Peculiarities of Femoral Head Aseptic NecrosisProgression in Bilateral Lesion after One JointArthroplasty

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Abstract

Evaluation of the effect of one hip arthroplasty upon the course of the pathologic process in the contralateral joint in case of bilateral aseptic femoral head necrosis (AFHN) was performed. The study included 151 patients (207 joints) with AFHN (mean age 45 years). All patients were divided into 3 observation groups. In groups 1 and 3 the patients were on complex therapy (bisphosphonates, nonsteroidal anti-inflammatory drugs, drugs for improving microcirculation). Patients from 2nd group were treated by drugs for improving microcirculation. Patients from group 3 underwent unilateral hip arthroplasty before the study was initiated. In all cases the joint unloading with crutches was used. Follow up period made up 3 years. Joint function by Harris score and “joint survival” were assessed. It was shown that despite the prescription of contemporary metabolic therapy after one joint arthroplasty the prognosis for the contralateral joint worsened considerably.

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About the authors

A. A Shumskiy

N.N. Priorov Central Institute of Traumatology and Orthopaedics, Moscow

Email: alexszumski@gmail.com

S. S Rodionova

N.N. Priorov Central Institute of Traumatology and Orthopaedics, Moscow

S. V Kagramanov

N.N. Priorov Central Institute of Traumatology and Orthopaedics, Moscow

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  1. Torgashin AN, Rodionova SS, Shumsky AA, Makarov MA, Torgashina AV, Akhtyamov IF, et al. Treatment of aseptic necrosis of the femoral head. Clinical guidelines. Rheumatology Science and Practice. 2021;58(6):637. doi: 10.47360/1995-4484-2020-637-645

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