ACCORDING TO THE STAGEÃ¢â‚¬â„¢S OF AVASCULAR NECROSIS OF FEMORAL HEAD, TREATED WITH VARIOUS MODALITIES OF SURGERIES
Dr. Siddaram Patil , Dr. Sankar Rao.P , Dr.Shyam,
Our study of 48 cases of osteonecrosis of femoral head , treated with various modalities of surgeries at Mamata General, Hospital , Mamata Medical College, Khammam, during the period June 2011 to October 2013. Most of the patients were of young age group at an average age incidence of 31 years and the commonest cause was idiopathic. Males were affected more than females with right side predominance. In 21% cases, stage of the disease at the time of presentation is II, in 12% it is stage I, in 25% it is stage III, in 25% it is stage IV and 17% in stage V. In 12.5% of cases disease is bilateral. Pre operative harris hip scores are between 60-69 in 29% of cases, 70-79 in 71% of cases Average time interval between admission and surgery was 3 days. 66.6% (32 cases) had excellent results, 29.2% (14 cases) had good result and 4.2% (2 cases) had fair result. Out of 48 cases followed up, 2 cases had superficial infection and one patient had harvest site infection, one patient had sciatic nerve palsy and 2 patients had greater trochanteric split fracture. The disease called osteonecrosis was discovered in Egyptian mummies, there is a lack of information available in understanding and treating this disease. The word osteonecrosis comes from a combination of two words which mean that part of the bone is no longer alive and cannot regenerate itself due to a lack of blood supply.
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