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Published in: International Orthopaedics 4/2011

01-04-2011 | Original Paper

Clinical and radiological outcome of the treatment of osteonecrosis of the femoral head using the osteonecrosis intervention implant

Authors: Thilo Floerkemeier, Fritz Thorey, Dorothea Daentzer, Matthias Lerch, Phillip Klages, Henning Windhagen, Gabriela von Lewinski

Published in: International Orthopaedics | Issue 4/2011

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Abstract

The aim of this study was to evaluate the clinical and radiological outcome of the treatment of osteonecrosis of the femoral head by implantation of an osteonecrosis intervention rod. In this retrospective study the follow-up of 19 patients with 23 osteonecrotic femoral heads treated with implantation of an osteonecrosis intervention implant was assessed. From 19 patients with 23 necrotic femoral heads, there were 13 cases in which a total hip replacement was necessary. This implies a survival rate of 44% after implantation of an osteonecrosis intervention rod after a mean follow-up of 1.45 years. The outcome after core decompression combined with the insertion of a tantalum osteonecrosis intervention implant did not show superior results compared to core decompression alone. This is in contrast to existing studies. In addition, this study showed that in cases of total hip replacement, no problems appeared during explantation of the tantalum rod.
Literature
1.
go back to reference Bobyn JD, Poggie RA, Krygier JJ, Lewallen DG, Hanssen AD, Lewis RJ, Unger AS, O’Keefe TJ, Christie MJ, Nasser S, Wood JE, Stulberg SD, Tanzer M (2004) Clinical validation of a structural porous tantalum biomaterial for adult reconstruction. J Bone Joint Surg Am 86-A(Suppl 2):123–129PubMed Bobyn JD, Poggie RA, Krygier JJ, Lewallen DG, Hanssen AD, Lewis RJ, Unger AS, O’Keefe TJ, Christie MJ, Nasser S, Wood JE, Stulberg SD, Tanzer M (2004) Clinical validation of a structural porous tantalum biomaterial for adult reconstruction. J Bone Joint Surg Am 86-A(Suppl 2):123–129PubMed
2.
go back to reference Bobyn JD, Stackpool GJ, Hacking SA, Tanzer M, Krygier JJ (1999) Characteristics of bone ingrowth and interface mechanics of a new porous tantalum biomaterial. J Bone Joint Surg Br 81:907–914PubMedCrossRef Bobyn JD, Stackpool GJ, Hacking SA, Tanzer M, Krygier JJ (1999) Characteristics of bone ingrowth and interface mechanics of a new porous tantalum biomaterial. J Bone Joint Surg Br 81:907–914PubMedCrossRef
3.
go back to reference Camp JF, Colwell CW Jr (1986) Core decompression of the femoral head for osteonecrosis. J Bone Joint Surg Am 68:1313–1319PubMed Camp JF, Colwell CW Jr (1986) Core decompression of the femoral head for osteonecrosis. J Bone Joint Surg Am 68:1313–1319PubMed
4.
go back to reference Ficat RP (1985) Idiopathic bone necrosis of the femoral head. Early diagnosis and treatment. J Bone Joint Surg Br 67:3–9PubMed Ficat RP (1985) Idiopathic bone necrosis of the femoral head. Early diagnosis and treatment. J Bone Joint Surg Br 67:3–9PubMed
5.
go back to reference Gangji V, Rooze M, De MV, Hauzeur JP (2009) Inefficacy of the cementation of femoral head collapse in glucocorticoid-induced osteonecrosis. Int Orthop 33:639–642PubMedCrossRef Gangji V, Rooze M, De MV, Hauzeur JP (2009) Inefficacy of the cementation of femoral head collapse in glucocorticoid-induced osteonecrosis. Int Orthop 33:639–642PubMedCrossRef
6.
go back to reference Hungerford MW, Mont MA (2000) Potential uses of cytokines and growth factors in treatment of osteonecrosis. Orthopade 29:442–448PubMedCrossRef Hungerford MW, Mont MA (2000) Potential uses of cytokines and growth factors in treatment of osteonecrosis. Orthopade 29:442–448PubMedCrossRef
7.
go back to reference Mont MA, Carbone JJ, Fairbank AC (1996) Core decompression versus nonoperative management for osteonecrosis of the hip. Clin Orthop Relat Res 169–178 Mont MA, Carbone JJ, Fairbank AC (1996) Core decompression versus nonoperative management for osteonecrosis of the hip. Clin Orthop Relat Res 169–178
8.
go back to reference Mont MA, Jones LC, Seyler TM, Marulanda GA, Saleh KJ, Delanois RE (2007) New treatment approaches for osteonecrosis of the femoral head: an overview. Instr Course Lect 56:197–212PubMed Mont MA, Jones LC, Seyler TM, Marulanda GA, Saleh KJ, Delanois RE (2007) New treatment approaches for osteonecrosis of the femoral head: an overview. Instr Course Lect 56:197–212PubMed
9.
