A Comprehensive Study of Clinical And Radiological Outcome ofCore Decompression in Avascular Necrosis Stage 1 And 2 (Ficat & Arlet Classification) in Femur Head
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 9
Abstract
Background: Avascular necrosis (AVN) is a relatively common disease characterized by death of cellular elements of bone or marrow. The hip (femoral head) is the most commonly affected site for clinically significant AVN. The classification system introduced by Ficat & Arlet is possibly the most commonly used. Aim is to study functional outcome of core decompression in avascular necrosis of femoral head (Ficat & Arlet and Arlet stage 1 and II) using The Harris Hip Score & to evaluate the radiological progress after core decompression of femoral head. Methodology: A Prospective Study done in Department of Orthopaedics in Government Medical College Nizamabad, with a sample size of 35 hips in 26 patients during period from September 2014 to August 2017. Patients diagnosed to be suffering from AVN type 1 and type 2 are admitted, their history, clinical features and investigations reports are reviewed. Their Core decompression is carried out and the outcome is evaluated at 3 months and 6 months using HARRIS HIP SCORE. Results: Out of the 26 patients 10(38.5%) patients showed EXCELLENT and 13(50%) patients showed GOOD result with improvement in HHS and 3(11.5%) patients showed FAIR result (with 2 hips showing progression of the disease) at 6 months follow up. Conclusion: Core decompression is recommended in Stage I & II avascular necrosis of femoral head as it does not preclude additional operative intervention.
Authors and Affiliations
Dr. Srinivas Bachu, Dr Premanandam Talari, Dr Amar Babu bonike
Keywords
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- EP ID EP256670
- DOI 10.9790/0853-1609075962
- Views 39
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