Cargando…

The Effect of Postoperative Corticosteroid Administration on Free Vascularized Fibular Grafting for Treating Osteonecrosis of the Femoral Head

Free vascularized fibular grafting (FVFG) has been reported to be an effective method of treating osteonecrosis of the femoral head (ONFH). This study evaluated whether postoperative maintenance doses of corticosteroids had an adverse effect on FVFG outcomes in patients with corticosteroid-induced O...

Descripción completa

Detalles Bibliográficos
Autores principales: Ding, Hao, Chen, Sheng-Bao, Lin, Sen, Gao, You-Shui, Zhang, Chang-Qing
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3845513/
https://www.ncbi.nlm.nih.gov/pubmed/24324377
http://dx.doi.org/10.1155/2013/708014
_version_ 1782293317695832064
author Ding, Hao
Chen, Sheng-Bao
Lin, Sen
Gao, You-Shui
Zhang, Chang-Qing
author_facet Ding, Hao
Chen, Sheng-Bao
Lin, Sen
Gao, You-Shui
Zhang, Chang-Qing
author_sort Ding, Hao
collection PubMed
description Free vascularized fibular grafting (FVFG) has been reported to be an effective method of treating osteonecrosis of the femoral head (ONFH). This study evaluated whether postoperative maintenance doses of corticosteroids had an adverse effect on FVFG outcomes in patients with corticosteroid-induced ONFH. We retrospectively reviewed the records of 39 patients (67 hips) who had received maintenance doses of corticosteroids following FVFG. This group was matched to a group of patients who had not received corticosteroids treatment after operation. The mean follow-up duration was 5.4 years for the postoperative corticosteroid administration group (PCA group) and 5.0 years for the control group. At the latest follow-up, the average increase in Harris hip score was 11.1 ± 8.7 points for all hips in the PCA group and 12.6 ± 7.4 points for all hips in the control group (P > 0.05). In the PCA group, through radiographic evaluation, 49 hips were improved, 10 hips appeared unchanged, and 8 hips appeared worse. In the control group, 47 hips were improved, 13 hips appeared unchanged, and 7 hips appeared worse. The results suggested that postoperative maintenance doses of corticosteroids do not have an adverse effect on FVFG outcomes in patients with corticosteroid-induced ONFH.
format Online
Article
Text
id pubmed-3845513
institution National Center for Biotechnology Information
language English
publishDate 2013
publisher Hindawi Publishing Corporation
record_format MEDLINE/PubMed
spelling pubmed-38455132013-12-09 The Effect of Postoperative Corticosteroid Administration on Free Vascularized Fibular Grafting for Treating Osteonecrosis of the Femoral Head Ding, Hao Chen, Sheng-Bao Lin, Sen Gao, You-Shui Zhang, Chang-Qing ScientificWorldJournal Clinical Study Free vascularized fibular grafting (FVFG) has been reported to be an effective method of treating osteonecrosis of the femoral head (ONFH). This study evaluated whether postoperative maintenance doses of corticosteroids had an adverse effect on FVFG outcomes in patients with corticosteroid-induced ONFH. We retrospectively reviewed the records of 39 patients (67 hips) who had received maintenance doses of corticosteroids following FVFG. This group was matched to a group of patients who had not received corticosteroids treatment after operation. The mean follow-up duration was 5.4 years for the postoperative corticosteroid administration group (PCA group) and 5.0 years for the control group. At the latest follow-up, the average increase in Harris hip score was 11.1 ± 8.7 points for all hips in the PCA group and 12.6 ± 7.4 points for all hips in the control group (P > 0.05). In the PCA group, through radiographic evaluation, 49 hips were improved, 10 hips appeared unchanged, and 8 hips appeared worse. In the control group, 47 hips were improved, 13 hips appeared unchanged, and 7 hips appeared worse. The results suggested that postoperative maintenance doses of corticosteroids do not have an adverse effect on FVFG outcomes in patients with corticosteroid-induced ONFH. Hindawi Publishing Corporation 2013-11-12 /pmc/articles/PMC3845513/ /pubmed/24324377 http://dx.doi.org/10.1155/2013/708014 Text en Copyright © 2013 Hao Ding et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Study
Ding, Hao
Chen, Sheng-Bao
Lin, Sen
Gao, You-Shui
Zhang, Chang-Qing
The Effect of Postoperative Corticosteroid Administration on Free Vascularized Fibular Grafting for Treating Osteonecrosis of the Femoral Head
title The Effect of Postoperative Corticosteroid Administration on Free Vascularized Fibular Grafting for Treating Osteonecrosis of the Femoral Head
title_full The Effect of Postoperative Corticosteroid Administration on Free Vascularized Fibular Grafting for Treating Osteonecrosis of the Femoral Head
title_fullStr The Effect of Postoperative Corticosteroid Administration on Free Vascularized Fibular Grafting for Treating Osteonecrosis of the Femoral Head
title_full_unstemmed The Effect of Postoperative Corticosteroid Administration on Free Vascularized Fibular Grafting for Treating Osteonecrosis of the Femoral Head
title_short The Effect of Postoperative Corticosteroid Administration on Free Vascularized Fibular Grafting for Treating Osteonecrosis of the Femoral Head
title_sort effect of postoperative corticosteroid administration on free vascularized fibular grafting for treating osteonecrosis of the femoral head
topic Clinical Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3845513/
https://www.ncbi.nlm.nih.gov/pubmed/24324377
http://dx.doi.org/10.1155/2013/708014
work_keys_str_mv AT dinghao theeffectofpostoperativecorticosteroidadministrationonfreevascularizedfibulargraftingfortreatingosteonecrosisofthefemoralhead
AT chenshengbao theeffectofpostoperativecorticosteroidadministrationonfreevascularizedfibulargraftingfortreatingosteonecrosisofthefemoralhead
AT linsen theeffectofpostoperativecorticosteroidadministrationonfreevascularizedfibulargraftingfortreatingosteonecrosisofthefemoralhead
AT gaoyoushui theeffectofpostoperativecorticosteroidadministrationonfreevascularizedfibulargraftingfortreatingosteonecrosisofthefemoralhead
AT zhangchangqing theeffectofpostoperativecorticosteroidadministrationonfreevascularizedfibulargraftingfortreatingosteonecrosisofthefemoralhead
AT dinghao effectofpostoperativecorticosteroidadministrationonfreevascularizedfibulargraftingfortreatingosteonecrosisofthefemoralhead
AT chenshengbao effectofpostoperativecorticosteroidadministrationonfreevascularizedfibulargraftingfortreatingosteonecrosisofthefemoralhead
AT linsen effectofpostoperativecorticosteroidadministrationonfreevascularizedfibulargraftingfortreatingosteonecrosisofthefemoralhead
AT gaoyoushui effectofpostoperativecorticosteroidadministrationonfreevascularizedfibulargraftingfortreatingosteonecrosisofthefemoralhead
AT zhangchangqing effectofpostoperativecorticosteroidadministrationonfreevascularizedfibulargraftingfortreatingosteonecrosisofthefemoralhead