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Combined pharmacotherapy for osteonecrosis of the femoral head after severe acute respiratory syndrome and interstitial pneumonia: two and a half to fourteen year follow-up.
- Source :
-
International Orthopaedics . Jul2018, Vol. 42 Issue 7, p1551-1556. 6p. - Publication Year :
- 2018
-
Abstract
- <bold>Purpose: </bold>The purpose of this study was to retrospectively analyze the clinical, functional, and radiological outcomes of combined pharmacotherapy to ONFH after high-dose corticosteroid therapy.<bold>Method: </bold>From August 2003 to June 2015, five patients (ten hips) of ONFH in ARCO stage I, after SARS and Interstitial pneumonia, were treated by combined pharmacotherapy. Lipo-prostaglandin E1 10 μg iv Bid × 28 days, enoxaparin 6000 iu H QD × 12 weeks, alendronate sodium tablet 10 mg QD × 1 year. The patients were fully weight-bearing following completion of the follow-up.<bold>Result: </bold>For these five patients (ten hips), Harris score was 100 from the diagnosis to final follow-up time. Radiologic findings show no signs of collapse, necrotic focus was repaired, and ARCO stages were changed from IC into IIB.<bold>Conclusion: </bold>This combined pharmacotherapy has promising treatment results for delaying or preventing collapse of ONFH in ARCO stage I. [ABSTRACT FROM AUTHOR]
- Subjects :
- *DRUG therapy
*OSTEONECROSIS
*FEMUR diseases
*PHYSIOLOGICAL effects of prostaglandins
*ALENDRONATE
*THERAPEUTICS
*FIBRINOLYTIC agents
*COMBINATION drug therapy
*DIPHOSPHONATES
*GLUCOCORTICOIDS
*INTERSTITIAL lung diseases
*LONGITUDINAL method
*VASODILATORS
*SARS disease
*TREATMENT effectiveness
*RETROSPECTIVE studies
*ENOXAPARIN
*DISEASE complications
Subjects
Details
- Language :
- English
- ISSN :
- 03412695
- Volume :
- 42
- Issue :
- 7
- Database :
- Academic Search Index
- Journal :
- International Orthopaedics
- Publication Type :
- Academic Journal
- Accession number :
- 130360911
- Full Text :
- https://doi.org/10.1007/s00264-018-3907-x