Kakaria H L, Sharma A K, Sebastian Babu
Commandant, Base Hospital, Delhi Cantt.
Professor & Head, Department of Orthopaedics, Armed Forces Medical College, Pune-411 040.
Med J Armed Forces India. 2005 Jan;61(1):33-5. doi: 10.1016/S0377-1237(05)80115-7. Epub 2011 Jul 21.
A study was conducted to evaluate the role of total hip replacement in cases of advanced avascular necrosis of the head of femur in patients admitted to two tertiary care military hospitals. 20 patients reporting with avascular necrosis of femoral head were taken for study.
Out of 20 patients, 16 were males and 4 were females. In 7 cases there was history of chronic alcohol intake and among them one patient was on steroids for long time for the treatment of bronchial asthma. 2 patients developed avascular necrosis of the femoral head following pregnancy and in two cases, it was post-traumatic. In the remaining nine cases, no cause was found and were so considered idiopathic. They were evaluated pre-operatively and total hip replacement was done in all twenty cases.
Patients were evaluated using Harris hip score. There was improvement of the score in all cases.
Total hip replacement is a boon for patients of advanced avascular necrosis of femoral head.
在两家三级甲等军队医院对股骨头晚期缺血性坏死患者进行了一项研究，以评估全髋关节置换术的作用。选取了20例报告有股骨头缺血性坏死的患者进行研究。
20例患者中，男性16例，女性4例。7例有长期饮酒史，其中1例因支气管哮喘长期服用类固醇。2例患者在妊娠后发生股骨头缺血性坏死，2例为创伤后发生。其余9例未发现病因，被认为是特发性的。对他们进行了术前评估，并对所有20例患者进行了全髋关节置换术。
采用Harris髋关节评分对患者进行评估。所有病例的评分均有改善。
全髋关节置换术对股骨头晚期缺血性坏死患者来说是福音。
