Diagnostic value of necrotic lesion boundary in bone collapse of femoral head osteonecrosis

Fan, Yinuo; Zhang, Jiahao; Chen, Minghai; Pang, Fengxiang; Chen, Haicheng; Wu, Yulong; Liang, Yupeng; Wei, Zhiming; Cai, Kaishen; Liu, Weifeng; Fang, Hanjun; Hong, Guoju; Zhou, Chi; Chen, Zhenqiu

doi:10.1007/s00264-021-05081-7

Cited by 14 publications

(17 citation statements)

References 24 publications

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“…A previous study showed that the JIC class is correlated with bone collapse in ONFH. 30 Ma et al 31 reported similar results; that is, progressive necrosis and bone collapse were closely correlated with JIC classification type C2. Chen et al 32 found poorer functional results in patients with JIC classification type C2 after bone grafting compared with patients with JIC classification type C1.…”

Section: Relevant Risk Factorsmentioning

confidence: 66%

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Clinical Outcome of Surgical Hip Dislocation Combined with Impacting Bone Grafts and Implanting Iliac Bone Flaps in the Treatment of Osteonecrosis of the Femoral Head: A Mid‐term Retrospective Study

Zhou

Fan

Liang

et al. 2022

Orthopaedic Surgery

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Objective To report the medium‐term outcomes of surgical hip dislocation (SHD) combined with impacting bone grafts and implanting iliac bone flaps in the treatment of osteonecrosis of the femoral head (ONFH) and to define the indications for this treatment. Methods This was a single‐center retrospective study. In total, 64 patients (70 hips) with ONFH treated from January 2014 to December 2017 were included in this study. There were 51 males and 13 females aged 18–55 years with an average age of 32 years. All patients underwent surgery for SHD combined with impacting bone grafts and implanting iliac bone flaps. Preoperative and postoperative clinical outcomes were assessed. The clinical outcome was assessed using the Harris hip score (HHS) and the conversion rate of total hip arthroplasty (THA). Univariate and multivariate logistic regression analyses were performed to identify risk factors affecting the clinical outcome. Kaplan–Meier (K‐M) analysis was applied to calculate the survival rate of the femoral head. Results At the last follow‐up (60 ± 15.08 months), the HHS was excellent for 41 hips, good for 17 hips, fair for three hips, and poor for nine hips. All nine hips with poor HHS underwent THA, including five in the first 2 years following the index surgery and four between three and 5 years. The conversion rate of total hip arthroplasty was 12.86%. Univariate and multivariate logistic regression analyses showed that the duration of hip pain and JIC classification type were significantly associated with clinical outcomes. Elderly age and advanced ONFH stage tended to lead to worse surgical outcomes. The overall survival rate of JIC classification type C1 and duration of pain ≤6 months was 98.1% and 97.8% at 72 months, respectively, as estimated by the Kaplan–Meier method. Conclusion Surgical hip dislocation combined with impacting bone grafts and implanting iliac bone flaps in the treatment of ONFH had a good mid‐term clinical outcome, especially for patients with retention of the lateral column of the femoral head and hip pain less than 1 year.

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Section: Relevant Risk Factorsmentioning

confidence: 66%

“…A previous study showed that the JIC class is correlated with bone collapse in ONFH 30 . Ma et al 31 .…”

Section: Discussionmentioning

confidence: 95%

Clinical Outcome of Surgical Hip Dislocation Combined with Impacting Bone Grafts and Implanting Iliac Bone Flaps in the Treatment of Osteonecrosis of the Femoral Head: A Mid‐term Retrospective Study

Zhou

Fan

Liang

et al. 2022

Orthopaedic Surgery

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“…Congratulations are this much for our awards celebration. This issue of International Orthopaedics publishes three SICOT awards papers: Diagnostic value of necrotic lesion boundary in bone collapse of femoral head osteonecrosis [14]; Jig-assisted modified Harrington reconstruction for metastatic bone destruction of the acetabulum [15]; and Sonication of explants enhancing the diagnostic accuracy of synovial fluid and tissue cultures to determine the appropriate antibiotic therapy for prosthetic joint infections [16].…”

