Osteonecrosis of femoral head
Conditions
Interventions
1:drilling debridement
2:fenestration debridement
3:fenestration debridement+percutaneous minimally invasive fibula implantation
Sponsors
Third Hospital of Hebei Medical University
Eligibility
Sex/Gender
All
Age
60 Years to 80 Years
Inclusion criteria
Inclusion criteria: 1. ARCO stages 2-3 ONFH. Stage 0: Normal or undiagnosed imaging; stage 1: normal X-ray films and CT images, but abnormal bone scan or MRI; stage 2: no crescent sign, X-ray revealed sclerosis, trabecular defect or regional cystic change; stage 3: crescent sign, flatten femoral head joint surface, with or without femoral head collapse; stage 4: osteoarthritis signs, joint space narrowing, and joint destruction; 2. Aged from 60 to 80 years old; 3. Muscle strength grade 5 in the affected limb. Using the Lovetts muscle testing, grade 0: No measurable muscle contraction; grade 1: slight contraction, but it does not cause joint movement; grade 2: Full range motion of joints under weight loss; grade 3: it can resist gravity for full range movement, but it cannot resist resistance; grade 4: it resists gravity and general resistance; grade 5: anti-gravity, anti-full resistance; 4. First acceptance of ONFH surgery; 5 Provision of informed consent.
Exclusion criteria
Exclusion criteria: 1. History of hip trauma; 2. Pathological fracture of the hip; 3. Hip infection.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The incidence of femoral head collapse on the affected side; | — |
Secondary
| Measure | Time frame |
|---|---|
| Intraoperative blood loss;Operation time;Hospital costs;Harris hip score for hip function;Incidence of adverse reactions; | — |
Countries
China
Contacts
Public ContactDi Qin
Third Hospital of Hebei Medical University
Outcome results
None listed