Study of Survivorship and Functional Outcome of Total Hip Arthroplasty in Avascular Necrosis of Femur Head

Jump To References Section

Authors

  • Mehul Sarkar
     Senior Resident, Department of Orthopaedics, Dr. Vasantrao Pawar Medical College and Hospital, Nashik – 422003, Maharashtra ,IN
  • Nitin Wagh
     Associate Professor, Department of Orthopaedics, Dr. Vasantrao Pawar Medical College and Hospital, Nashik – 422003, Maharashtra ,IN
  • Sandeep Pangavane
     Professor and Head, Department of Orthopaedics, Dr. Vasantrao Pawar Medical College and Hospital, Nashik – 422003, Maharashtra ,IN

DOI:

https://doi.org/10.18311/mvpjms/2020/v7i1/16548

Keywords:

Harris Hip Score, Osteonecrosis, Survival Analysis, Total Hip Arthroplasty
Arthroplasty

Abstract

Osteonecrosis of the femoral head is not a specific diagnostic entity, but rather the final common pathway of a series of derangements that produce a decrease in blood flow, leading to cellular death within the femoral head. It can present with a number of clinical manifestations. The most common complaint is a deep, intermittent, throbbing pain in the groin region which has an insidious onset. In the early stages, prophylactic measures are used to prevent further progression of the disease. When the patient is diagnosed in later stages, the collapse and distortion of the femoral head can be seen, for which a reconstructive procedure is the treatment of choice. The goals of total hip arthroplasty are to relieve pain, to provide motion with stability and to correct deformity so that they are able to return to their normal daily activities. Total hip arthroplasty can be the first treatment of choice. especially in the advanced stages of hip osteonecrosis, or can be reserved as a salvaging procedure when other more conservative treatments fail. Total Hip Arthroplasty is a good modality of treatment for patients with very poor pre-surgical functional scores combined with an excellent long term survival of the cement-less implants.

Downloads

Published

2021-03-10

Issue

Volume 7, Issue 1, January - June 2020

Section

Original Research Article

 

References

Mont MA, Hungerford DS. Non-traumatic avascular necrosis of the femoral head. J. Bone Joint Surg. Am. 1995; 77:459-74. https://doi.org/10.2106/00004623-19950300000018. PMid: 7890797.

Babis GC, Sakellariou V, Parvizi J, Soucacos P. Osteonecrosis of the femoral head. Orthopedics. 2011 Jan 1; 34(1):39-48. https://doi.org/10.3928/01477447-20101123-19. PMid: 21210589.

Kerboul M, Thomine J, Postel M, Merle dí•Aubigne R, The conservative surgical treatment of idiopathic asepticnecrosis of the femoral head. J. Bone Joint Surg. Br. 1974; 56:291-96. https://doi.org/10.1302/0301-620X.56B2.291.

Lavernia CJ, Sierra RJ, Grieco FR. Osteonecrosis of the femoral head. Journal of the American Academy of Orthopaedic Surgeons. 1999 Jul 1; 7(4):250-61. https://doi.org/10.5435/00124635-199907000-00005. PMid: 10434079.

Turek SL. The Hip. In: Orthopaedic Principle and their Application. Volume 2. 4th edn. Raven Publishers, Philadelphia:Lippincott; 2002. p. 1124-33, 1194-200.

Schneider W, Knahr K. Total hip replacement in younger patients Survival rate after avascular necrosis of the femoral head. Actaorthopaedica Scandinavica. 2004 Jan 1; 75(2):142-46. https://doi.org/10.1080/00016470412331294 385. PMid: 15180228.

Rijnen WH, Lameijn N, Schreurs BW, Gardeniers JW. Total hip arthroplasty after failed treatment for osteonecrosis of the femoral head. Orthopedic Clinics of North America. 2009 Apr 30; 40(2):291-98. https://doi.org/10.1016/j.ocl.2009.01.001. PMid: 19358915.

Celebi L, Muratli HH, Aksahin E, Yagmurlu MF, Yuksel HY, Bicimoglu A. Cementless total hip arthroplasty in patients with avascular necrosis of the femoral head. Acta. Orthop. Traumatol. Turc. 2006; 40(2):105-10.

Rich JT, Neely JG, Paniello RC, Voelker CC, Nussenbaum B, Wang EW. A practical guide to understanding KaplanMeier curves. Otolaryngology-Head and Neck Surgery. 2010 Sep 30; 143(3):331-36. https://doi.org/10.1016/j.otohns.2010.05.007. PMid: 20723767, PMCid: PMC3932959.

