Hip-preserving efficacy of ultra-early rehabilitation after bone grafting through surgical dislocation approach in osteonecrosis of the femoral head

doi:10.3969/j.issn.2095-4344.1231

Abstract

Abstract:

BACKGROUND: Postoperative rehabilitation of osteonecrosis of the femoral head has been shown to promote the recovery of hip joint function.

OBJECTIVE: To explore the effect of ultra-early rehabilitation after bone grafting through surgical dislocation approach in osteonecrosis of the femoral head.

METHODS: Thirty-two cases of young and middle-aged ARCOIII patients with avascular necrosis of femoral head were included, and randomly divided into the trial and control groups (n=16/group). All patients signed the informed consents and the study was approved by the Ethics Committee of the hospital, approval number:[2015]010. Two groups were treated with Yuan’s Shengmai Chenggu tablets and bone grafting via surgical hip dislocation. The control group received routine postoperative rehabilitation training, and the trial group was treated with ultra-early rehabilitation training. Joint recovery was evaluated with Visual Analogue Scale score, and Harris hip score. Femoral head collapse over 4 mm was the end event. The Visual Analogue Scale score at postoperative 3, 7 and 14 days, and Harris hip score at postoperative 1, 3 and 6 months were recorded.

RESULTS AND CONCLUSION: (1) The Visual Analogue Scale score at postoperative 3, 7 and 14 days in the trial and control groups was decreased (both P < 0.01). The postoperative pain was alleviated with rehabilitation time in the two groups and the Visual Analogue Scale score at postoperative 7 and 14 days in the trial group was significantly lower than that in the control group (P < 0.05). (2) The Harris hip score at postoperative 1, 3 and 6 months in the trial group was gradually increased (P < 0.01). The Harris hip score at postoperative 3 and 6 months in the trial group was significantly higher than that in the control group (P < 0.01). (3) To conclude, ultra-early rehabilitation can improve the functional recovery after hip-preserving surgery of osteonecrosis of the femoral head to some extent, and standardized rehabilitation process can promote the postoperative functional recovery in patients with osteonecrosis of the femoral head.

Key words: osteonecrosis of the femoral head, bone grafting, surgical dislocation approach, ultra-early rehabilitation, hip-preserving efficacy, Visual Analogue Scale, Harris score, the National Natural Science Foundation of China

CLC Number:

R459.9

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R459.9

Chen Haicheng, Yuan Yingjia, Huang Chuyao, Chen Guoming, Wei Qiushi, Chen Cong, Zhou Chi.

Hip-preserving efficacy of ultra-early rehabilitation after bone grafting through surgical dislocation approach in osteonecrosis of the femoral head

[J]. Chinese Journal of Tissue Engineering Research, 2019, 23(24): 3812-3818.

Figures/Tables 4

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