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Int Orthop. 2018 Jul;42(7):1517-1525. doi: 10.1007/s00264-018-3897-8. Epub 2018 Mar 23.

Quality of life of patients with osteonecrosis of the femoral head: a multicentre study.

Author information

1
Department of International Health, Graduate School of Health Science, Kobe University, 7-10-2, Tomogaoka, Suma-Ku, Kobe, 654-0142, Japan.
2
Department of Orthopaedic Surgery, Graduate School of Medicine, Osaka University, 2-2, Yamadaoka, Suita, 565-0871, Japan. tsakai-osk@umin.ac.jp.
3
Department of Orthopaedic Surgery, Graduate School of Medicine, Nagoya University, 65 Tsurumai-Cho, Showa-Ku, Nagoya, 466-8550, Japan.
4
Department of Orthopaedic Surgery, Graduate School of Medicine, Kobe University, 7-5-1, Kusunoki-Cho, Chuo-Ku, Kobe, 650-0017, Japan.
5
Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, 1-8-1, Inohana, Chuo-Ku, Chiba, 260-8670, Japan.
6
Department of Orthopaedic Surgery, Graduate School of Medicine, Yokohama City University, 3-9, Fukuura, Kanazawa-Ku, Yokohama, 236-0004, Japan.
7
Department of Orthopaedic Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Kita-15, Nishi-7, Kita-Ku, Sapporo, 060-8638, Japan.
8
Department of Orthopaedic Surgery, Faculty of Medicine, Yamagata University, 2-2-2, Iida-Nishi, Yamagata, 990-9585, Japan.
9
Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu University, 3-1-1, Maidashi, Higashi-Ku, Fukuoka, 812-8582, Japan.
10
Department of Orthopaedic Surgery, Graduate School of Medicine, Ehime University, Shitsukawa, Toon, 791-0295, Japan.
11
Department of Orthopaedic Surgery, Graduate School of Medical science, Kanazawa University, 13-1, Takaramachi, Kanazawa, 920-8641, Japan.
12
Department of Orthopaedic Surgery, Graduate School of Medicine, Mie University, 2-174, Edobashi, Tsu, 514-8507, Japan.
13
Department of Orthopaedic Surgery, Graduate School of Medicine, Tokyo Medical and Dental University, 1-5-45, Yushima, Bunkyo-Ku, 113-8510, Japan.
14
Department of Orthopaedic Surgery, Kansai-Rosai Hospital, 3-1-69, Inabaso, Amagasaki, 660-8511, Japan.
15
Department of Orthopaedic Surgery, Sapporo Medical University, Minami-1, Nishi-17, Chuo-ku, Sapporo, 060-8556, Japan.
16
Department of Orthopaedic Surgery, School of Medicine, Tokyo Medical University, 6-7-1, Nishishinjyuku, Shinjyuku-Ku, Tokyo, 160-0023, Japan.
17
Department of Orthopaedic Surgery, Graduate School of Medicine, University of the Ryukus, 207 Uehara, Nishihara, Nakagami-Gun, 903-0215, Japan.
18
Department of Orthopaedic Surgery, School of Medicine, Asahikawa Medical University, 1-1-1, Midorigaoka-Higahi 2jou, Asahikawa, 078-8510, Japan.
19
Department of Orthopaedic Surgery, Faculty of Medicine, Fukuoka University, 7-45-1, Nanakuma, Jounan-Ku, Fukuoka, 814-0180, Japan.
20
Department of Orthopaedic Medical Engineering, Graduate School of Medicine, Osaka University, 2-2, Yamadaoka, Suita, 565-0870, Japan.

Abstract

PURPOSE:

Quality-of-life (QOL) assessments in patients with osteonecrosis of the femoral head (ONFH) have rarely been reported. This multicentre study aimed to elucidate the relationship between disease severity, including necrotic lesion type and radiological staging, and QOL, as well as between patients' characteristics and QOL.

METHODS:

Two hundred seventy-four patients with ONFH (108 females, 166 males; median age, 46 years) were asked to complete self-assessment QOL questionnaires including the Japanese Orthopaedic Association Hip Disease Evaluation Questionnaire, Oxford Hip Score, and SF-12v2.

RESULTS:

Patients with large necrotic lesion type or collapsed ONFH had low QOL scores. Among patients with non-collapsed lesions, patients with alcohol-associated ONFH had lower QOL scores than those with steroid-associated ONFH, those with bilateral ONFH had lower mental scores, and male patients had worse social condition scores. Among patients with collapsed lesions, middle-aged patients exhibited lower mental QOL, and a strong correlation was observed between social activity and mental health.

CONCLUSION:

Collapsed ONFH was associated with low QOL scores. Among patients with non-collapsed lesions, alcohol-associated ONFH, bilateral disease, and male sex were linked to low QOL scores.

KEYWORDS:

Alcohol-associated; Osteonecrosis of the femoral head (ONFH); Quality of life (QOL); Radiological stage; Steroid-associated

PMID:
29572640
DOI:
10.1007/s00264-018-3897-8

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