Section: International Orthopaedics 2021 Sicot Awardsmentioning

confidence: 99%

“…With femoral head collapse as the endpoint, a Kaplan-Meier analysis was applied to calculate the femoral head's survival rate according to the necrotic zone's boundary limits. The study demonstrated that using these two parameters in plain radiography images on an antero-posterior and lateral views may contribute to better hip preservation [14]. Rajasekaran et al developed a "jig-aided technique" to improve pin placement during the Harrington technique.…”

Section: International Orthopaedics 2021 Sicot Awardsmentioning

confidence: 99%

Scientists should be awarded: International Orthopaedics publishes the 2021 SICOT Research Awards

Hernigou¹,

Mavrogenis

Scarlat

2022

International Orthopaedics (SICOT)

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In all Societies, there are incentive systems to raise performance. When people perceive the outside intervention as controlling, they reduce their intrinsic motivation. In contrast, when people are perceiving the outside intervention to be a support, their intrinsic motivation is raised. Awards are typically perceived as a support rather than control, and it is likely to affect performance positively. Awards are everywhere and always have beenThere are many awards in orders, medals, decorations, prizes, titles, and other honors. It would be hard-pressed to find any area of society in which awards are absent. Not only governments bestow awards. Awards are also of importance in culture, arts, and sports. For arts, prominent examples are the Academy Awards (Oscars), film festivals at Cannes, Venice, or Berlin, the Emmy award for television, and the Grammy award for music. There are regular sports for the title of Olympic or World Champion. Awards also apply to the military, where decorations are extremely important, old, and abundant. The awards relate to social status, social comparisons, reference groups, identity, reputation, symbolic and intrinsic incentives, and, of course, the whole area of motivation.

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“…4. The ARCO staging was performed on all cases according to the "2019 International Association for bone circulation research femoral head necrosis staging" [7][8][9] .…”

Section: Inclusion and Exclusion Criteriamentioning

confidence: 99%

Epidemiological and survival analysis of early and middle stage femoral head necrosis

Zhao

Liu

et al. 2022

Preprint

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Objective: To investigate the venereal characteristics and survival time of osteonecrosis of femoral head (ONFH).Methods: 970 patients with early and mid-term ONFH in our hospital from 1998 to 2014 were selected for epidemiological study. The general and clinical data of patients, including age, gender, etiology, alcohol intake, hormone use, body mass index and femoral head survival years, were collected by telephone, outpatient recurrence and other methods for statistics and analysis.Results: among 970 patients, there were 694 males and 276 females, with an average age of 40.87 ± 10.42 years. The average age of onset in women is younger than that in men. Male patients have a high incidence of alcoholic ONFH and female patients have a high incidence of hormonal ONFH. There was no significant difference in the duration of hormone use between hormone and alcohol combined necrosis and hormone induced ONFH, but the onset time was significantly shortened. The drinking history of female mixed bad death was higher than that of male, and the amount of alcohol consumed in a single week was greater than that of pure alcohol bad death, but the drinking years showed a downward trend. The survival time of people over 50 years old is higher than that of other age groups. The survival time of alcoholic necrosis is significantly longer than that of the other three types of necrosis, and the worst survival time is hormone necrosis. The analysis of disease stage survival showed that the lower the classification, the better the prognosis, and vice versa. Low weight patients have a longer survival time in the femoral head, while overweight people have a shorter survival time.Conclusion: this epidemiological study of early and medium-term femoral head necrosis has refined the intake characteristics of hormone and alcohol factors, analyzed the distribution characteristics of the disease, and made a detailed survival analysis of the femoral head, laying a solid foundation for further research.

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Diagnostic value of necrotic lesion boundary in bone collapse of femoral head osteonecrosis

Cited by 14 publications

References 24 publications

Clinical Outcome of Surgical Hip Dislocation Combined with Impacting Bone Grafts and Implanting Iliac Bone Flaps in the Treatment of Osteonecrosis of the Femoral Head: A Mid‐term Retrospective Study

Clinical Outcome of Surgical Hip Dislocation Combined with Impacting Bone Grafts and Implanting Iliac Bone Flaps in the Treatment of Osteonecrosis of the Femoral Head: A Mid‐term Retrospective Study

Scientists should be awarded: International Orthopaedics publishes the 2021 SICOT Research Awards

Epidemiological and survival analysis of early and middle stage femoral head necrosis

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