osteonecrosis of the femoral head
Conditions
Interventions
A:Femoral head and neck fenestration combined with compacted autograft through a direct anterior approach
B:Traditional core decompression
Sponsors
Department of Orthopaedics Surgery, West China Hospital, Sichuan University
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. patients were treated with either the lightbulb procedure through direct anterior approach or traditional core decompression; 2. the necrotic area was in the anterior or anterolateral side of the femoral head; 3. the bone graft was autogenous; 4. patients were classified at the ARCO II stage according to ARCO (Association Research Circulation Osseous) classification for ONFH determined by preoperative X-ray and MRI.
Exclusion criteria
Exclusion criteria: Patients were excluded if they had any of the following: traumatic ONFH, immune disease, osteoarthritis, rheumatoid arthritis, or ankylosing spondylitis.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The length of surgery;Estimated intraoperative blood loss;The proportion of patients with bilateral hip involvement;The postoperative Visual Analogue Scale (VAS) pain score;Range of hip motion;Postoperative complication;Harris hip score;The University of California-Los Angeles (UCLA) activity-level score;Radiographic progression;Clinical failure rate; | — |
Countries
China
Contacts
Public ContactPengde Kang
West China Hospital, Sichuan University
Outcome results
None listed