Osteonecrosis Of The Femoral Head. Results Of Core Decompression With And Without A Suction Drain

Abstract

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

Keywords

• Osteonecrosis of the femoral head
• Core decompression
• Hip

FEMUR BAŞI OSTEONEKROZU: VAKUM DRENLİ VE VAKUM DRENSİZ KOR DEKOMPRESYON SONUÇLARI

Abstract

Amaç: Bu çalışmanın amacı sadece kor
dekompresyon yapılan hastalar ile kor
dekompresyondan sonra, açılan tünele
vakumlu dren konulan hastaların
sonuçlarını karşılaştırmaktır.
Yöntem ve Gereç: 25 hastanın 39 kalçası
iki eşit gruba bölündü. Birinci gruba
(n=19) sadece kor dekompresyon, ikinci
gruba (n=20) ise kor dekompresyondan
sonra açılan tünele vakumlu dren konuldu.
İki gup arasındaki fark klinik olarak
karşılaştırıldı. Klinik olarak Harris kalça
skorlaması kullanıldı. İki grubu
karşılaştırmak için Mann-Whitney U testi
uygulandı.

Bulgular: Altıncı ayda, Harris kalça
skorlaması ile hastalar karşılaştırıldığında
iki grup arasında anlamlı fark bulunamadı.
Fakat gruplar kendi içinde
karşılaştırıldığında kor dekompresyonun
sonuçları önemli ölçüde iyileştirdiği
gözlenmiştir.
Sonuç: Erken evre osteonekrozun
tedavisinde kor dekompresyon Harris kalça
skorunu önemli ölçüde iyileştirmiştir fakat
kor dekompresyon ile açılan tünele
vakumlu dren konulmasının, sonuç üzerine
herhangi bir etkisi olmadığı gözlenmiştir.

Keywords

• Femur başı osteonekrozu
• Kor dekompresyon
• Kalça

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