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

Year 2013, Volume: 4 Issue: 14, 31 - 38, 03.03.2015

Raif Özden , Ömer Yıldız İbrahim Duman Vedat Uruç

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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