Cementoplasty in the Treatment of Avascular Necrosis of the Hip

2009 ◽  
Vol 36 (2) ◽  
pp. 385-389 ◽  
Author(s):  
NICOLAS REUTER ◽  
ALBAN ROMIER ◽  
ZEPHIR HAMBOURG ◽  
FRÉDÉRIC PALMIERI ◽  
DOMINIQUE FAYET ◽  
...  
Keyword(s):  
Avascular Necrosis ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Magnetic Resonance Images ◽  
Stage Iii ◽  
Joint Effusion ◽  
Filler Materials ◽  
Double Line ◽  
Total Hip ◽  
Percutaneous Cementoplasty

Objective.This retrospective study evaluated the role of percutaneous cementoplasty in the treatment of avascular necrosis (AVN) of the hip in order to postpone or avoid total hip replacement.Methods.The study population comprised 40 patients (47 hips) with mean age of 46 ± 4.7 years and mean body mass index of 26.7 ± 4.6 kg/m2. AVN was classified according to the Ficat-Arlet classification as one stage I, 30 stage II, and 16 stage III. The minimum followup was 9 months.Results.It was found that 74.5% of hips were secondarily operated for total hip replacement a mean of 19.9 ± 15 months (median 14 mo) after cementoplasty. As well, 94% of patients with stage 3AVN and 68% with stage 2AVN underwent surgery. Twelve hips were not operated, with a mean followup of 39 ± 19.2 months. Pain decreased by more than 80% after cementoplasty in two-thirds of patients, but the mean pain-free interval was only 8.1 ± 6.6 months (median 5 mo). Nineteen of the 29 working patients were able to transiently return to work. The outcome was more unfavorable with radiological stage III AVN, joint effusion, and/or a double-line sign around the lesions on magnetic resonance images.Conclusion.Despite early relief of pain, the results of the cementoplasty technique were disappointing, with need for arthroplasty surgery in most cases within 2 years. Alternative percutaneous techniques using different filler materials with osteoinductive properties should be evaluated in further studies.

scholarly journals Surgical management of avascular necrosis of femoral head in young adults treated with uncemented total hip replacement

2021 ◽  
Vol 7 (6) ◽  
pp. 1166
Author(s):  
Vijaya Bhaskar Reddy ◽  
N. Brahma Chary ◽  
Kacham Nikitha
Keyword(s):  
Femoral Head ◽  
Total Hip Arthroplasty ◽  
Avascular Necrosis ◽  
Total Hip Replacement ◽  
Hip Arthroplasty ◽  
Hip Replacement ◽  
Daily Activities ◽  
Harris Hip Score ◽  
Total Hip ◽  
Uncemented Total Hip Replacement

<p class="abstract"><strong>Background: </strong>Normal hip joint is subjected to many stresses during daily activities performed by an individual. Since it is one of the major weight bearing joints of the body, its normal function is necessary for daily activities. Avascular necrosis (AVN) of the femoral head is one of the common causes of painful hip in a young adult. Core decompression, fibular sturt graft can be considered in early stages, total hip arthroplasty in later stages of AVN of femoral head.</p><p class="abstract"><strong>Methods:</strong> This is a retrospective study of 30 patients following uncemented total hip replacement, who were operated between August 2017 and March 2020 at MNR medical college and hospital, Sangareddy. They were followed up for a minimum period of 1 year and evaluated using Harris hip scoring system. Harris hip score is designed specifically for measuring functional outcomes in hip arthroplasty.</p><p class="abstract"><strong>Results: </strong>There was a significant improvement in function as measured with the Harris hip score. The overall preoperative Harris hip score was 43, which remarkably improved to 89 postoperatively. The results observed, showed that all patients had good to excellent results, (Harris hip score ≥0) thus showing a good degree of pain relief, improvement in function and range of motion.</p><p class="abstract"><strong>Conclusions: </strong>Although the use of total hip arthroplasty in young patients will more likely necessitate future revision surgery, the consistent relief of pain and good functional results have made this procedure an attractive treatment choice for the debilitating arthritis resulting from osteonecrosis of the femoral head.  </p>

Hip

2021 ◽  
pp. 179-191
Keyword(s):  
Heterotopic Ossification ◽  
Avascular Necrosis ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Hip Dislocation ◽  
Total Hip ◽  
Hip Arthrodesis ◽  
Practice Questions

This chapter contains practice questions based on a broad range of orthopaedic topics that may be encountered within the ‘Adult Pathology’ station of the FRCS (Trauma and Orthopaedics) viva examination. The hip topics covered include: osteoarthritis, total hip replacement, avascular necrosis, hip arthrodesis, hip dislocation, and heterotopic ossification as well as other conditions.

Treatment of Avascular Necrosis of the Femoral Head in Small Dogs with Micro Total Hip Replacement

2011 ◽  
Vol 41 (1) ◽  
pp. 143-147 ◽  
Author(s):  
Daniel A. Jankovits ◽  
William D. Liska ◽  
Russell H. Kalis
Keyword(s):  
Femoral Head ◽  
Avascular Necrosis ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Total Hip
Sign in / Sign up

Export Citation Format

Share Document