Cementless total hip arthroplasty for osteonecrosis and osteoarthritis produce similar results at ten years follow-up when matched for age and gender

Osawa, Yusuke; Seki, Tomohiro; Takegami, Yasuhiko; Kusano, Taiki; Makida, Kazuya; Ishiguro, Naoki

doi:10.1007/s00264-018-3987-7

Cited by 25 publications

(9 citation statements)

References 26 publications

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“…These unsatisfactory outcomes can be attributed to the usual patient's young age, but also the associated diseases that are the cause of osteonecrosis as corticosteroids and sickle cell disease. Interestingly, recent reports [30,31] seem to demonstrate that the risk of revision of arthroplasty in osteonecrosis is not as high as suspected at least during the first 10 years of follow-up. Furthermore, lower rates of revision are noted with systemic lupus erythematosus [32] where a lower level of activity of the patient is probably observed.…”

Section: Total Hip Arthroplasty and Osteonecrosismentioning

confidence: 99%

Hip osteonecrosis: stem cells for life or behead and arthroplasty?

Hernigou¹,

Daltro

Hernigou

2018

International Orthopaedics (SICOT)

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Section: Total Hip Arthroplasty and Osteonecrosismentioning

confidence: 99%

Hip osteonecrosis: stem cells for life or behead and arthroplasty?

Hernigou¹,

Daltro

Hernigou

2018

International Orthopaedics (SICOT)

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“…Previous reports have demonstrated that both mental state and hip-joint function are similarly impaired in patients with ONFH with progressing collapse of the femoral head [1,2]. Chen et al reported a signi cantly higher prevalence of depression in patients with ONFH than in those with OA [20], and in another study, patients with ONFH had signi cantly lower mental scores after THA than patients with OA [9].…”

Section: Discussionmentioning

confidence: 94%

“…Considering recently reported long-term outcomes [9,24], We believe that THA should be the rst choice for treatment of ONFH. However, THA is not recommended for young people due to the risk for multiple revision surgeries in the future; surgical strategies should be carefully selected since performing the appropriate joint-preserving surgery can provide long-term functional outcomes that are equivalent to those provided by THA [25].…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, patient satisfaction after THA could not be correctly evaluated due to the complicated patient backgrounds [5]. Similarly, a previous report demonstrated that postoperative patient satisfaction with THA was poorer in patients with ONFH than in those with osteoarthritis (OA); however, the relationship between ONFH and QOL after THA remains unknown [9]. It is important to examine the risk factors for postoperative QOL decline related to postoperative dissatisfaction when considering treatment options and the timing of surgery.…”

Section: Introductionmentioning

confidence: 99%

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Preoperative Risk Factors for Dissatisfaction After Total Hip Arthroplasty Among Patients With Osteonecrosis of the Femoral Head

Takemoto¹,

Seki²,

Osawa³

et al. 2020

Preprint

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Background: The objective of this study was to investigate the preoperative risk factors for dissatisfaction after total hip arthroplasty for osteonecrosis of the femoral head.Methods: A total of 71 patients (91 hips) with osteonecrosis of the femoral head who underwent total hip arthroplasty surgery in our hospital were included. The degree of satisfaction was evaluated using a visual analogue scale one year after the total hip arthroplasty. The patients were divided into two groups: the satisfied group (S group; visual analogue scale score > 20 mm) and the dissatisfied group (D group; visual analogue scale score < 20 mm). The results of the preoperative quality-of-life self-assessments, including the Short Form-36 and Japanese Orthopaedic Association Hip Disease Evaluation Questionnaire, were compared between the satisfied and dissatisfied groups. Multivariate analysis was performed to examine the independent preoperative risk factors.Results: There were 49 patients (64 hips) and 22 patients (27 hips) in the S and D groups, respectively. Patient age was significantly higher in the D group, and the movement and mental scores obtained with the Japanese Orthopaedic Association Hip Disease Evaluation Questionnaire and the Mental Component Summary scores of the Short Form-36 were significantly lower. However, there were no between-group differences in the pain score obtained with the Japanese Orthopaedic Association Hip Disease Evaluation Questionnaire and the Physical Component Summary and Role/Social Component Summary scores of the Short Form-36. Multivariate analysis showed that age and mental score obtained with the Japanese Orthopaedic Association Hip Disease Evaluation Questionnaire were independent risk factors.Conclusions: Preoperative age and mental score obtained with the Japanese Orthopaedic Association Hip Disease Evaluation Questionnaire strongly affected satisfaction levels observed one year after total hip arthroplasty in patients with osteonecrosis of the femoral head.

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“…The terminal course of ONFH is femoral head collapse, articular cartilage degeneration, and subsequent late-stage osteoarthritis when no timely treatment initiated [3, 4]. Total hip arthroplasty (THA) can resolve the condition with definite success and long-term satisfactory outcomes [5]. However, regardless of improvements in joint prosthesis design, instruments, and surgical techniques, THA is unlikely to be endured for the rest of the life of the acceptors, especially for young individuals.…”

Section: Introductionmentioning

confidence: 99%

One-stage simultaneous hip-preserving surgeries for the management of bilateral femoral head osteonecrosis: a mean 7.0-year follow-up

Feng

et al. 2019

J Orthop Surg Res

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BackgroundA retrospective study was conducted to evaluate and compare the clinical and radiological outcomes of one-stage fibular impaction allografting and vascularized greater trochanter flap autografting for the treatment of bilateral osteonecrosis of the femoral head (ONFH).MethodsPatients who underwent one-stage aforementioned hip-preserving surgeries due to bilateral ONFH were retrospectively reviewed from January 2008 to December 2013. Sixty-nine patients (138 hips) with a mean age of 31.5 years and mean follow-up of 7.0 years were included. Hips that underwent fibular impaction allografting and vascularized greater trochanter flap autografting were assigned as group A and group B, respectively. Harris Hip Score (HHS) and Visual Analogue Scale (VAS) were used for clinical evaluation, and a series of X-ray images were used for radiological assessment. For inter-group analysis, the paired t test was used for continuous data, and the Wilcoxon rank sum test was used for non-parametric data, while the Mann-Whitney U test was used for intra-group analysis.ResultsThe HHS and VAS in both groups A and B had a substantial advancement when compared with the preoperative level (p < 0.01). Fibular impaction allografting can achieve more pain relief (p < 0.01), though no clinical difference was found in terms of minimal clinically important difference (MCID < 10 points). Group A showed better radiological results than group B (p = 0.04). It was discovered that the appropriate indication for each procedure was patients with Association for Research on Osseous Circulation (ARCO) stages II and III, respectively.ConclusionOne-stage hip-preserving surgeries for the management of bilateral ONFH could obtain good medium and long-term outcomes. It was recommended that fibular impaction allografting is more suitable for patients in ARCO stage II, while for patients in ARCO stage III, vascularized greater trochanter flap autografting is a better preference.Trial registrationRetrospectively registered.

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Cementless total hip arthroplasty for osteonecrosis and osteoarthritis produce similar results at ten years follow-up when matched for age and gender

Abstract: The functional outcomes, implant survival, and rate of complications for cementless THAs are comparable at a mean follow-up of ten years for ONFH and OA.

Cited by 25 publications

References 26 publications

Hip osteonecrosis: stem cells for life or behead and arthroplasty?

Hip osteonecrosis: stem cells for life or behead and arthroplasty?

Preoperative Risk Factors for Dissatisfaction After Total Hip Arthroplasty Among Patients With Osteonecrosis of the Femoral Head

One-stage simultaneous hip-preserving surgeries for the management of bilateral femoral head osteonecrosis: a mean 7.0-year follow-up

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