Management of stage I and II A/B avascular necrosis of femoral head with core decompression autologous cancellous bone grafting and platelet rich plasma factors

Agarwal, Tushar; Patel, Pranav; Sooknundun, Mithu; Mohapatra, Ashutosh; Joshi, Hitesh S; Salgia, Anil

doi:10.4103/0975-2870.169881

Cited by 4 publications

(5 citation statements)

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“…Age -The mean age of our study was 33.4 years when compared to 35.5 years in Soni et al and 30.4 years in (Patel et al, 2015) 2. Gender -75% of cases in our study were males and 25% females when compared to 88% males and 12% females in (Soni et al, 2019) and 80% males and 20% females of (Patel et al, 2015) 3. Site of affection -In our study, 20% of patients had bilateral affection, when compared to 52% of Soni et al (2019) and 46% of (Patel et al, 2015) 4.…”

Section: Discussionmentioning

confidence: 47%

“…Gender -75% of cases in our study were males and 25% females when compared to 88% males and 12% females in (Soni et al, 2019) and 80% males and 20% females of (Patel et al, 2015) 3. Site of affection -In our study, 20% of patients had bilateral affection, when compared to 52% of Soni et al (2019) and 46% of (Patel et al, 2015) 4. Etiology -In our study, 80% of patients had nontraumatic etiology while 20% had traumatic as compared to 60% non-traumatic and 40% traumatic in (Soni et al, 2019) 5.…”

Section: Discussionmentioning

confidence: 47%

“…Harris Hip Score -The mean pre-operative Harris Hip Score of our study was 64.3, and the mean post-operative Harris hip score of our study was 80.2. In (Soni et al, 2019), it was 73.1 pre-operative and 83.2 post-operative, while in (Patel et al, 2015), it was 61.81 pre-operative and 79.73 post-operative.…”

Section: Discussionmentioning

confidence: 95%

“…In (Soni et al, 2019), there were 73% with grade II and 27% with grade I disease. In (Patel et al, 2015), there were 53.33% grade IIA, 30% grade IIB and 16.66% grade I.…”

Section: Discussionmentioning

confidence: 96%

“…We have compared our study with (Soni et al, 2019), in which 25 patients of early AVN were treated with core decompression and PRP in iltration and with (Patel et al, 2015) in which 39 patients with of early AVN were treated with core decompression and PRP in iltration.…”

Section: Discussionmentioning

confidence: 99%

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Management of Early Avascular necrosis of femoral head with Core Decompression and Platelet Rich Plasma infiltration

Pundkar

Shrivastav

Date

2021

ijrps

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Various modalities available for the treatment of AVN range from conservative modalities like observation and non-weight-bearing mobilization, various pharmacological agents like Bisphosphonates, Enoxaparin are shown to be useful in some studies, Hyperbaric oxygen therapy to Surgical modalities like femoral head preserving procedures (core decompression with or without additional procedure, i.e. bone grafting, biologic adjuvants – Platelet Rich Plasma, Stem cells etc. and rotational osteotomies) and replacement surgeries. 20 patients of Early AVN who met inclusion criteria and operated with core decompression and PRP infiltration were included in this study. Out of 20 patients, 2 patients (10%) had superficial infections which healed on its own without any intervention, 5 patients (25%) had restriction of movements and 3 patients (15%) required replacement surgery. The mean pre-operative Harris Hip Score of our study was 64.3, and the mean post-operative Harris hip score of our study was 80.2. Out of 20 cases, 6 patients (30%) showed limitation of the progression of the disease, 3 (15%) patients progressed to the further stages of the disease and 11 patients (55%) had remission of the disease. The final outcome, on the basis of Harris Hip Score in 5 patients (25%), was excellent, 7 patients (35%) was good, 5 patients (25%) was fair, and in 3 patients (15%) was poor. Our study concludes that Core decompression along with PRP infiltration can be used as a good alternative for or in addition with traditionally performed core decompression and bone grafting.

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Section: Discussionmentioning

confidence: 47%

Section: Discussionmentioning

confidence: 47%

Section: Discussionmentioning

confidence: 95%

“…In (Soni et al, 2019), there were 73% with grade II and 27% with grade I disease. In (Patel et al, 2015), there were 53.33% grade IIA, 30% grade IIB and 16.66% grade I.…”

Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

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Management of Early Avascular necrosis of femoral head with Core Decompression and Platelet Rich Plasma infiltration

Pundkar

Shrivastav

Date

2021

ijrps

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Prognostic factors in the management of osteonecrosis of the femoral head: A systematic review

et al. 2023

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Osteonecrosis of Femoral Head Managed With Core Decompression and Autologous Bone Grafting.

Mantri¹,

Thora²,

Garg

et al. 2022

ijsr

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Background: Osteonecrosis of femoral head is aseptic necrosis due to disruption of blood supply resulting in the death of bone cells. Core decompression is a standard procedure in treatment of early stage of Osteonecrosis femoral head in young. Bone grafting can potentially revitalize the necrotic zone and accelerate healing. To look for functional outcome of core de Aims: compression & autologous cancellous bone grafting in early stages of Osteonecrosis of head of femur. This is a prospective and inte Settings And Design: Material And Methods: rventional study. Patients with early stages (Ficat Arlet I and II) were treated with core decompression & autologous cancellous bone grafting and were followed up for 9 months. The results were evaluated on the basis HHS and VAS. GraphPad Statistical Analysis Used: and EpiInfo were used for calculating the statistical data. Young males with unilateral hip pain with durat Results: ion of symptoms less than 6 months and Grade II at presentation with no denitive cause were more common. There was signicant improvement in HHS and VAS postoperatively till nal follow up of 9 months. More patients had good HHS grade at 9 months. There was no complication during course of study. Core Decompression and Autologous Conclusion: bone grafting is a safe and effective treatment modality in early stages of osteonecrosis of femoral head in young. To look for Objectives: functional outcome of core decompression & autologous cancellous bone grafting in early stages of osteonecrosis of head of femur.

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Management of stage I and II A/B avascular necrosis of femoral head with core decompression autologous cancellous bone grafting and platelet rich plasma factors

Cited by 4 publications

References 0 publications

Management of Early Avascular necrosis of femoral head with Core Decompression and Platelet Rich Plasma infiltration

Management of Early Avascular necrosis of femoral head with Core Decompression and Platelet Rich Plasma infiltration

Prognostic factors in the management of osteonecrosis of the femoral head: A systematic review

Osteonecrosis of Femoral Head Managed With Core Decompression and Autologous Bone Grafting.

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