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Erschienen in: International Orthopaedics 7/2018

09.03.2018 | Original Paper

Do femoral head collapse and the contralateral condition affect patient-reported quality of life and referral pain in patients with osteonecrosis of the femoral head?

verfasst von: Yusuke Osawa, Taisuke Seki, Yasuhiko Takegami, Takehiro Kasai, Yoshitoshi Higuchi, Naoki Ishiguro

Erschienen in: International Orthopaedics | Ausgabe 7/2018

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Abstract

Purposes

The objectives of this study were to investigate patient-reported outcomes and referral pain at the first visit in patients with osteonecrosis of the femoral head (ONFH) and to clarify the influence of collapse of the femoral head and the contralateral condition.

Methods

The study included 105 patients (130 hips) with ONFH at the first visit, who were divided into two groups based on the presence of bilateral walking hip pain (bilateral group 25 patients, 50 hips) and unilateral hip pain (unilateral group 80 patients, 80 hips). We compared the Short Form-36 (SF-36), Japanese Orthopaedic Association Hip Disease Evaluation Questionnaire (JHEQ), and visual analog scale (VAS) responses for hip, knee, and low back pain between the groups to investigate the influence of the contralateral condition. Regarding the influence of femoral head collapse, we investigated these subjects based on the stage classification in the unilateral group.

Results

The physical component summary (PCS) of the SF-36 and all domains of the JHEQ were poorer in the bilateral group than in the unilateral group. In addition, the VAS score for low back pain was significantly poorer in the bilateral group than in the unilateral group. Regarding the collapse of the femoral head, the SF-36 for the PCS and JHEQ for pain had a significant relationship in the ONFH stage. The VAS scores for hip and knee pain had a significant relationship in the ONFH stage.

