{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,3,13]],"date-time":"2024-03-13T23:10:27Z","timestamp":1710371427694},"reference-count":28,"publisher":"The Journal of Rheumatology","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Rheumatol"],"published-print":{"date-parts":[[2009,2]]},"abstract":"<jats:sec><jats:title>Objective.<\/jats:title><jats:p>This retrospective study evaluated the role of percutaneous cementoplasty in the treatment of avascular necrosis (AVN) of the hip in order to postpone or avoid total hip replacement.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods.<\/jats:title><jats:p>The study population comprised 40 patients (47 hips) with mean age of 46 \u00b1 4.7 years and mean body mass index of 26.7 \u00b1 4.6 kg\/m<jats:sup>2<\/jats:sup>. AVN was classified according to the Ficat-Arlet classification as one stage I, 30 stage II, and 16 stage III. The minimum followup was 9 months.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results.<\/jats:title><jats:p>It was found that 74.5% of hips were secondarily operated for total hip replacement a mean of 19.9 \u00b1 15 months (median 14 mo) after cementoplasty. As well, 94% of patients with stage 3AVN and 68% with stage 2AVN underwent surgery. Twelve hips were not operated, with a mean followup of 39 \u00b1 19.2 months. Pain decreased by more than 80% after cementoplasty in two-thirds of patients, but the mean pain-free interval was only 8.1 \u00b1 6.6 months (median 5 mo). Nineteen of the 29 working patients were able to transiently return to work. The outcome was more unfavorable with radiological stage III AVN, joint effusion, and\/or a double-line sign around the lesions on magnetic resonance images.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion.<\/jats:title><jats:p>Despite early relief of pain, the results of the cementoplasty technique were disappointing, with need for arthroplasty surgery in most cases within 2 years. Alternative percutaneous techniques using different filler materials with osteoinductive properties should be evaluated in further studies.<\/jats:p><\/jats:sec>","DOI":"10.3899\/jrheum.080363","type":"journal-article","created":{"date-parts":[[2009,5,27]],"date-time":"2009-05-27T19:18:25Z","timestamp":1243451905000},"page":"385-389","source":"Crossref","is-referenced-by-count":1,"title":["Cementoplasty in the Treatment of Avascular Necrosis of the Hip"],"prefix":"10.3899","volume":"36","author":[{"given":"NICOLAS","family":"REUTER","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"ALBAN","family":"ROMIER","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"ZEPHIR","family":"HAMBOURG","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"FR\u00c9D\u00c9RIC","family":"PALMIERI","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"DOMINIQUE","family":"FAYET","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B\u00c9ATRICE","family":"PALLOT-PRADES","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"PHILIPPE","family":"COLLET","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"MICHEL-HENRY","family":"FESSY","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"FR\u00c9D\u00c9RIC","family":"FARIZON","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"FABRICE G.","family":"BARRAL","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"THIERRY","family":"THOMAS","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2262","published-online":{"date-parts":[[2009,2,9]]},"reference":[{"key":"2018112909184968000_36.2.385.1","doi-asserted-by":"publisher","DOI":"10.1016\/S0883-5403(99)90197-3"},{"key":"2018112909184968000_36.2.385.2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199603000-00020"},{"key":"2018112909184968000_36.2.385.3","doi-asserted-by":"publisher","DOI":"10.1097\/01.blo.0000150128.57777.8e"},{"key":"2018112909184968000_36.2.385.4","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200212000-00003"},{"key":"2018112909184968000_36.2.385.5","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.D.02662"},{"key":"2018112909184968000_36.2.385.6","doi-asserted-by":"publisher","DOI":"10.1097\/01.blo.0000150312.53937.6f"},{"key":"2018112909184968000_36.2.385.7","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.80B1.7989"},{"key":"2018112909184968000_36.2.385.8","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200105000-00009"},{"key":"2018112909184968000_36.2.385.9","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1097\/01.blo.0000096823.67494.64","article-title":"Treatment of femoral head osteonecrosis using bone impaction grafting","volume":"417","author":"Rijnen","year":"2003","journal-title":"Clin Orthop Relat Res"},{"key":"2018112909184968000_36.2.385.10","doi-asserted-by":"crossref","first-page":"1270","DOI":"10.2106\/00004623-199809000-00004","article-title":"Survival analysis of hips treated with core decompression or vascularized fibular grafting because of avascular necrosis","volume":"80","author":"Scully","year":"1998","journal-title":"J Bone Joint Surg Am"},{"key":"2018112909184968000_36.2.385.11","unstructured":"Hernigou P . 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