30-179
El forage descompresivo en la necrosis isquémica de la cabeza femoral.
Core decompression in avascular necrosis of the femoral head
L. A. MORO BARRERO*, C. BARTHE*, E. GOTERO SANMILLAN**, V. VALLINA GARCIA**, G. ACEBAL CORTINA y A. MURCIA MAZON* Servicio de Traumatología y C. Ortopédica. * Hospital de Cabueñes (Gijón) y ** Hospital «Valle del Nalón» (Langreo).
Recepción:
06/11/2008
Aceptación:
06/11/2008
Publicación:
06/11/2008
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Resumen (ES)
We analysed the results obtained using the core decompression technique in
hips with avascular necrosis of the femoral head. Thirty four core decompression were performed
on 27 patients. The average age was 44. Twenty three hips were found to be Ficat stage I
and 11 were stage II. As to the ethiology, 17 hips were idiopathic, 15 had a history of high alcohol
intake, 1 had been treated with steroids and another one underwent a fracture-dislocation
of the hip previously. After an average follow-up of 74 months, 74% stage I patients were
asymptomatic and radiologically stable, whilst only 18% of stage II patients could be considered
as radiologically stable. In conclusion, core decompression tecnique should be indicated
only in stage I patients. The reliability of this technique in stage II patients is doubtful, specially
in alcoholic patients as is shown by own poor results.
hips with avascular necrosis of the femoral head. Thirty four core decompression were performed
on 27 patients. The average age was 44. Twenty three hips were found to be Ficat stage I
and 11 were stage II. As to the ethiology, 17 hips were idiopathic, 15 had a history of high alcohol
intake, 1 had been treated with steroids and another one underwent a fracture-dislocation
of the hip previously. After an average follow-up of 74 months, 74% stage I patients were
asymptomatic and radiologically stable, whilst only 18% of stage II patients could be considered
as radiologically stable. In conclusion, core decompression tecnique should be indicated
only in stage I patients. The reliability of this technique in stage II patients is doubtful, specially
in alcoholic patients as is shown by own poor results.
Palabras clave (ES):
Necrosis
Isquémica
Cabeza
Femoral
Fémur
Cadera
Descompresión
NICF
Forage
Descompresivo
Resumen (EN)
We analysed the results obtained using the core decompression technique in
hips with avascular necrosis of the femoral head. Thirty four core decompression were performed
on 27 patients. The average age was 44. Twenty three hips were found to be Ficat stage I
and 11 were stage II. As to the ethiology, 17 hips were idiopathic, 15 had a history of high alcohol
intake, 1 had been treated with steroids and another one underwent a fracture-dislocation
of the hip previously. After an average follow-up of 74 months, 74% stage I patients were
asymptomatic and radiologically stable, whilst only 18% of stage II patients could be considered
as radiologically stable. In conclusion, core decompression tecnique should be indicated
only in stage I patients. The reliability of this technique in stage II patients is doubtful, specially
in alcoholic patients as is shown by own poor results.
hips with avascular necrosis of the femoral head. Thirty four core decompression were performed
on 27 patients. The average age was 44. Twenty three hips were found to be Ficat stage I
and 11 were stage II. As to the ethiology, 17 hips were idiopathic, 15 had a history of high alcohol
intake, 1 had been treated with steroids and another one underwent a fracture-dislocation
of the hip previously. After an average follow-up of 74 months, 74% stage I patients were
asymptomatic and radiologically stable, whilst only 18% of stage II patients could be considered
as radiologically stable. In conclusion, core decompression tecnique should be indicated
only in stage I patients. The reliability of this technique in stage II patients is doubtful, specially
in alcoholic patients as is shown by own poor results.
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