Affiliation:
1. MBBS MS Orthopedics.
2. MBBS D-Orthopedics DNB Orthopedics.
3. MBBS MS Orthopedics
Abstract
Background: Osteonecrosis of femoral head is aseptic necrosis due to disruption of blood supply resulting in the death of bone cells. Core
decompression is a standard procedure in treatment of early stage of Osteonecrosis femoral head in young. Bone grafting can potentially revitalize
the necrotic zone and accelerate healing. To look for functional outcome of core de Aims: compression & autologous cancellous bone grafting in
early stages of Osteonecrosis of head of femur. This is a prospective and inte Settings And Design: Material And Methods: rventional study.
Patients with early stages (Ficat Arlet I and II) were treated with core decompression & autologous cancellous bone grafting and were followed up
for 9 months. The results were evaluated on the basis HHS and VAS. GraphPad Statistical Analysis Used: and EpiInfo were used for calculating
the statistical data. Young males with unilateral hip pain with durat Results: ion of symptoms less than 6 months and Grade II at presentation with no
denitive cause were more common. There was signicant improvement in HHS and VAS postoperatively till nal follow up of 9 months. More
patients had good HHS grade at 9 months. There was no complication during course of study. Core Decompression and Autologous Conclusion:
bone grafting is a safe and effective treatment modality in early stages of osteonecrosis of femoral head in young. To look for Objectives:
functional outcome of core decompression & autologous cancellous bone grafting in early stages of osteonecrosis of head of femur.
Subject
Virology,Infectious Diseases,Microbiology (medical),Microbiology,Cardiology and Cardiovascular Medicine,General Medicine,Internal Medicine,Immunology,Immunology and Allergy,Pharmacology (medical),General Pharmacology, Toxicology and Pharmaceutics,General Medicine,Dermatology,Endocrinology, Diabetes and Metabolism,Gastroenterology,Hepatology,Hematology,Biomedical Engineering,General Medicine,Surgery,Genetics,Molecular Biology,Molecular Medicine,Pathology and Forensic Medicine
Reference14 articles.
1. Narayanan A, Khanchandani P, Borkar RM, Ambati CR, Roy A, Han X, Bhoskar RN, Ragampeta S, Gannon F, Mysorekar V, Karanam B, V SM, Sivaramakrishnan V. Avascular Necrosis of Femoral Head: A Metabolomic, Biophysical, Biochemical, Electron Microscopic and Histopathological Characterization. Sci Rep. 2017 Sep 06;7(1):10721.
2. Ikeuchi K, Hasegawa Y, Seki T, Takegami Y, Amano T, Ishiguro N. Epidemiology of nontraumatic osteonecrosis of the femoral head in Japan. Mod Rheumatol. 2015 Mar;25(2):278-81.
3. Harsha Vardhan, S Kumar Tripathy, T Goyal; Epidemiological Profile of Femoral Head Osteonecrosis in the North India Population; Indian journal of Orthopaedics, 2018, Mar-Apr;52(2);140-146
4. Classen T, Warwas S, Jäger M, Landgraeber S. Two-year follow-up after advanced core decompression. J Tissue Eng Regen Med. 2017;11:1308-1314.
5. Banerjee S, Issa K, Pivec R, Kapadia BH, Khanuja HS, Mont MA. Osteonecrosis of the hip: treatment options and outcomes. Orthop Clin North Am. 2013;44:463-476.