1. Open Reduction and Cementation for Femoral Head Fracture Secondary to Avascular Necrosis: Preliminary Report
- Author
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Wood, Mark L, McDowell, Cathy M, Kerstetter, Tara L, and Kelley, Scott S
- Subjects
musculoskeletal diseases ,Adult ,Male ,Hip Fractures ,Health Status ,Bone Cements ,Pain ,Femur Head ,Methylmethacrylate ,Middle Aged ,Severity of Illness Index ,Article ,Radiography ,Fracture Fixation, Internal ,Treatment Outcome ,Femur Head Necrosis ,Surveys and Questionnaires ,Activities of Daily Living ,Humans ,Female ,Follow-Up Studies - Abstract
Current treatment for femoral head avascular necrosis has shown good results in early stages of disease, but are not as impressive after progression to collapse. We treated 19 patients (20 hips) with Stage III avascular necrosis (AVN) by open reduction augmented by methylmethacrylate cementation. Follow up ranges from 6 months to 2 years (average=8.7 months). We followed patient progress with pre- and post-operative Harris Hip Scores, Womac Osteoarthritis Index and a Health Status Questionnaire (SF36). All patients realized immediate post-operative pain relief and improvement in function. Harris Hip, Womac Osteoarthritis Index and SF36 physical health scores improved significantly from 54.0 to 79.5 (p
- Published
- 2000