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Cortisone induced avascular necrosis of femoral heads 30 cases report



Cortisone induced avascular necrosis of femoral heads 30 cases report



Zhonghua Guke Zazhi 9(5): 341-348, 398



A Clinical study was performed in 30 patients (44 hips) with avascular necrosis of femoral heads after taking long-term and large doses of corticosteroid drugs during 1975 to 1985. Of all, male were 25, female were 5. The average age was 42.1, ranged from 30 to 49, represent 90% in the patients. The incidence of bilateral hips were 46.6%. Treatment of operation and observation were 22 hips respectively. Surgical following averaged 3 years and 4 months. Excellent and good results of operation are 81.8%. The results in observation were unsatisfied. It is suggested that alcoholic predisposed bones to necrosis when taking cortico-steroid therapy. The choice of surgical method depend on age, course of disease and the focal range involved. Transitive operation usually are performed for young patients. The effection of treatment depend on diagnosis in the early stage. It is important that prevention must be put first.

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