Comparison of Total Hip Arthroplasty and Core Decompression in Avascular Necrosis of the Femoral Head after Taking Temgesic and Norgesic
Publish place: Addiction and Health، Vol: 4، Issue: 3
Publish Year: 1391
نوع سند: مقاله ژورنالی
زبان: English
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شناسه ملی سند علمی:
JR_AHJK-4-3_007
تاریخ نمایه سازی: 9 مرداد 1403
Abstract:
Background: Osteonecrosis is common after taking Temgesic and Norgesic. This study intended to suggest the preferable surgical treatment in osteonecrosis patients who use these drugs. Methods: Twenty tree patients with hip osteonecrosis who were hospitalized in the Kerman hospitals after using Temgesic and Norgesic were followed for about ۱۴ months from ۲۰۰۸ to ۲۰۱۰ (from a minimum of ۲ months to a maximum of ۲ years). ۶۵% of patients underwent total hip arthroplasty (THA) and core decompression was performed for ۳۵% of them. Patients were compared based on functional scoring of hip before and after surgery. Findings: Duration of drug use was ۳۸ months on average and injection frequency of drug was averagely ۳ months. The average functional scoring of hip was ۹.۱ before operation while it was ۱۶ after surgery (P < ۰.۰۰۱). Recovery rate of patients in THA was very good and in core decompression was good.Conclusion: In treatment of osteonecrosis after taking Temgesic and Norgesic, the THA surgery in comparison with core decompression showed better results and caused significant clinical improvement.Keywords: Total hip arthroplasty, Core decompression, Avascular necrosis, Temgesic, Norgesic.
Authors
Mahmood Karimi-Mobarake
Associate Professor, Department of Orthopedy, School of Medicine, Kerman University of Medical Sciences, Kerman, Iran
Ali Nemati
Resident, Department of Orthopedy, School of Medicine, Shahid Beheshti Medical University, Tehran, Iran
Ali Kheradmand
Psychiatrist, Kerman Neuroscience Research Center, Kerman University of Medical Sciences, Kerman, Iran
Ghodratollah Rajabyzadeh
Associate Professor, Department of Psychiatry, Kerman University of Medical Sciences, Kerman, Iran