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ArticleInternational orthopaedics2024

What are the differences in the recovery of physical function and clinical score between patients with steroid-related osteonecrosis of the femoral head and hip osteoarthritis undergoing total hip arthroplasty? A propensity score-matched study.

Ryota Hamada, Takumi Kawano, Masanobu Murao, Manabu Nankaku, Yaichiro Okuzu, Toshiyuki Kawai, Yutaka Kuroda, Ryosuke Ikeguchi, Shuichi Matsuda

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Article in International orthopaedics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

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4citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

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3 · Its place in the literature

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4 citing papers in PubMed, 1 synthesis or guideline pooled it.

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5 · Who and what money

Authors and funding

9 authors.

Ryota HamadaDepartment of Rehabilitation, Kyoto University Hospital, Kyoto, Japan. e1923126@kuhp.kyoto-u.ac.jp.ORCID 0000-0002-8547-5173
Takumi KawanoDepartment of Rehabilitation, Kyoto University Hospital, Kyoto, Japan.ORCID 0000-0001-7976-6604
Masanobu MuraoDepartment of Rehabilitation, Kyoto University Hospital, Kyoto, Japan.ORCID 0000-0002-7906-3498
Manabu NankakuDepartment of Rehabilitation, Kyoto University Hospital, Kyoto, Japan.
Yaichiro OkuzuDepartment of Orthopaedic Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan.ORCID 0000-0003-2706-3725
Toshiyuki KawaiDepartment of Orthopaedic Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan.ORCID 0000-0003-3988-6411
Yutaka KurodaDepartment of Orthopaedic Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan.ORCID 0000-0003-0746-0280
Ryosuke IkeguchiDepartment of Rehabilitation, Kyoto University Hospital, Kyoto, Japan.ORCID 0000-0003-4525-7849
Shuichi MatsudaDepartment of Rehabilitation, Kyoto University Hospital, Kyoto, Japan.ORCID 0000-0003-0802-1255

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSteroid-related osteonecrosis of the femoral head (ONFH), arising from steroid administration for underlying diseases, represents a unique pathology for total hip arthroplasty (THA) and typically affects a younger demographic compared to osteoarthritis (OA). Given the significant age-related differences, this study aims to employ propensity score matching to align patient backgrounds between these two diseases and compare physical function. Additionally, our objective is to scrutinize the patterns of clinical score recovery over the course of one year following THA.

methodsUsing propensity score matching, 29 patients each with steroid-related ONFH and OA were selected. Muscle strength (hip abductor and knee extensor) were assessed before and after THA. Additionally, recovery of the Harris Hip Score (HHS) and Oxford Hip Score (OHS) up to one year postoperatively was analyzed.

resultsThe steroid-related ONFH group exhibited gender bias and significantly younger age compared to the OA group. Propensity score matching achieved balanced patient backgrounds. Physical function showed trends of lower hip abduction and knee extensor strength on the operative side in the steroid-related ONFH group. Notably, nonoperative knee extensor strength decreased significantly after matching. HHS and OHS were poor in steroid-related ONFH up to three months postoperatively but recovered after six months.

conclusionsPatients with steroid-related ONFH experience positive outcomes in clinical score following THA. Propensity score matching effectively identified muscle weakness on both operative and nonoperative sides, highlighting its utility in comparative analyses.

Indexed as

Arthroplasty, Replacement, HipFemur Head NecrosisOsteoarthritis, HipFemaleFemur HeadHumansMalePropensity ScoreRetrospective StudiesSexismSteroidsTreatment OutcomeSteroidsOsteonecrosis of the femoral headPhysical functionPropensity score matchingSteroid

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.