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Comparison of Total Hip Arthroplasty and Core Decompression In avascular Necrosis of the Femoral Head After Taking temgesic and Norgesic

Published online by Cambridge University Press:  15 April 2020

A. Kheradmand ,
M. Karimi mobarake ,
A. Nemati  and
N. Hedayati
A. Kheradmand
Affiliation:
depatment of psychiatry behavioral research center, Shahid Beheshti University of Medical Sciences, tehran, Iran
M. Karimi mobarake
Affiliation:
depatment of orthopedic, kerman University of Medical Sciences, kerman, Iran
A. Nemati
Affiliation:
depatment of orthopedic surgery, kerman University of Medical Sciences, kerman, Iran
N. Hedayati
Affiliation:
depatment of pediatric dentistrydental school, Shahid beheshti University of Medical Sciences, Tehran, Iran

Abstract

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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 14 months from 2008 to 2010 (from a minimum of 2 months to a maximum of 2 years). 65% of patients underwent total hip arthroplasty (THA) and core decompression was performed for 35% of them. Patients were compared based on functional scoring of hip before and after surgery.

Findings

Duration of drug use was 38 months on average and injection frequency of drug was averagely 3 months. The average functional scoring of hip was 9.1 before operation and 16 after it (P < 0.001). 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.

Type
Article: 0508
Information
European Psychiatry , Volume 30 , Issue S1: Abstracts of the 23rd European Congress of Psychiatry , March 2015 , pp. 1
Copyright
Copyright © European Psychiatric Association 2015
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