A Retrospective Study to Compare the Efficacy and Postoperative Outcome of Total Hip Arthroplasty with Internal Screw Fixation in Patients with Avascular Necrosis of the Femoral Head

Autor: Feng-Chao Zhao, Fang Pei, Kai-Jin Guo, Xin Zheng, Chen Yeshuai, Yong Pang
Rok vydání: 2019
Předmět:
Adult
Male
musculoskeletal diseases
China
medicine.medical_specialty
Arthroplasty
Replacement
Hip
medicine.medical_treatment
Bone Screws
Operative Time
Avascular necrosis
030204 cardiovascular system & hematology
Screw fixation
Diabetes Complications
Fracture Fixation
Internal
03 medical and health sciences
Femoral head
0302 clinical medicine
Clinical Research
Femur Head Necrosis
Fracture fixation
medicine
Humans
Postoperative outcome
Postoperative Period
Retrospective Studies
business.industry
Femur Head
Retrospective cohort study
General Medicine
Middle Aged
equipment and supplies
musculoskeletal system
medicine.disease
Arthroplasty
Femoral Neck Fractures
Surgery
Treatment Outcome
surgical procedures
operative
medicine.anatomical_structure
Pregnancy Complications
Parasitic
Simaroubaceae
030220 oncology & carcinogenesis
Quality of Life
Female
business
Total hip arthroplasty
Zdroj: Medical Science Monitor : International Medical Journal of Experimental and Clinical Research
ISSN: 1643-3750
DOI: 10.12659/msm.913393
Popis: Background This retrospective study compared the effects of total hip arthroplasty (THA) and traditional surgery using internal screw fixation for the treatment of avascular necrosis (AVN) of the femoral head. Material/Methods Two hundred and seventy patients with bilateral AVN of the femoral head were admitted for elective surgery, and 176 patients underwent THA (the THA group), and 94 patients underwent closed reduction screw fixation (the traditional surgery group). The Harris hip score (HHS) was used pre-operatively and to evaluate postoperative outcome. Results The mean operation time in the traditional surgery group (82.6±15.6 min) was significantly less compared with the THA group (104.8±14.2 min) (P=0.001). Intraoperative blood loss in the traditional surgery group (219.8±21.6 mL) was significantly less compared with the THA group (339.4±29.4 mL) (P=0.001). After treatment, the mean HHS score of the THA group (76.5±9.2 points) was significantly increased when compared with the traditional surgery group (61.4±10.5 points) (P=0.001). Disease recurrence rate in the THA group was significantly reduced compared with the traditional surgery group (P=0.001). The mean quality of life score of the THA group (85.5±6.4 points) was significantly higher than that of the traditional surgery group (73.4±8.8 points) (P=0.001). Conclusions Compared with closed reduction screw fixation, THA for AVN of the femoral head effectively reduced the length of hospital stay, time to recovery, and achieved an improved clinical outcome.
Databáze: OpenAIRE
Externí odkaz: