Open reduction and cementation for femoral head fracture secondary to avascular necrosis: preliminary report.
Current treatment for femoral head avascular necrosis has shown good results in early stages of disease, but are not as impressive after progression to collapse. We treated 19 patients (20 hips) with Stage III avascular necrosis (AVN) by open reduction augmented by methylmethacrylate cementation. Follow up ranges from 6 months to 2 years (average = 8.7 months). We followed patient progress with pre- and post-operative Harris Hip Scores, Womac Osteoarthritis Index and a Health Status Questionnaire (SF36). All patients realized immediate post-operative pain relief and improvement in function. Harris Hip, Womac Osteoarthritis Index and SF36 physical health scores improved significantly from 54.0 to 79.5 (p < 0.05), 54.3 to 29.8 (p < 0.05) and 28.4 to 42.4 (p < 0.05), respectively. Three patients had a conversion to total hip arthroplasty. Cementation is technically simple, burns no bridges and enables patients a rapid recovery. The long term results, in regards to progression of disease and secondary arthritis, are unknown.
Duke Scholars
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Related Subject Headings
- Treatment Outcome
- Surveys and Questionnaires
- Severity of Illness Index
- Radiography
- Pain
- Middle Aged
- Methylmethacrylate
- Male
- Humans
- Hip Fractures
Citation
Published In
ISSN
Publication Date
Volume
Start / End Page
Location
Related Subject Headings
- Treatment Outcome
- Surveys and Questionnaires
- Severity of Illness Index
- Radiography
- Pain
- Middle Aged
- Methylmethacrylate
- Male
- Humans
- Hip Fractures