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Volume 3, Issue 4 (Suppl)
J Clin Exp Orthop
ISSN:2471-8416
Osteoporosis and Arthroplasty 2017
December 04-05, 2017
&
11
th
International Conference on
Joint Event
OSTEOPOROSIS, ARTHRITIS & MUSCULOSKELETAL DISORDERS
December 04-05, 2017 | Madrid, Spain
10
th
INTERNATIONAL CONFERENCE ON ARTHROPLASTY
Hyperbaric oxygen treatment for symptomatic osteonecrosis of the femoral head stages I and II
Eyal Ginesin
Rambam Health Care Hospital, Israel
Background:
Hyperbaric oxygen (HBO) therapy is one of the suggested joint preserving treatments for symptomatic early stage
osteonecrosis of the femoral head (ONFH). Limited series of this treatment had been published to date.
Objective:
We aimed to evaluate its effectiveness in a relatively large patient cohort.
Methods:
We reviewed the files of 68 patients with 78 symptomatic ONFH joints stages Steinberg I and II that were treated at our
medical health center with HBO. The pre-treatment and the immediate post-treatment magnetic resonance imaging (MRI) findings
were compared. On follow-up, a phone interview was conducted. Noted was the survival of the joint. A modified Harris Hip Score
(mHHS) and the 12-Item short form health survey (SF-12) questionnaires for the starting point of treatment and the time of follow-
up were given and evaluated for statistically significant differences.
Results:
74 joints had undergone both pre- and post-treatment MRI. 88% of the joints improved on the immediate post treatment
MRI. On follow-up of a mean 11.1±5.1 years, 54 patients (58 joints) were located and answered the questionnaires. 93% of the joints
survived. The mean mHHS improved from 19 to 74 (P<0.0001), the mean physical component of the SF-12 improved from 24 to 46
(p<0.0001) and the mean mental component improved from 54 to 59 (p<0.0001).
Conclusion:
We conclude that HBO treatment is effective in preserving the hip joint in stages I and II ONFH.
Recent Publications
1.
Mont M A, Jones L C and Hungerford D S (2006) Nontraumatic osteonecrosis of the femoral head: ten years later. Journal
of Bone and Joint Surgery American Volume 88(5):1117–1132.
2.
Sharma S, Shah R, Draviraj K P and Bhamra M S (2005) Use of telephone interviews to follow up patients after total hip
replacement. Journal of Telemedicine and Telecare 11(4):211–214.
3.
Strauss M, Dvorak T, Melamed Y and Reis D N (2008) Femoral head necrosis and hyperbaric oxygen therapy. Hyperbaric
Medicine Practice, 3rd ed. Vol.34; p.943.
4.
Nylander G, Lewis D, Nordstrom H and Larsson J. (1985) Reduction of postischaemic edema with hyperbaric oxygen.
Plastic and Reconstructive Surgery 76(4):596-60.
5.
Camporesi E M, Vezzani G, Bosco G, Mangar D and Bernasek T L (2010) Hyperbaric oxygen therapy in femoral head
necrosis. Journal of Arthroplasty 25(6):118–23.
Biography
Eyal Ginesin has completed his MD degree in 2011 from Semmelweis University in Budapest, Hungary. A year later, he was selected as an Excellent Internship.
In 2013, he started his Residency in Orthopedic Department of Rambam Health Care Hospital and now he is pursuing his final year. During these years he has
participated and published many articles including two book chapters. Regarding his academic experience he has given oral presentations in conferences including
the annual meeting of the Israel Orthopedic Association.
Eyalgin@gmail.comEyal Ginesin, J Clin Exp Orthop 2017, 3:4(Suppl)
DOI: 10.4172/2471-8416-C1-002