test and ordinal regression were used to determine the role of the AFI and other factors on the functional outcome. Perioperative information, including demographic and fracture-related data, reduction quality, physical therapy duration, association with a lower limb fracture and avascular necrosis of the femoral head were prospectively gathered. Results The mean AFIs of A, B, C, and D groups were 14.3%, 35.9%, 59.5%, and 81.2%, respectively. No statistically significant differences were observed among the groups for demographic and fracture-related data. A better reduction quality (OR = 4.21, 95%CI 1.42 ∼ 12.43, χ2 = 6.781, P = 0.009) and a larger value of AFI (OR = 2.56, 95%CI 1.18 ∼ 5.55, χ2 = 5.648, P = 0.017) result in a higher functional score. The functional outcome of a physical therapy duration of more than 12 months (OR = 0.15, 95%CI 0.02 ∼ 0.90, χ2 = 4.324, P = 0.038) was better than that of less than 12 months. Lower limb fracture (OR = 0.13, 95%CI 0.02 ∼ 0.74, χ2 = 5.235, P = 0.022) and avascular necrosis of femoral head (OR = 0.02, 95%CI 0.00 ∼ 0.87, χ2 = 4.127, P = 0.042) were found to correlate with a lower functional score. Conclusion With a greater of AFI, the functional outcome score would be better. Other factors, including reduction quality, physical therapy duration, association with a lower limb fracture, and avascular necrosis of the femoral head, most likely also affect hip functional recovery.

scholarly journals The results of core decompression treatment in patients with avascular necrosis of femoral head in patients at Isfahan City educational hospitals in 2010-2011

2014 ◽  
Vol 3 (1) ◽  
pp. 93 ◽  
Author(s):  
Mehdi Kooskzari ◽  
MehrabiKooshki Ali ◽  
Khalilollah Nazem ◽  
Behnamoon Mahsa ◽  
Mohammadreza Etemadifar
Keyword(s):  
Femoral Head ◽  
Avascular Necrosis ◽  
Core Decompression ◽  
Necrosis Of Femoral Head
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