J Korean Orthop Assoc.  1996 Apr;31(2):311-318. 10.4055/jkoa.1996.31.2.311.

Cementless Total Hip Arthroplasty in Long Term Steroid-Induced Avascular Necrosis of the Hip

• Han CD
• Kim JY
• Han DY

• KMID: 2423609
• DOI: http://doi.org/10.4055/jkoa.1996.31.2.311

Abstract

We performed twenty three cementless total hip arthroplasties(THA) on seventeen patients, all of whom were diagnosed with steroid-induced avascular necrosis of the hip (AVN). The average age of the patients was 41years, mean follow-up period was 41months (24-74months). The final average Harris hip score was 94 and overall results were excellent. On radiographic evaluation, 17 femoral components met the criteria for bone ingrowth(spot weld) but it was somewhat delayed. There was no evidence of loosening of the femoral and acetabular components. The results of this study suggest that long term steriod treatment does not prevent bone ingrowth. Cementless total hip arthroplasty appears to be a reasonable therapeutic option for steroid-induced avascular necrosis of the hip.

Keyword

Femoral head; Avascular necrosis; Steroid; Cementless total hip arthroplasty

MeSH Terms

Acetabulum
Arthroplasty, Replacement, Hip*
Follow-Up Studies
Hip*
Humans
Necrosis*