Hip Arthropathy Clinical Trial
Official title:
Prediction of the Collapse of Necrotic Femoral Head Using Computed Tomography Scan and X-ray Before Hip Arthroplasty: Study Protocol for a Single-center, Open-label, Diagnostic Trial
To verify that CT scan and X-ray can predict the collapse of the necrotic femoral head before hip arthroplasty and effectively guide the surgical management.
Osteonecrosis of the femoral head (ONFH) is a common and frequently occurring disease. The
main clinical manifestations are hip pain and dysfunction. The etiology and pathogenesis of
ONFH caused by various reasons are the problems that have not been solved yet in the field of
orthopedics. If want to achieve satisfactory therapeutic effect, surgical choice is
essential. It is very important for prognosis to master the indications of operation and take
appropriate treatment measures, especially the great difference between palliative surgery
and hip arthroplasty.
To determine whether the femoral head collapses and the degree of collapse of the articular
cartilage of the femoral head can help physicians to select an optimal surgical plan. Chinese
scholars commonly believe that if the femoral head collapse is less than 2 mm, investigators
can choose autologous bone graft, allogeneic bone graft and other palliative surgery. If the
femoral head collapse is more than 2 mm, investigators can choose total hip arthroplasty.
However, above standard has not been extensively accepted worldwide.
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