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Real-time computerised tomography assisted porous tantalum implant in ARCO stage I-II non-traumatic osteonecrosis of the femoral head: minimum five-year follow up

Purposes This study was established to investigate the medium-term clinical effect of real-time CT assisted porous tantalum implant for the treatment of ARCO stage I-II non-traumatic osteonecrosis of the femoral head (ONFH). Methods This study comprised 24 ONFH patients (29 hips) who were treated wi...

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Bibliographic Details
Published in:International orthopaedics 2018-07, Vol.42 (7), p.1535-1544
Main Authors: Hu, Ruyin, Lei, Pengfei, Li, Bo, Liu, Hao, Yang, Xucheng, Wen, Ting, Hu, Yihe, Tian, Xiaobin
Format: Article
Language:English
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Summary:Purposes This study was established to investigate the medium-term clinical effect of real-time CT assisted porous tantalum implant for the treatment of ARCO stage I-II non-traumatic osteonecrosis of the femoral head (ONFH). Methods This study comprised 24 ONFH patients (29 hips) who were treated with intra-operative real-time CT accurate rapid positioning assisted drilling decompression, lesion removal and porous tantalum implant. Harris score, VAS score and imaging in pre-operation and follow-up period were recorded. Results The average operative time and intra-operative blood loss were 72.6 min and 158.8 ml, respectively. The mean follow-up was 5.4 years. No femoral head penetrating, wound infection, and death occurred. Harris and VAS score improved significantly (73.78 vs. 88.11; 7.13 vs. 2.66) at last follow-up ( P  
ISSN:0341-2695
1432-5195
DOI:10.1007/s00264-018-3899-6