{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,8,7]],"date-time":"2024-08-07T23:38:02Z","timestamp":1723073882500},"reference-count":0,"publisher":"Surgical Technology Online","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Surg Technol Int."],"abstract":"<jats:p>Introduction: Osteonecrosis of the femoral head (ONFH) poses a substantial burden to orthopaedic surgeons. However, the exact risk attributed by each specific patient factor for those who end up receiving a total hip arthroplasty (THA) are not well known. We assessed: (1) patient demographics (age and sex); (2) blood cell dyscrasias (sickle-cell disease and hypercoagulable states); and (3) substance use (oral corticosteroid use, tobacco use, and alcohol abuse). Materials and Methods: A retrospective search examined all patients who had a primary THA (n=715,100) between January 1, 2010 and April 30, 2020 using a national, all-payer database. Risk factors studied included age, sex, sickle-cell, hypercoagulable state, oral corticosteroid use, tobacco use, and alcohol abuse.  Results: Several risk factors were found to be significantly predictive for ONFH requiring THA: age &lt;55 years (odds ratio [OR] 1.02, 95% confidence interval [CI] of 1.01 to 1.02, p&lt;0.001), men (OR 1.07, 95% CI of 1.04 to 1.10, p&lt;0.001), oral corticosteroid use (OR 1.21, 95% CI of 1.17 to 1.25, p&lt;0.001), tobacco use (OR 1.15, 95% CI of 1.11 to 1.18, p&lt;0.001), and alcohol abuse (OR 1.05, 95% CI of 1.01 to 1.08, p=0.009).  Conclusions: Based on the results of this study, young age, men, oral corticosteroid use, tobacco use, and alcohol abuse are risk factors for patients who have ONFH and had a THA. The degree of risk from greatest to least were: oral corticosteroid use, tobacco use, men, alcohol abuse, and age &lt;55 years old.<\/jats:p>","DOI":"10.52198\/24.sti.44.os1756","type":"journal-article","created":{"date-parts":[[2024,4,9]],"date-time":"2024-04-09T22:46:12Z","timestamp":1712702772000},"source":"Crossref","is-referenced-by-count":0,"title":["Risk Factors Portending a Total Hip Arthroplasty for Patients Who Have Osteonecrosis of the Femoral Head"],"prefix":"10.52198","volume":"44","author":[{"name":"LifeBridge Health, Sinai Hospital of Baltimore, Baltimore, Maryland","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhongming","family":"Chen","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeremy A.","family":"Dubin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"LifeBridge Health, Sinai Hospital of Baltimore, Baltimore, Maryland","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandeep S.","family":"Bains","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"LifeBridge Health, Sinai Hospital of Baltimore, Baltimore, Maryland","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Hameed","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"LifeBridge Health, Sinai Hospital of Baltimore, Baltimore, Maryland","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mallory C.","family":"Moore","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"LifeBridge Health, Sinai Hospital of Baltimore, Baltimore, Maryland","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ronald E.","family":"Delanois","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"LifeBridge Health, Sinai Hospital of Baltimore, Baltimore, Maryland","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael A.","family":"Mont","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"LifeBridge Health, Sinai Hospital of Baltimore, Baltimore, Maryland","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"Nace","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"LifeBridge Health, Sinai Hospital of Baltimore, Baltimore, Maryland","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"18996","published-online":{"date-parts":[[2024,4,8]]},"container-title":["Surgical Technology Online"],"original-title":[],"deposited":{"date-parts":[[2024,4,9]],"date-time":"2024-04-09T22:47:29Z","timestamp":1712702849000},"score":1,"resource":{"primary":{"URL":"https:\/\/surgicaltechnology.com\/44-Orthopaedic-Surgery.htm#1756"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4,8]]},"references-count":0,"URL":"https:\/\/doi.org\/10.52198\/24.sti.44.os1756","relation":{},"ISSN":["1090-3941"],"issn-type":[{"type":"print","value":"1090-3941"}],"subject":[],"published":{"date-parts":[[2024,4,8]]}}}