Treatment of Femoral Head Osteonecrosis (Stages 2B, 3 Ficat) Through Open Direct Core Decompression by Allograft Impaction and Light Bulb Technique

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Shiravani Brojeni Shahram; HESARIKIA HAMID; RAHIMNIA AMIRHOSSEIN; EMAMI MEYBODI MOHAMMAD KAZEM; RAHIMNIA ALIREZA

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Journal Paper

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Journal: Archives of Bone and Joint Surgery Year:2020 | Volume:8 | Issue:5 Page(s): 613-619

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Title

Treatment of Femoral Head Osteonecrosis (Stages 2B, 3 Ficat) Through Open Direct Core Decompression by Allograft Impaction and Light Bulb Technique

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Keywords

Allograft

Cancellous bone

Femur head necrosis

Osteonecrosis

Surgical decompression

Abstract

Background: Femoral head avascular necrosis is the cause of paralyzing status of youth population. Initial diagnosis is the main element in treating the disease. Bone grafting and core decompression are the approved cures at the early steps of the disease. Hip replacement in a total manner is the common cure in the final stages. The optimal treatment in the intermediate stages is partially disputable. We investigated several patients with femoral head Osteonecrosis cured with impacted cancellous Allograft and open core decompression using the lightbulb technique. Methods: A total of 46 patients (58 hips) suffering from femoral head Osteonecrosis were evaluated in this crosssectional study. Patients were classified into two groups: A (stage 2B Ficat) and B (stage 3 Ficat) to be treated with the impaction of cancellous Allograft and by open core decompression. Radiographic results, demographic data, and range of hip joint motions were recorded. The patients were assessed through employing the Harris hip score (HHS) and visual analogue scale (VAS) index prior to operation and over five years following surgery. We also studied radiographic alterations of femoral head. Results: The means of HHS and VAS were developed following the operation. Radiographic outcomes promoted in both groups, however, it was better in group A. 12 (40%) and six (22%) hips (40%) in groups A and B, respectively displayed developed stages following the operation. The hip ROM was enhanced with the mean of 15-20 degrees (P<0. 005). Conclusion: Open core decompression combined with Allograft impaction sounds to be influential in the developing steps of femoral head necrosis and leads to joint discomfort and diminished pain improving ROM of the hip joint and meanwhile procrastinating the worsening of the disease.

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APA: Copy

Shiravani Brojeni, Shahram, HESARIKIA, HAMID, RAHIMNIA, AMIRHOSSEIN, EMAMI MEYBODI, MOHAMMAD KAZEM, & RAHIMNIA, ALIREZA. (2020). Treatment of Femoral Head Osteonecrosis (Stages 2B, 3 Ficat) Through Open Direct Core Decompression by Allograft Impaction and Light Bulb Technique. THE ARCHIVES OF BONE AND JOINT SURGERY, 8(5), 613-619. SID. https://sid.ir/paper/748186/en

Vancouver: Copy

Shiravani Brojeni Shahram, HESARIKIA HAMID, RAHIMNIA AMIRHOSSEIN, EMAMI MEYBODI MOHAMMAD KAZEM, RAHIMNIA ALIREZA. Treatment of Femoral Head Osteonecrosis (Stages 2B, 3 Ficat) Through Open Direct Core Decompression by Allograft Impaction and Light Bulb Technique. THE ARCHIVES OF BONE AND JOINT SURGERY[Internet]. 2020;8(5):613-619. Available from: https://sid.ir/paper/748186/en

IEEE: Copy

Shahram Shiravani Brojeni, HAMID HESARIKIA, AMIRHOSSEIN RAHIMNIA, MOHAMMAD KAZEM EMAMI MEYBODI, and ALIREZA RAHIMNIA, “Treatment of Femoral Head Osteonecrosis (Stages 2B, 3 Ficat) Through Open Direct Core Decompression by Allograft Impaction and Light Bulb Technique,” THE ARCHIVES OF BONE AND JOINT SURGERY, vol. 8, no. 5, pp. 613–619, 2020, [Online]. Available: https://sid.ir/paper/748186/en

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