Core decompression, lesion clearance and bone graft in combination with Tongluo Shenggu decoction for the treatment of osteonecrosis of the femoral head: A retrospective cohort study

The aim of this study was to evaluate the clinical effect of core decompression (CD), lesion clearance, and bone graft in combination with Tongluo Shenggu decoction for the treatment of osteonecrosis of the femoral head (ONFH).A total of 75 patients (92 hips), with ONFH at Association Research Circu...

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Bibliographic Details
Published in:Medicine (Baltimore) 2018-10, Vol.97 (41), p.e12674-e12674
Main Authors: Hao, Yang-Quan, Guo, Hao, Zhu, Tian, Xu, Zhao-Chen, Qi, Han-Deng, Lu, Chao, Yuan, Pu-Wei
Format: Article
Language:English
Subjects:
Adult
Bone Transplantation - methods
Combined Modality Therapy
Decompression, Surgical - methods
Drugs, Chinese Herbal - therapeutic use
Female
Femur Head Necrosis - drug therapy
Femur Head Necrosis - surgery
Humans
Male
Middle Aged
Observational Study
Pain Measurement
Postoperative Care
Postoperative Period
Retrospective Studies
Severity of Illness Index
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Summary:The aim of this study was to evaluate the clinical effect of core decompression (CD), lesion clearance, and bone graft in combination with Tongluo Shenggu decoction for the treatment of osteonecrosis of the femoral head (ONFH).A total of 75 patients (92 hips), with ONFH at Association Research Circulation Osseous (ARCO) stages II to IIIA, were studied and divided into treatment group and control group. In control group, patients were treated with the CD in combination with autologous or artificial ceramic bone graft. In treatment group, patients were treated with the above method combined with Tongluo Shenggu decoction. Patients were followed-up at 1 month, 6 months, and 24 months after surgery. The visual analogue scale (VAS) scores, Harris Hip Score (HSS), and total effective rates were measured and recorded.The total effective rate of the treatment group was significantly higher than that of the control group (97.2% vs. 89.9%, P 
ISSN:0025-7974
1536-5964
DOI:10.1097/MD.0000000000012674