Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Clinicoradiological Outcome of Quadratus Femoris Muscle Pedicle Grafting in Osteonecrosis of Femoral Head
Sohail Basoa, Jagdeep Singh Rehncy, Kshitij Mehta, Jaskirat Singh, Girish Sahni and Hari Om Aggarwal
Page: 164-169 | Received 20 Jul 2024, Published online: 13 Sep 2024
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Abstract
Avascular necrosis of the femoral head is a progressive, multifactorial, complex and debilitating disease with variable outcomes. It mostly affects young people between the ages of third and fifth decade. Although the cause is usually idiopathic, it can also occur due to alcohol, steroid use and femoral neck fracture, mostly in the elderly. In this study we evaluated the clinicoradiological outcomes of Quadratus femoris muscle pedicle grafting in osteonecrosis of femoral head. The study was conducted in patients with osteonecrosis of femoral head(Ficat‐Arlet Stage I and II) at the Department of Orthopedics, Rajindra Hospital and Government Medical College, Patiala, Punjab for a period of 1 year. 25 patients with osteonecrosis of femoral head were taken for study. All these patients underwent quadratus femoris muscle pedicle grafting. These patients were clinically followed up by Harris hip score at 1 year. Radiological outcomes were done by post operative radiograph and Mris at 3 months. All patients were followed for an average 1.5 years . One hip regressed from stage 2 to stage 1 hip in study, one progressed into stage 3 and patient underwent arthroplasty . The HHSS significantly increased in all patients after surgery (P<0.05). X‐ray and MRI showed that the femoral head did not progress to collapse after operation . In addition, MRI showed that the edema signals decreased. Quadratus femoris muscle pedicle grafting is simple surgical technique, low incidence of complications, short duration of surgery and relatively shorter length of post‐operative hospital stay, it is the researcher’s view that this technique if done meticulously, can be recommended in patients with early stages of osteonecrosis (Ficat’s stage I and II).
How to cite this article:
Sohail Basoa, Jagdeep Singh Rehncy, Kshitij Mehta, Jaskirat Singh, Girish Sahni and Hari Om Aggarwal. Clinicoradiological Outcome of Quadratus Femoris Muscle Pedicle Grafting in Osteonecrosis of Femoral Head.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.10.164.169
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.10.164.169