Clinical Studies on Epiphyseal Ischemic Necrosis of Femoral Head in Children Treated with Femoral Head Epiphyses and Neck Decompression
Hongxing Zhao1, Xiaodan Pang1, Linjing Li2, Yuzhen Dong1, Kunzheng Wang3
1Department of Orthopedics, the First Affiliated Hospital, Xinxiang Medical University, Weihui, Henan 453100, China
2Department of Pneumology, the First Affiliated Hospital, Xinxiang Medical University, Weihui, Henan 453100, China
3 Department of Orthopedics, the Second Affiliated Hospital, Xian Jiaotong University, Xian, Shaanxi 710049, China
ABSTRACT: [Purpose] By following up the LCPD cases treated with femoral head epiphyses and neck decompression operation, to analyze the effect of typing and age to the clinical curative effect and the image indexes, [Methods] We collected the Patients who were diagnosed LCPD and treated by femoral head epiphyses and neck decompression operation. 49 patients(54 hips) were followed up and received overall data. to analyze the radiological characteristics of pre-operation and post-operation. [Results]: The patients were followed up 12～110 months, with an average of 72 months. The sick hip showed slight pain or claudication or shortening of lower extremity preoperatively, the symptoms were ameliorated strikingly postoperatively. highdensity necrosis shadow became smaller , the femoral head epiphyses became full, height of the femoral head epiphysis increased after 3 monthes of postoperation. [Conclusion] This operation can improved the clinical symptoms such as pain, claudication or Shortening of lower extremity preoperatively, It has a better short-term curative effect. The prognosis has relations with the ages of onset and the lesion severity of the femoral head epiphysis. The younger patient, the better outcome.The operation has a distinct effect on recovering of height of the femoral head epiphysis , however there is no effect on the shape of acetabulum in short term.
[Hongxing Zhao, Xiaodan Pang, Linjing Li, Yuzhen Dong, Kunzheng Wang. Clinical Studies on Epiphyseal Ischemic Necrosis of Femoral Head in Children Treated with Femoral Head Epiphyses and Neck Decompression. Life Sci J 2013;10(1):3140-3144] (ISSN:1097-8135). http://www.lifesciencesite.com.
KEYWORDS: Epiphyseal ischemic necrosis of femoral head; Femoral head epiphyses and neck decompression; Clinical research