Open Access

Comparison of core decompression and porous tantalum rod implantation with conservative treatment for avascular necrosis of the femoral head: A minimum 18 month follow‑up study

  • Authors:
    • Yuan Fang
    • Changrong Ding
    • Yingzhen Wang
    • Haining Zhang
  • View Affiliations

  • Published online on: April 21, 2020     https://doi.org/10.3892/etm.2020.8669
  • Pages: 472-478
  • Copyright: © Fang et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

Porous tantalum rod implantation is a novel surgical method that is used to treat avascular necrosis (AVN) of the femoral head (hip). In the present study, the results of core decompression and tantalum rod implantation were compared with non‑surgical treatment for AVN, and the survivorship of the femoral head was evaluated. In total, 60 patients with AVN femoral head were recruited and analysed. Non‑surgical treatment was selected by 30 patients (41 hips), 7 with a Ficat score of I and 23 with a score of II. Non‑surgical treatment included celecoxib, salvia miltiorrhiza and tetramethylypyrazine and a reduction in weight‑bearing activities. Surgical treatment and porous tantalum rod implantation were selected by 30 patients (41 hips), 10 with a Ficat score of I and 20 with a score of II. After follow‑up (average: 33.5 months), patients were evaluated by assessing post‑operative complications, radiology, hip survivorship and Harris hip score. In the surgical group, pre‑operative symptoms were significantly alleviated. No complications, including infection, delayed healing or fractures were reported. Final follow‑up rates of femoral head survivorship were 4.9% in the non‑surgical group and 36.7% in the surgical group. The Harris hip score was significantly improved following surgery when compared with non‑surgical treatment (P<0.05). The results indicated that core decompression and porous tantalum rod implantation are beneficial short‑ and mid‑term treatment methods for AVN of the femoral head.
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July-2020
Volume 20 Issue 1

Print ISSN: 1792-0981
Online ISSN:1792-1015

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Spandidos Publications style
Fang Y, Ding C, Wang Y and Zhang H: Comparison of core decompression and porous tantalum rod implantation with conservative treatment for avascular necrosis of the femoral head: A minimum 18 month follow‑up study. Exp Ther Med 20: 472-478, 2020
APA
Fang, Y., Ding, C., Wang, Y., & Zhang, H. (2020). Comparison of core decompression and porous tantalum rod implantation with conservative treatment for avascular necrosis of the femoral head: A minimum 18 month follow‑up study. Experimental and Therapeutic Medicine, 20, 472-478. https://doi.org/10.3892/etm.2020.8669
MLA
Fang, Y., Ding, C., Wang, Y., Zhang, H."Comparison of core decompression and porous tantalum rod implantation with conservative treatment for avascular necrosis of the femoral head: A minimum 18 month follow‑up study". Experimental and Therapeutic Medicine 20.1 (2020): 472-478.
Chicago
Fang, Y., Ding, C., Wang, Y., Zhang, H."Comparison of core decompression and porous tantalum rod implantation with conservative treatment for avascular necrosis of the femoral head: A minimum 18 month follow‑up study". Experimental and Therapeutic Medicine 20, no. 1 (2020): 472-478. https://doi.org/10.3892/etm.2020.8669