التفاصيل البيبلوغرافية
| العنوان: |
Large fresh osteochondral allografts for the hip: growing the evidence. |
| المؤلفون: |
Oladeji, Lasun O.1, Cook, James L.1,2, Stannard, James P.1,2, Crist, Brett D.1 cristb@health.missouri.edu |
| المصدر: |
Hip International. May2018, Vol. 28 Issue 3, p284-290. 7p. |
| مصطلحات موضوعية: |
*HIP joint radiography, *ACETABULUM (Anatomy), *ARTICULAR cartilage, *HIP joint, *HIP surgery, *HOMOGRAFTS, *POSTOPERATIVE period, *TOTAL hip replacement, *INSTITUTIONAL review boards, *TREATMENT effectiveness, *FEMUR head, *SURGERY, ACETABULUM surgery |
| مستخلص: |
Introduction: Articular cartilage lesions of the hip are difficult to effectively treat. Osteochondral allograft (OCA) transplantation in the knee has been associated with long-term success, but OCA for the hip has not been extensively studied. Here, we present the clinical and radiological outcomes from a cohort of 10 patients treated with fresh OCA transplants for large osteochondral defects of the femoral head and/or acetabulum. Methods: 10 patients who had undergone osteochondral allograft transplantation of the femoral head and/ or acetabulum at our institution between 2013 and 2016 were identified from our Institutional Review Boardapproved registry. Hip disability and Osteoarthritis Outcome Score (HOOS) was used to track patient progress. Results: 10 patients with an average clinical follow-up of 1.4 years were included in this study. 4 patients were treated solely with OCA plugs for femoral head defects, while the remaining 6 received femoral OCA plugs and at least 1 concomitant procedure for additional intraarticular pathology. 7 patients (70%) had successful functional outcomes, while 3 (30%) had unsuccessful outcomes and were subsequently converted to total hip arthroplasty (THA) 5 to 29 months after OCA. Conclusions: OCA transplantation can be an effective treatment strategy for young, healthy individuals with ar- ticular cartilage lesions of the hip. Smoking, avascular necrosis aetiology, acetabular involvement and concomitant procedures may be risk factors for unsuccessful outcomes necessitating salvage with THA. Long-term clinical studies to refine indications and determine functional outcomes and survival rates are warranted. [ABSTRACT FROM AUTHOR] |
| قاعدة البيانات: |
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