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BMC Musculoskeletal Disorders
Published in: BMC Musculoskeletal Disorders 1/2018

Open Access 01-12-2018 | Research article

Lantern-shaped screw loaded with autologous bone for treating osteonecrosis of the femoral head

Authors: Dasheng Lin, Lei Wang, Zhaoliang Yu, Deqing Luo, Xigui Zhang, Kejian Lian

Published in: BMC Musculoskeletal Disorders | Issue 1/2018

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Abstract

Background

Treatment for osteonecrosis of the femoral head (ONFH) in young individuals remains controversial. We developed a lantern-shaped screw, which was designed to provide mechanical support for the femoral head to prevent its collapse, for the treatment of ONFH. The purpose of this study was to investigate the efficacy and safety of the lantern-shaped screw loaded with autologous bone for the treatment of pre-collapse stages of ONFH.

Methods

Thirty-two patients were randomly divided into two groups: the lantern-shaped screw group (core decompression and lantern-shaped screw loaded with autogenous bone) and the control group (core decompression and autogenous bone graft). During 36 months follow-up after surgery, treatment results in patients were assessed by X-ray and computed tomography (CT) scanning as well as functional recovery Harris hip score (HHS).

Results

Successful clinical results were achieved in 15 of 16 hips (94%) in the lantern-shaped screw group compared with 10 of 16 hips (63%) in the control group (p = 0.0325). Successful radiological results were achieved in 14 of 16 hips (88%) in the lantern-shaped screw group compared with 8 of 16 hips (50%) in the control group (P = 0.0221).

Conclusion

The lantern-shaped screw loaded with autologous bone for the treatment of pre-collapse stages of ONFH is effective and results in preventing progression of ONFH and reducing the risk of femoral head collapse.

Trial registration

The trial registration number: ChiCTR-TRC-13004078 (retrospectively registered at 2013-11-28).
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Metadata
Title
Lantern-shaped screw loaded with autologous bone for treating osteonecrosis of the femoral head
Authors
Dasheng Lin
Lei Wang
Zhaoliang Yu
Deqing Luo
Xigui Zhang
Kejian Lian
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Musculoskeletal Disorders / Issue 1/2018
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/s12891-018-2243-z

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