TY - JOUR T1 - Osteonecrosis Of The Femoral Head. Results Of Core Decompression With And Without A Suction Drain TT - FEMUR BAŞI OSTEONEKROZU: VAKUM DRENLİ VE VAKUM DRENSİZ KOR DEKOMPRESYON SONUÇLARI AU - Özden, Raif AU - Yıldız, Ömer AU - Duman, İbrahim AU - Uruç, Vedat PY - 2015 DA - March JF - The Medical Journal of Mustafa Kemal University JO - mkutfd PB - Hatay Mustafa Kemal University WT - DergiPark SN - 2149-3103 SP - 31 EP - 38 VL - 4 IS - 14 LA - en AB - Objectives: The aim of this study is to compare the clinical outcomes of the femoral head osteonecrosis treatead with core decompression (CD) combined with a suction drain into the core tract versus simple CD. Materials and Methods: Thirtynine osteonecrotic hips in 25 patients were divided into 2 groups. Patients in group 1 (19 hips) were treated with CD, and those in group 2 (20 hips) received suction drain into the core tract after CD. Outcome between the 2 groups were compared clinically. Clinical assessments included assessment Harris hip score (HHS). Difference in HHS between the two groups were calculated using the Mann-Whitney U test. Results: At the end 6 months, patients compared with HHS. No significant differences were found between the two groups, but there was significant statical difference within the groups. Conclusions: Treatment of the early stage of osteonecrosis of the femoral head with CD improved the HHS but combined with the a suction drain into the core tract after CD seems to be not better than simple CD KW - Osteonecrosis of the femoral head KW - Core decompression KW - Hip N2 - Amaç: Bu çalışmanın amacı sadece kordekompresyon yapılan hastalar ile kordekompresyondan sonra, açılan tünelevakumlu dren konulan hastalarınsonuçlarını karşılaştırmaktır.Yöntem ve Gereç: 25 hastanın 39 kalçasıiki eşit gruba bölündü. Birinci gruba(n=19) sadece kor dekompresyon, ikincigruba (n=20) ise kor dekompresyondansonra açılan tünele vakumlu dren konuldu.İki gup arasındaki fark klinik olarakkarşılaştırıldı. Klinik olarak Harris kalçaskorlaması kullanıldı. İki grubukarşılaştırmak için Mann-Whitney U testiuygulandı.Bulgular: Altıncı ayda, Harris kalçaskorlaması ile hastalar karşılaştırıldığındaiki grup arasında anlamlı fark bulunamadı.Fakat gruplar kendi içindekarşılaştırıldığında kor dekompresyonunsonuçları önemli ölçüde iyileştirdiğigözlenmiştir.Sonuç: Erken evre osteonekrozuntedavisinde kor dekompresyon Harris kalçaskorunu önemli ölçüde iyileştirmiştir fakatkor dekompresyon ile açılan tünelevakumlu dren konulmasının, sonuç üzerineherhangi bir etkisi olmadığı gözlenmiştir. CR - Mont MA, Hungerford DS. Non-traumatic avascular necrosis of the femoral head. J Bone CR - Joint Surg Am 1995;77(3):459-74. CR - Lavernia CJ, Sierra RJ, Grieco FR. Osteonecrosis of the femoral head. J Am Acad Orthop CR - Surg 1999;7(4):250–61. CR - Lai KA, Shen WJ, Yang CY, Shao CJ, Hsu JT, Lin RM. The use of alendronate to CR - prevent early collapse of the femoral head in patients with nontraumatic osteonecrosis. A CR - randomized clinical study. J Bone Joint Surg Am2005; 87(10):2155–9. CR - Agarwala S, Jain D, Joshi VR, Sule A. Efficacy of alendronate, a bisphosphonate, in the CR - treatment of AVN of the hip. A prospective open-label study. Rheumatology CR - ;44(3):352–9. CR - Reis ND, Schwartz O, Militianu D, Ramon Y, Levin D, Norman D, et al. Hyperbaric CR - oxygen therapy as a treatment for stage-I avascular necrosis of the femoral head. J Bone CR - Joint Surg Br 2003;85(3):371–5. CR - Aaron RK, Steinberg ME. Electrical stimulation of osteonecrosis of the femoral head. CR - Semin Arthroplasty 1991;2(3):214–21. CR - Wang CJ, Wang FS, Huang CC, Yang KD, Weng LH, Huang HY. Treatment for CR - osteonecrosis of the femoral head: comparison of extracorporeal