Buirs LD, Van Beers LW, Scholtes VA, Pastoors T, Sprague S, Poolman RW. Predictors of physical functioning after total hip arthroplasty: A systematic review. BMJ open. 2016 Sep 1; 6(9):e010725. https://doi.org/10.1136/ bmjopen-2015-010725. PMid: 27601486, PMCid:PMC5020746.

Kakaria HL, Sharma AK, Sebastian B. Total hip replacement in avascular necrosis of femoral head. Medical Journal Armed Forces India. 2005 Jan 31; 61(1):33-35. https://doi.org/10.1016/S03771237(05)80115-7.

Harshavardhan G, Vijayaraghavan PV. Functional and radiological outcomes of total hip replacement in non traumatic indications. Int. J. Curr. Microbiol. App. Sci. 2014; 3(3):153-58.

Siwach RC, Kadyan VS, Sangwan SS, Gupta R. A retrospective study of total hip arthroplasty. Indian Journal of Orthopaedics. 2007 Jan 1; 41(1):62. https://doi.org/10.4103/0019-5413.30528. PMid: 21124685. PMCid: PMC2981898.

Dobbs HS. Survivorship of total hip replacements. Bone and Joint Journal. 1980 May 1; 62(2):168-73. https://doi.org/10.1302/0301-620X.62B2.7364829. PMid: 7364829.

Keurentjes, JC., Fiocco, M., Schreurs, BW., Pijls, BG., Nouta, KA., Nelissen, R.G. Revision surgery is overestimated in hip replacement. Bone and Joint Research. 2012; 1(10):258-62. Accessed December 28, 2016. https://doi.org/10.1302/2046-3758.110.2000104. PMid: 23610656, PMCid: PMC3629447.

Inacio MC, Ake CF, Paxton EW, et al. Sex and risk of hip implant failure: assessing total hip arthroplasty outcomes in the United States. JAMA Intern. Med. 2013; 173(6):435-41.

https://doi.org/10.1001/jamainternmed.2013.3271, PMid: 23420484.

Kostamo T, Bourne RB, Whit¬taker JP, McCalden RW, Mac¬Donald SJ. No difference in gender-specific hip replacement outcomes. Clin. Orthop. Relat. Res. 2009; 467(1):135-40. https://doi.org/10.1007/s11999-008-0466-2. PMid: 18780137, PMCid: PMC2600988.

Clauss M, Van Der Straeten C, Goossens M. Prospective five-year subsidence analysis of a cementless fully hydroxyapatite-coated femoral hip arthroplasty component. Hip International. 2014 Jan 24; 24(1):91-97. https://doi.org/10.5301/hipint.5000082. PMid: 24474406, PMCid: PMC6159840.

Puolakka TJ, Pajamäki KJ, Halonen PJ, Pulkkinen PO, Paavolainen P, Nevalainen JK. The Finnish Arthroplasty Register: Report of the hip register. Actaorthopaedica Scandinavica. 2001 Jan 1; 72(5):433-41. https://doi.org/10.1080/000164701753532745. PMid: 11728068.

Osama Jafar, Aziz-urrehman, Leem Shaukat M Kaleem. Functional outcome of total hip. J. Uni. Med. Dent. Coll. 2015; 6(3):61-9.

Todkar M. Primary cemented total hip arthroplasty-an Indian experience. European Journal of Orthopaedic Surgery and Traumatology. 2006 Jun 1; 16(2):1-4. https:// doi.org/10.1007/s00590-005-0038-z. PMid: 28755120.

Kennedy DM, Hanna SE, Stratford PW, Wessel J, Gollish JD. Preoperative function and gender predict pattern of functional recovery after hip and knee arthroplasty. J. Arthroplasty. 2006; 21(4):559-66. https://doi.org/10.1016/j.arth.2005.07.010. PMid: 16781410, PMCid: PMC7127039.

Cherian JJ, O'Connor MI, Robinson K, Jauregui JJ, Adleberg J, Mont MA. A prospective, longitudinal study of outcomes following total knee arthroplasty stratified by gender. The Journal of arthroplasty. 2015 Aug 31; 30(8):1372-77. https://doi.org/10.1016/j.arth.2015.03.032. PMid: 25865810.

Nilsdotter AK, Lohmander LS. Age and waiting time as predictors of outcome after total hip replacement for osteoarthritis. Rheumatology. 2002 Nov 1; 41(11):1261-67. https://doi.org/10.1093/rheumatology/41.11.1261. PMid: 12421998.

Smith GH, Johnson S, Ballantyne JA, Dunstan E, Brenkel IJ. Predictors of excellent early outcome after total hip arthroplasty. Journal of orthopaedic surgery and research. 2012 Mar 25; 7(1):1. https://doi.org/10.1186/1749799X-7-13. PMid: 22445184, PMCid: PMC3325868.