go back to reference Mont MA, Marulanda GA, Seyler TM, Plate JF, Delanois RE (2007) Core decompression and nonvascularized bone grafting for the treatment of early stage osteonecrosis of the femoral head. Instr Course Lect 56:213–220PubMed Mont MA, Marulanda GA, Seyler TM, Plate JF, Delanois RE (2007) Core decompression and nonvascularized bone grafting for the treatment of early stage osteonecrosis of the femoral head. Instr Course Lect 56:213–220PubMed
10.
go back to reference Nadeau M, Seguin C, Theodoropoulos JS, Harvey EJ (2007) Short term clinical outcome of a porous tantalum implant for the treatment of advanced osteonecrosis of the femoral head. Mcgill J Med 10:4–10PubMed Nadeau M, Seguin C, Theodoropoulos JS, Harvey EJ (2007) Short term clinical outcome of a porous tantalum implant for the treatment of advanced osteonecrosis of the femoral head. Mcgill J Med 10:4–10PubMed
11.
go back to reference Rijnen WH, Gardeniers JW, Westrek BL, Buma P, Schreurs BW (2005) Sugioka’s osteotomy for femoral-head necrosis in young Caucasians. Int Orthop 29:140–144PubMedCrossRef Rijnen WH, Gardeniers JW, Westrek BL, Buma P, Schreurs BW (2005) Sugioka’s osteotomy for femoral-head necrosis in young Caucasians. Int Orthop 29:140–144PubMedCrossRef
12.
go back to reference Shuler MS, Rooks MD, Roberson JR (2007) Porous tantalum implant in early osteonecrosis of the hip: preliminary report on operative, survival, and outcomes results. J Arthroplasty 22:26–31PubMedCrossRef Shuler MS, Rooks MD, Roberson JR (2007) Porous tantalum implant in early osteonecrosis of the hip: preliminary report on operative, survival, and outcomes results. J Arthroplasty 22:26–31PubMedCrossRef
13.
go back to reference Tanzer M, Karabasz D, Krygier JJ, Cohen R, Bobyn JD (2005) The Otto Aufranc Award: bone augmentation around and within porous implants by local bisphosphonate elution. Clin Orthop Relat Res 441:30–39PubMedCrossRef Tanzer M, Karabasz D, Krygier JJ, Cohen R, Bobyn JD (2005) The Otto Aufranc Award: bone augmentation around and within porous implants by local bisphosphonate elution. Clin Orthop Relat Res 441:30–39PubMedCrossRef
14.
go back to reference Tooke SM, Nugent PJ, Bassett LW, Nottingham P, Mirra J, Jinnah R (1988) Results of core decompression for femoral head osteonecrosis. Clin Orthop Relat Res 99–104 Tooke SM, Nugent PJ, Bassett LW, Nottingham P, Mirra J, Jinnah R (1988) Results of core decompression for femoral head osteonecrosis. Clin Orthop Relat Res 99–104
15.
go back to reference Tsao AK, Roberson JR, Christie MJ, Dore DD, Heck DA, Robertson DD, Poggie RA (2005) Biomechanical and clinical evaluations of a porous tantalum implant for the treatment of early-stage osteonecrosis. J Bone Joint Surg Am 87(Suppl 2):22–27PubMedCrossRef Tsao AK, Roberson JR, Christie MJ, Dore DD, Heck DA, Robertson DD, Poggie RA (2005) Biomechanical and clinical evaluations of a porous tantalum implant for the treatment of early-stage osteonecrosis. J Bone Joint Surg Am 87(Suppl 2):22–27PubMedCrossRef
16.
go back to reference Veillette CJ, Mehdian H, Schemitsch EH, McKee MD (2006) Survivorship analysis and radiographic outcome following tantalum rod insertion for osteonecrosis of the femoral head. J Bone Joint Surg Am 88(Suppl 3):48–55PubMedCrossRef Veillette CJ, Mehdian H, Schemitsch EH, McKee MD (2006) Survivorship analysis and radiographic outcome following tantalum rod insertion for osteonecrosis of the femoral head. J Bone Joint Surg Am 88(Suppl 3):48–55PubMedCrossRef
17.
go back to reference Wang BL, Sun W, Shi ZC, Zhang NF, Yue DB, Guo WS, Shi SH, Li ZR (2009) Treatment of nontraumatic osteonecrosis of the femoral head using bone impaction grafting through a femoral neck window. Int Orthop. doi:10.1007/s00264-009-0822-1 Wang BL, Sun W, Shi ZC, Zhang NF, Yue DB, Guo WS, Shi SH, Li ZR (2009) Treatment of nontraumatic osteonecrosis of the femoral head using bone impaction grafting through a femoral neck window. Int Orthop. doi:10.​1007/​s00264-009-0822-1
18.
go back to reference Zhao FC, Li ZR, Zhang NF, Wang BL, Sun W, Cheng LM, Liu ZH (2009) Lesion size changes in osteonecrosis of the femoral head: a long-term prospective study using MRI. Int Orthop. doi:10.1007/s00264-009-0829-7 Zhao FC, Li ZR, Zhang NF, Wang BL, Sun W, Cheng LM, Liu ZH (2009) Lesion size changes in osteonecrosis of the femoral head: a long-term prospective study using MRI. Int Orthop. doi:10.​1007/​s00264-009-0829-7
Metadata
Title
Clinical and radiological outcome of the treatment of osteonecrosis of the femoral head using the osteonecrosis intervention implant
Authors
Thilo Floerkemeier
Fritz Thorey
Dorothea Daentzer
Matthias Lerch
Phillip Klages
Henning Windhagen
Gabriela von Lewinski
Publication date
01-04-2011
Publisher
Springer-Verlag
Published in
International Orthopaedics / Issue 4/2011
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-009-0940-9

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