Conclusion

Collapse of the femoral head and the contralateral condition of ONFH strongly affect patients’ activities of daily life.
Literatur
4.
Zurück zum Zitat Sugioka Y, Hotokebuchi T, Tsutsui H (1992) Transtrochanteric anterior rotational osteotomy for idiopathic and steroid-induced necrosis of the femoral head. Indications and long-term results. Clin Orthop Relat Res 277:111–120 Sugioka Y, Hotokebuchi T, Tsutsui H (1992) Transtrochanteric anterior rotational osteotomy for idiopathic and steroid-induced necrosis of the femoral head. Indications and long-term results. Clin Orthop Relat Res 277:111–120
5.
Zurück zum Zitat Hasegawa Y, Sakano S, Iwase T, Iwasada S, Torii S, Iwata H (2003) Pedicle bone grafting versus transtrochanteric rotational osteotomy for avascular necrosis of the femoral head. J Bone Joint Surg B 85:191–198CrossRef Hasegawa Y, Sakano S, Iwase T, Iwasada S, Torii S, Iwata H (2003) Pedicle bone grafting versus transtrochanteric rotational osteotomy for avascular necrosis of the femoral head. J Bone Joint Surg B 85:191–198CrossRef
7.
Zurück zum Zitat Mont MA, Cherian JJ, Sierra RJ, Jones LC, Lieberman JR (2015) Nontraumatic osteonecrosis of the femoral head: where do we stand today? A ten-year update. J Bone Joint Surg Am 97:1604–1627CrossRefPubMed Mont MA, Cherian JJ, Sierra RJ, Jones LC, Lieberman JR (2015) Nontraumatic osteonecrosis of the femoral head: where do we stand today? A ten-year update. J Bone Joint Surg Am 97:1604–1627CrossRefPubMed
12.
Zurück zum Zitat Matsumoto T, Kaneuji A, Hiejima Y et al (2012) Japanese Orthopaedic Association Hip Disease Evaluation Questionnaire (JHEQ): a patient-based evaluation tool for hip-joint disease. The Subcommittee on Hip Disease Evaluation of the Clinical Outcome Committee of the Japanese Orthopaedic Association. J Orthop Sci 17:25–38. https://doi.org/10.1007/s00776-011-0166-8 CrossRefPubMed Matsumoto T, Kaneuji A, Hiejima Y et al (2012) Japanese Orthopaedic Association Hip Disease Evaluation Questionnaire (JHEQ): a patient-based evaluation tool for hip-joint disease. The Subcommittee on Hip Disease Evaluation of the Clinical Outcome Committee of the Japanese Orthopaedic Association. J Orthop Sci 17:25–38. https://​doi.​org/​10.​1007/​s00776-011-0166-8 CrossRefPubMed
13.
Zurück zum Zitat Yoshii H, Oinuma K, Tamaki T, Miura Y, Kaneyama R, Shiratsuchi H (2016) Comparison of patient satisfaction after unilateral or simultaneous bilateral total hip arthroplasty through a direct anterior approach: evaluation using the Japanese Orthopaedic Association Hip Disease Evaluation Questionnaire. J Orthop Sci 21:332–335. https://doi.org/10.1016/j.jos.2016.01.008 CrossRefPubMed Yoshii H, Oinuma K, Tamaki T, Miura Y, Kaneyama R, Shiratsuchi H (2016) Comparison of patient satisfaction after unilateral or simultaneous bilateral total hip arthroplasty through a direct anterior approach: evaluation using the Japanese Orthopaedic Association Hip Disease Evaluation Questionnaire. J Orthop Sci 21:332–335. https://​doi.​org/​10.​1016/​j.​jos.​2016.​01.​008 CrossRefPubMed
14.
Zurück zum Zitat Nakamura J, Oinuma K, Ohtori S et al (2013) Distribution of hip pain in osteoarthritis patients secondary to developmental dysplasia of the hip. Mod Rheumatol 23:119–124CrossRefPubMed Nakamura J, Oinuma K, Ohtori S et al (2013) Distribution of hip pain in osteoarthritis patients secondary to developmental dysplasia of the hip. Mod Rheumatol 23:119–124CrossRefPubMed
16.
Zurück zum Zitat Weng W-J, Wang W-J, Wu M-D et al (2014) Characteristics of sagittal spine–pelvis–leg alignment in patients with severe hip osteoarthritis. Eur Spine J 24:1228–1236CrossRefPubMed Weng W-J, Wang W-J, Wu M-D et al (2014) Characteristics of sagittal spine–pelvis–leg alignment in patients with severe hip osteoarthritis. Eur Spine J 24:1228–1236CrossRefPubMed
21.
Zurück zum Zitat Ikeuchi K, Hasegawa Y, Seki T, Takegami Y, Amano T, Ishiguro N (2015) Epidemiology of nontraumatic osteonecrosis of the femoral head in Japan. Mod Rheumatol 25:278–281CrossRefPubMed Ikeuchi K, Hasegawa Y, Seki T, Takegami Y, Amano T, Ishiguro N (2015) Epidemiology of nontraumatic osteonecrosis of the femoral head in Japan. Mod Rheumatol 25:278–281CrossRefPubMed
22.
Zurück zum Zitat Takahashi S, Fukushima W, Yamamoto T et al (2015) Japanese Sentinel Monitoring Study Group for idiopathic osteonecrosis of the femoral head. Temporal trends in characteristics of newly diagnosed nontraumatic osteonecrosis of the femoral head from 1997 to 2011: a hospital-based sentinel monitoring system in Japan. J Epidemiol 25:437–444CrossRefPubMedPubMedCentral Takahashi S, Fukushima W, Yamamoto T et al (2015) Japanese Sentinel Monitoring Study Group for idiopathic osteonecrosis of the femoral head. Temporal trends in characteristics of newly diagnosed nontraumatic osteonecrosis of the femoral head from 1997 to 2011: a hospital-based sentinel monitoring system in Japan. J Epidemiol 25:437–444CrossRefPubMedPubMedCentral
Metadaten
Titel
Do femoral head collapse and the contralateral condition affect patient-reported quality of life and referral pain in patients with osteonecrosis of the femoral head?
verfasst von
Yusuke Osawa
Taisuke Seki
Yasuhiko Takegami
Takehiro Kasai
Yoshitoshi Higuchi
Naoki Ishiguro
Publikationsdatum
09.03.2018
Verlag
Springer Berlin Heidelberg
Erschienen in
International Orthopaedics / Ausgabe 7/2018
Print ISSN: 0341-2695
Elektronische ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-018-3867-1

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