shock waves with core CR - decompression and bone-grafting. J Bone Joint Surg Am2005;87(11):2380–7. CR - Linovitz RJ, Pathria M, Bernhardt M, Green D, Law MD, McGuire RA, et al. Combined CR - magnetic fields accelerate and increase spine fusion: a double blind, randomized, placebo CR - controlled study. Spine 2002;27(13):1383–9. CR - Radke S, Kirschner S, Seipel V, Rader C, Eulert J. Magnetic resonance imaging criteria CR - of successful core decompression in avascular necrosis of the hip. Skeletal Radiol CR - ;33(9):519–23. CR - Mont MA, Ragland PS, Etienne G. Core decompression of the femoral head for CR - osteonecrosis using percutaneous multiple small-diameter drilling. Clin Orthop Relat Res CR - ;(429):131–8. CR - Koo KH, Kim R, Ko GH, et al. Preventing collapse in early osteonecrosis of the femoral CR - head. A randomised clinical trial of core decompression. J Bone Joint Surg Br CR - ;77(6):870-4 CR - Steinberg ME, Brighton CT, Corces A, Hayken GD, Steinberg DR, Strafford B, Tooze CR - SE, Fallon M. Osteonecrosis of thefemoral head. Results of core decompression and CR - grafting with and without electrical stimulation. Clin Orthop Relat Res.1989;(249):199– CR - Gangji V, Hauzeur JP. Treatment of osteonecrosis of the femoral head with implantation CR - of autologous bone-marrow cells. Surgical technique. J Bone Joint Surg Am CR - ;87(1):106-112. CR - Hernigou P, Beaujean F. Treatment of osteonecrosis with autologous bone marrow CR - grafting. Clin Orthop Relat Res. 2002;(405):14–23. CR - Steinberg ME, Larcom PG, Strafford B, Hosick WB, Corces A, Bands RE, Hartman KE. CR - Core decompression with bone grafting for osteonecrosis of the femoral head. Clin CR - Orthop Relat Res 2001;(386):71–78. CR - Yoo MC, Chung DW, Hahn CS. Free vascularized fibula grafting for the treatment of CR - osteonecrosis of the femoral head. ClinOrthop Relat Res. 1992;(277):128–138. CR - Kim SY, Kim YG, Kim PT, Ihn JC, Cho BC, Koo KH. Vascularized compared with CR - nonvascularized fibular grafts for large osteonecrotic lesions of the femoral head. J Bone CR - Joint Surg Am. 2005;87(9):2012–2018. CR - Plakseychuk AY, Kim SY, Park BC, Varitimidis SE, Rubash HE, Sotereanos DG. CR - Vascularized compared with nonvascularized fibular grafting for the treatment of CR - osteonecrosis of the femoral head. J Bone Joint Surg Am 2003;85(4):589–596. CR - Steinberg ME, Steinberg DR Classification systems for osteonecrosis: an overview. CR - Orthop Clin North Am 2004;35(3):273–283 CR - Camp JF, Colwell CW Jr. Core decompression of the femoral head for osteonecrosis. J CR - Bone Joint Surg Am 1986;68(9):1313-1319. CR - Hopson CN, Siverhus SW. Ischemic necrosis of the femoral head. Treatment by core CR - decompression. J Bone Joint Surg Am 1988;70(7):1048–1051. CR - Steinberg ME, Larcom PG, Strafford B, Hosick WB, Corces A, Bands RE et al. Core CR - decompression with bonegrafting for osteonecrosis of the femoral head. Clin Orthop CR - Relat Res 2001;(386):71–78. CR - Petrigliano FA, Lieberman JR. Osteonecrosis of the hip: novel approaches to evaluation CR - and treatment. Clin Orthop RelatRes 2007;(465):53–62. CR - Ficat RP. Idiopathic bone necrosis of the femoral head: early diagnosis and treatment. J CR - Bone Joint Surg Br 1985;67(1):3-9. CR - Mont MA, Carbone J J, Fairbank AC: Core decompression versus non-operative CR - management for osteonecrosis of the hip. Clin Orthop 1996;(324):169-78. CR - Zhao FC, Li ZR, Zhang NF, Wang BL, Sun W, Cheng LM et al. Lesion size changes in CR - osteonecrosis of the femoral head: a long-term prospective study using MRI. Int Orthop CR - ;34(6):799-804. UR - https://dergipark.org.tr/en/pub/mkutfd/issue//209364 L1 - https://dergipark.org.tr/en/download/article-file/183639 ER -