Total hip arthroplasty after core decompression: Time-to-event analysis and risk factors

To the Editor: Core decompression (CD), the predominant hip-preserving procedure for pre-collapse osteonecrosis of the femoral head (ONFH), is renowned for its improved short-term outcomes and relatively low postoperative complication rates; however, the reported medium-to-long-term survival rates i...

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Published inChinese medical journal Vol. 137; no. 16; pp. 1988 - 1990
Main Authors Li, Chengsi, Wang, Tianyu, Wu, Dongwei, Guo, Haichuan, Yang, Zhenbang, Cheng, Xinqun, Zhu, Yanbin, Zhang, Yingze
Format Journal Article
LanguageEnglish
Published Hagerstown, MD Lippincott Williams & Wilkins 20.08.2024
Lippincott Williams & Wilkins Ovid Technologies
Department of Orthopedic Surgery, The 3rd Hospital, Hebei Medical University, Shijiazhuang, Hebei 050051, China%Orthopedic Research Institute of Hebei Province, Key Laboratory of Biomechanics of Hebei Province, Shijiazhuang, Hebei 050051, China
Wolters Kluwer
Subjects
Age
Aged
Arthritis
Arthroplasty, Replacement, Hip - adverse effects
Arthroplasty, Replacement, Hip - methods
Biomarkers
Correspondence
Decompression, Surgical - methods
Female
General anesthesia
Humans
Joint replacement surgery
Male
Medical records
Middle Aged
Orthopedics
Patients
Risk Factors
Surgeons
Online AccessGet full text
ISSN0366-6999
2542-5641
2542-5641
DOI10.1097/CM9.0000000000003227

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Summary:To the Editor: Core decompression (CD), the predominant hip-preserving procedure for pre-collapse osteonecrosis of the femoral head (ONFH), is renowned for its improved short-term outcomes and relatively low postoperative complication rates; however, the reported medium-to-long-term survival rates in the literature vary and are a subject of controversy. [...]we conducted a large, prospective cohort study to assess the frequency and timing of conversion from CD to total hip arthroplasty (THA) and the factors associated with it. [...]our unique postoperative management, involving herbal prescriptions and extended non-weight-bearing periods, differs from traditional methods. [...]though our analysis identifies MCV as a strong risk factor for THA conversion, the wide CI (95% CI:
Bibliography:Chengsi Li, Tianyu Wang, and Dongwei Wu contributed equally to this work. Correspondence to: Yanbin Zhu, Department of Orthopaedics, The 3rd Hospital, Hebei Medical University, No. 139 Ziqiang Road, Shijiazhuang, Hebei 050051, China E-Mail: zhuyanbin111@126.com; Yingze Zhang, Department of Orthopaedics, The 3rd Hospital, Hebei Medical University, No. 139 Ziqiang Road, Shijiazhuang, Hebei 050051, China E-Mail: yzzhang@hebmu.edu.cn How to cite this article: Li CS, Wang TY, Wu DW, Guo HC, Yang ZB, Cheng XQ, Zhu YB, Zhang YZ. Total hip arthroplasty after core decompression: Time-to-event analysis and risk factors. Chin Med J 2024;137:1988–1990. doi: 10.1097/CM9.0000000000003227
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ISSN:0366-6999
2542-5641
2542-5641
DOI:10.1097/CM9.0000000000003227