NDLI: Sugioka's osteotomy for femoral-head necrosis in young Caucasians.

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Sugioka's osteotomy for femoral-head necrosis in young Caucasians.

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Sugioka's osteotomy for femoral-head necrosis in young Caucasians.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Rijnen, W. H. C. Gardeniers, J. W. M. Westrek, B. L. M. Buma, P. Schreurs, B. W.
Description	Country affiliation: Netherlands Author Affiliation: Rijnen WH ( Department of Orthopaedics 800, Radboud University Nijmegen Medical Centre, P.B. 9101, 6500 HB, Nijmegen, The Netherlands.)
Abstract	The transtrochanteric rotational osteotomy described by Sugioka is used to preserve the femoral head and to prevent secondary osteoarthritis in young patients with osteonecrosis of the femoral head. Several Japanese studies have shown favourable results, but European and American studies were disappointing. An explanation for these outcomes may be that the original protocol was not followed exactly. The objective of our study was to investigate this trans-trochanteric rotational osteotomy in Caucasian patients with osteonecrosis in which we followed the original method of Sugioka as closely as possible, including a 6-month period of non-weight bearing. We included 26 hips in 22 consecutive patients who were followed up for 8.7 (range 6.6-10) years. At review, 17 hips had been converted to total hip arthroplasty. The clinical survival rate was 56% after 7 years (95% CI 36-76%). The radiological survival rate was 54% after one year (95% CI 35-73%). Even after excluding the failures due to problems with osteosynthesis and infection, the results were not satisfactory and the osteoarthritic process was not delayed. Based on our results, we cannot recommend this technique as an alternative for total hip arthroplasty in Caucasians.
File Format	HTM / HTML
ISSN	03412695
e-ISSN	14325195
Journal	International Orthopaedics
Issue Number	3
Volume Number	29
Language	English
Publisher	Springer
Publisher Date	2005-06-01
Publisher Place	Germany
Access Restriction	Open
Subject Keyword	Discipline Orthopedics Femur Head Necrosis Surgery Osteotomy Disease Progression European Continental Ancestry Group Osteoarthritis, Hip Prevention & Control
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine Surgery

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Sugioka's osteotomy for femoral-head necrosis in young Caucasians.

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Sugioka's osteotomy for femoral-head necrosis in young Caucasians.