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International Orthopaedics
Published in: International Orthopaedics 7/2018

01-07-2018 | Original Paper

Quality of life of patients with osteonecrosis of the femoral head: a multicentre study

Authors: Yuko Uesugi, Takashi Sakai, Taisuke Seki, Shinya Hayashi, Junichi Nakamura, Yutaka Inaba, Daisuke Takahashi, Kan Sasaki, Goro Motomura, Naohiko Mashima, Tamon Kabata, Akihiro Sudo, Tetsuya Jinno, Wataru Ando, Satoshi Nagoya, Kengo Yamamoto, Satoshi Nakasone, Hiroshi Ito, Takuaki Yamamoto, Nobuhiko Sugano

Published in: International Orthopaedics | Issue 7/2018

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Abstract

Purpose

Quality-of-life (QOL) assessments in patients with osteonecrosis of the femoral head (ONFH) have rarely been reported. This multicentre study aimed to elucidate the relationship between disease severity, including necrotic lesion type and radiological staging, and QOL, as well as between patients’ characteristics and QOL.

Methods

Two hundred seventy-four patients with ONFH (108 females, 166 males; median age, 46 years) were asked to complete self-assessment QOL questionnaires including the Japanese Orthopaedic Association Hip Disease Evaluation Questionnaire, Oxford Hip Score, and SF-12v2.

Results

Patients with large necrotic lesion type or collapsed ONFH had low QOL scores. Among patients with non-collapsed lesions, patients with alcohol-associated ONFH had lower QOL scores than those with steroid-associated ONFH, those with bilateral ONFH had lower mental scores, and male patients had worse social condition scores. Among patients with collapsed lesions, middle-aged patients exhibited lower mental QOL, and a strong correlation was observed between social activity and mental health.

Conclusion

Collapsed ONFH was associated with low QOL scores. Among patients with non-collapsed lesions, alcohol-associated ONFH, bilateral disease, and male sex were linked to low QOL scores.
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Metadata
Title
Quality of life of patients with osteonecrosis of the femoral head: a multicentre study
Authors
Yuko Uesugi
Takashi Sakai
Taisuke Seki
Shinya Hayashi
Junichi Nakamura
Yutaka Inaba
Daisuke Takahashi
Kan Sasaki
Goro Motomura
Naohiko Mashima
Tamon Kabata
Akihiro Sudo
Tetsuya Jinno
Wataru Ando
Satoshi Nagoya
Kengo Yamamoto
Satoshi Nakasone
Hiroshi Ito
Takuaki Yamamoto
Nobuhiko Sugano
Publication date
01-07-2018
Publisher
Springer Berlin Heidelberg
Published in
International Orthopaedics / Issue 7/2018
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-018-3897-8

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