The outcome of hyperbaric oxygen therapy versus core decompression in the non-traumatic avascular necrosis of the femoral head: Retrospective Cohort Study
| Autor: | Ghalib Ahmed Alhaneedi, Abduljabbar Alhammoud, Isam Sami Moghamis, Osama Kokash |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Core decompression SF 12 Radiography Avascular necrosis Oxford hip score 03 medical and health sciences Femoral head 0302 clinical medicine Non traumatic medicine Avascular osteonecrosis (AVN) Stage (cooking) Original Research Hyperbaric oxygen therapy (HBO) business.industry Retrospective cohort study General Medicine medicine.disease Surgery Oxford hip score (OHS) medicine.anatomical_structure 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology Femur head business |
| Zdroj: | Annals of Medicine and Surgery |
| ISSN: | 2049-0801 |
| DOI: | 10.1016/j.amsu.2021.01.084 |
| Popis: | Background Core decompression (CD) has been used in the treatment of pre-collapse stages avascular necrosis (AVN) with good results. Hyperbaric oygen therapy (HBO) was used as a non-invasive treatment for pre-collapse stages osteonecrosis with favorable results. This study aimed to compare the outcomes of HBO versus CD in stage II of non-traumatic AVN of the femoral head. Methods Data were collected retrospectively for patients with non-traumatic AVN of the femoral head that was confirmed by MRI and underwent HBO or CD between January 2010 and December 2018, with a minimum follow-up of 12 months. Oxford Hip Score (OHS), radiographic progression, and Short-Form 12(SF12) were used to assess the outcomes. Results Nineteen patients with 23 stage II AVN of the femoral head were included, 12 (52.2%) in CD, and 11 (47.8%) in the HBO group with an average follow-up of 34.2 ± 18.4 months. 66.7% of patients in CD and 81.8% in the HBO group achieved satisfactory hip function outcome with statistically significant mean Oxford Hip Score (35.8 ± 6.7 and 35.5 ± 5.1) (P 0.009 & .003) respectively. No statistical difference of OHS and SF12 (PCS &MCS) was found between the two groups (P 0.202, 0.128 & .670 respectively). Eight (34.7%) cases progressed to a higher radiological stage at one year follow-up. The rate of progression was not statistically significant between both groups (P 0.469) with no statistical difference of OHS and SF12 (PCS & MCS) in the progressed group (P 0.747, 0.648 & 0.416) respectively. Conclusion This study showed that the HBO is promising and as effective as CD in the treatment of non-traumatic pre-collapsed AVN of the femoral head. Hence, HBO could be used as an alternative non-invasive treatment option. Highlights • Osteonecrosis (AVN) of the femoral head is a potentially disabling disorder. • Core decompression (CD) is the gold standard treatment for the pre-collapse stages. • Hyperbaric oxygen therapy (HBO) is a new treatment option with favorable results. • No consensus regarding the best method for the pre-collapse stages AVN. • Both options achieved a significant satisfactory hip function outcome with no difference between the two. |
| Databáze: | OpenAIRE |
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