Risk factor analysis for postoperative complications requiring revision surgery after transtrochanteric rotational osteotomy for osteonecrosis of the femoral head

被引:8
|
作者
Karasuyama, Kazuyuki [1 ]
Motomura, Goro [1 ]
Ikemura, Satoshi [1 ]
Fukushi, Jun-ichi [1 ]
Hamai, Satoshi [1 ]
Sonoda, Kazuhiko [1 ]
Kubo, Yusuke [1 ]
Yamamoto, Takuaki [2 ]
Nakashima, Yasuharu [1 ]
机构
[1] Kyushu Univ, Grad Sch Med Sci, Dept Orthopaed Surg, Higashi Ku, 3-1-1 Maidashi, Fukuoka, Japan
[2] Fukuoka Univ, Fac Med, Dept Orthopaed Surg, 7-45-1 Nanakuma,12 Jonan Ku, Fukuoka, Japan
来源
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH | 2018年 / 13卷
基金
日本学术振兴会;
关键词
Alcohol abuse; Corticosteroid; Transtrochanteric rotational osteotomy; Osteonecrosis of the femoral head; IDIOPATHIC OSTEONECROSIS; ALCOHOL INTAKE; BONE REPAIR; CONSUMPTION; INFECTION; FRACTURES; NECROSIS; HIP;
D O I
10.1186/s13018-018-0714-4
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Background: This study investigated the risk factors for postoperative complications requiring revision surgery within 3 years after transtrochanteric rotational osteotomy (TRO) for osteonecrosis of the femora ! head (ONFH). Methods: We reviewed 127 patients (147 hips) who underwent TRO (anterior or posterior rotational osteotomy) for ONFH between January 2002 and December 2014. Two patients were lost to follow-up, and five patients with progression of femoral head collapse requiring a salvage procedure such as total hip arthroplasty within 3 years after TRO were excluded. The better hip in patients treated bilaterally was also excluded (n = 20) to avoid duplication of patient demographics, leaving 120 hips (120 patients) for the analysis. We reviewed the medical records of each patient to screen for postoperative complications that required revision surgery within 3 years after surgery, recording the patient's age, sex, body mass index, surgical side, condition of the contralateral hip, previous alcohol intake, previous alcohol abuse, previous corticosteroid use, perioperative corticosteroid use, smoking status, preoperative stage and type of ONFH, preoperative activity level, and preoperative and final follow-up Japanese Orthopaedic Association scores. Differences between cases vvith and without complications were analyzed. Results: Eleven (9.2%) cases showed postoperative complications that required revision surgery. The most common complication was deep infection (n = 5), followed by nonunion of the greater trochanter (n = 3), nonunion of the intertrochanteric osteotomy site (n = 2), and femoral head fracture (n = 1). The multivariate analysis showed an independent association between previous alcohol abuse and postoperative complications (odds ratio, 13.5). Conclusion: A correlation might exist between alcohol abuse and complications following a TRO procedure.
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页数:7
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