股骨头坏死成骨特征与髓芯减压治疗效果的关系

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Objective To analysis the relationship between osteogenesis character of osteonecrosis of femoral head and its therapeutic effect treated with core decompression.Methods 46 patients(59 hips) in ARCO Ⅱ or Ⅲ stage were treated with core decompression.They were divided into three groups based on their osteogenesis character in X-ray，type A with the same character to normal femoral head，type B with sclerosis changes，type C with cystis changes.Then they were followed up to two ending point：total hip arthroplasty or aggravated ARCO stage.Results They were followed up for 3~86 months with the average of 39months.There were type A in 26 hips，type B in 17 hips and type C in 16 hips.When total hip arthroplasty was defined as ending point，datum were analysed with K-M survival analysis.The average survival time was(65.31±5.80)months in type A，(85.50±0.35)months in type B，(44.43±7.88)months in type C.There was obvious difference when these 3 groups survival lines were analyses with log-rank test.When defined aggravated stage as ending point，the average survival time was(49.15±6.92)months in type A，(52.61±8.33)months in type B，(25.29±6.31)months in type C.There was obvious difference when these 3 groups survival lines were analyses with log-rank test.Conclusion The osteogenesis character of osteonecrosis of femoral head reflects the repairing process，had a clear effect on therapeutic effect.

Key words： osteonecrosis of femoral head core decompression osteogenesis therapeutic effect

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［1］Samy AM.Management of osteonecrosis of the femoral head：A novel technique［J］.Indian J Orthop，2016，50(4)：359-365.
［2］David S，Hungerford.Treatment of osteonecrosis of the femoral head［J］.J Arthroplasty，2007，22(suppl 1)：91-94.
［3］Shah SN，Kapoor CS，Jhaveri MR，et al.Analysis of outcome of avascular necrosis of femoral head treated by core decompression and bone grafting［J］.J Clin Orthop Trauma，2015，6(3)：160-166.
［4］Lieberman JR，Engstrom SM，Meneghini RM，et al.Which factors influence preservation of the osteonecrotic femoral head?［J］.Clin Orthop Relat Res，2012，(470)：525-534.
［5］Bassounas AEL，Karantanas AH，Fotiadis DI，et al.Femoral head osteonecrosis：Volumetric MRI assessment and outcome［J］.Eur J Radiol，2007，63(1)：10-15.
［6］Pierre Lafforgue.Pathophysiology and natural history of avascular necrosis of bone［J］.Joint Bone Spine，2006，73(5)：500-507.
［7］Takashi NishⅡ，Nobuhiko Sugano，Kenji Ohzono，et al.Progression and cessation of collapse in osteonecrosis of the femoral head［J］.Clin Orthop Relat Res，2002(400)：149-157.
［8］Byung-Woo Min，Kwang-Soon Song，Chul-Hyun Cho，et al.Untreated asymptomatic hips in patients with osteonecrosis of the femoral head［J］.Clin Orthop Relat Res，2008(466)：1087-1092.
［9］Kenji Ohzono，Masanobu Saito，Kunio Takaoka，et al.Natural history of nontraumatic avascular necrosis of the femoral head［J］.J Bone Joint Surg(Br)，1991，73(1)：68-72.
［10］Malizos KN，Karantanas AH，Varitimidis SE，et al.Osteonecrosis of the femoral head：Etiology，imaging and treatment［J］.Eur J Radiol.2007，63(1)：16-28.
［11］Ng VY，Granger JF，Ellis TJ.Calcium phosphate cement to prevent collapse in avascular necrosis of the femoral head［J］.Medical Hypotheses，2010，74(4)：725-726.
［12］Hanns Plenk Jr，Martina Gstettner，Karl Grossschmidt，et al.Magnetic resonance imaging and histology of repair in femoral head osteonecrosis［J］.Clin Orthop Relat Res，2001(386)：42-53.
［13］Masaki Takao，Takashi NishⅡ，Takashi Sakai，et al.Repair in osteonecrosis of the femoral head：MR imaging features at long-term follow-up［J］.Clin Rheumatol，2010，29(8)：841-848.
［14］Sugano N，Kubo T，Takaoka K，et al.Diagnostic criteria for non-traumatic osteonecrosis of the femoral head［J］.J Bone Joint Surg(Br)，1999，81(4)：590-595.
［15］Samuel J，Parsons，Niall Steele.Osteonecrosis of the femoral head：Part 1—Aetiology，pathogenesis，investigation，classification［J］.Current Orthopaedics，2007，21(6)：457-463.
［16］Steinberg ME，Hayken GD，Steinberg DR.A quantitative system for staging avascular necrosis［J］.J Bone Joint Surg(Br)，1995，77(1)：34-41.
［17］Yang P，Bian C，Huang X，et al.Core decompression in combination with nano-hydroxyapatite/polyamide 66 rod for the treatment of osteonecrosis of the femoral head［J］.Arch Orthop Trauma Surg，2014，134(1)：103-112.
［18］Aarvold A，Smith JO，Tayton ER，et al.A tissue engineering strategy for the treatment of avascular necrosis of the femoral head［J］.Surgeon，2013，11(6)：319-325.
［19］Giannoudis PV，Einhorn TA，Marsh D.Fracture healing：The diamond concept［J］.Injury，2007，38(S4)：3-6.
［20］Dallas Burton Phemister.Repair of bone in the presence of aseptic necrosis resulting from fractures，transplantations，and vascular obstruction［J］.Clin Orthop Relat Res，2008(466)：1020-1033.
［21］Nick A Athanasou.Pathology of bone injury［J］.Diagnostic histopathology，2009，15(9)：437-443.
［22］Sen RK，Tripathy SK，Aggarwal S，et al.Early results of core decompression and autologous bone marrow mononuclear cells instillation in femoral head osteonecrosis［J］.J Arthroplasty，2012，27(5)：679-686.
［23］Doblare M，Garcia JM，Gomez MJ.Modelling bone tissue fracture and healing：a review［J］.Engineering Fracture Mechanics，2004，71(1314)：1809-1840.
［24］Assouline-Dayan Y，Chang C，Greenspan A，et al.Pathogenesis and natural history of osteonecrosis［J］.Semin Arthritis Rheum，2002，32(2)：94-124.
［25］Geris L，Gerisch A，Sloten JV，et al.Angiogenesis in bone fracture healing：A bioregulatory model［J］.J Theor Biol,2008，25(1)：137-158.
［26］Dimitriou R1，Tsiridis E，Giannoudis PV.Current concepts of molecular aspects of bone healing［J］.Injury，2005，36(12)：1392-1404.