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International Orthopaedics

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02-01-2024 | Osteonecrosis of the Femoral Head | Original Paper

Is there still an indication for the Birmingham Hip Resurfacing in femoral head osteonecrosis?

Authors: Serhat Akçaalan, Mehmet Can Kengil, Ceyhun Çağlar, Mahmut Uğurlu

Published in: International Orthopaedics | Issue 5/2024

Abstract

Purpose

Osteonecrosis of the femoral head (ONFH) is a progressive hip disease. Hip resurfacing arthroplasty (HRA) is a preferred surgical procedure among hip arthroplasty performed in young patients. The aim of this study is to show the long-term clinical and radiological results of HRA procedures performed for patients suffering from ONFH.

Methods

Forty-five patients who underwent hip resurfacing with the diagnosis of femoral head osteonecrosis were included in the study. The Harris Hip Score (HHS) was used for clinical scoring of the patients. The blood chromium, cobalt, white blood cell (WBC) count, and CRP levels of patients were checked. Ultrasonography (USG) was performed for all patients at mid-term control checked for pseudo-tumours. For the radiological evaluation, acetabular inclination, stem shaft angle, prothesis-to-neck ratio, osteolysis zones, and heterotopic ossification were used.

Results

The mean age of the patients was 46.6 ± 9.3 years, and the mean follow-up period was 11.83 ± 2.9 years. The mean HHS was 90.3 ± 12.8 for final follow-up. The mean WBC value was 8.2 10⁹/L, mean CRP value was 6.3 mg/L, mean chromium value was 4.9 µg/L, and mean cobalt value was 1.8 µg/L. Inclination changing 0.2°(p = 0.788), stem shaft angle changing 0.7°(p = 0.424), and neck-to-prosthesis ratio changing 0.01°(p = 0.075). No pseudo-tumours were detected in any patients in USG examination.

Conclusion

HRA provides long-term implant survival and excellent clinical outcomes for end-stage ONFH patients with low complication rates.

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Title: Is there still an indication for the Birmingham Hip Resurfacing in femoral head osteonecrosis?
Authors: Serhat Akçaalan
Mehmet Can Kengil
Ceyhun Çağlar
Mahmut Uğurlu
Publication date: 02-01-2024
Publisher: Springer Berlin Heidelberg
Keywords: Osteonecrosis of the Femoral Head
Osteonecrosis
Published in: International Orthopaedics / Issue 5/2024
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-023-06070-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Is there still an indication for the Birmingham Hip Resurfacing in femoral head osteonecrosis?

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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