The Treatment of Initial Stage of Hip Osteonecrosis: the Core Decompression

NCT ID: NCT04210440

Last Updated: 2019-12-24

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

52 participants

Study Classification

INTERVENTIONAL

Study Start Date

2003-03-01

Study Completion Date

2012-03-01

Brief Summary

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This retrospective study evaluates 52 cases of avascular necrosis of femoral head (AVN) treated by core decompression, bone chips allograft, fibrin platelet rich-plasma (PRF) and concentrated autologous mesenchymal stromal cells (MSCs).

Detailed Description

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We report 52 cases of avascular necrosis of the hip (AVN), operated by decompression of the necrotic area with bone chips allograft, adjuvanted by concentrated autologous mesenchymal stromal cells (MSCs) and fibrin platelet rich-plasma (PRP).

The patients were followed-up at 6 weeks, 3 months, 6 months, 12 months, 24 months and then every year. Each time a clinical evaluation by Harris Hip Score (HHS) was carried out by the same orthopedic surgeon. Radiological controls (pelvis and hip affected) were performed at 6 weeks, 3 months, 6 months, 12 months, 24 months and then every year.

The primary outcome evaluated was the avoiding or delaying of total hip replacement (THR), while the secondary outcomes were the assessment of any change in clinical performance as measured by Harris Hip Score

Conditions

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Hip Necrosis Hip Injuries

Keywords

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hip avascular necrosis hip conservative surgery

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Hip avascular necrosis

patients affected by avascular necrosis of the Hip classified by Japanese Investigation Committee criteria

Group Type EXPERIMENTAL

Core decompression procedure

Intervention Type PROCEDURE

Core Decompression with Bone Chips Allograft adjuvanted by Fibrin Platelet Rich-plasma (PRP) and Concentrated Autologous Mesenchymal Stromal Cells (MSCS), isolated from Bone Marrow

Interventions

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Core decompression procedure

Core Decompression with Bone Chips Allograft adjuvanted by Fibrin Platelet Rich-plasma (PRP) and Concentrated Autologous Mesenchymal Stromal Cells (MSCS), isolated from Bone Marrow

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

\- hip avascular necrosis

Exclusion Criteria

* protrusio acetabuli
* concentric femoral head migration;
* presence of extensive surgery of the reference joint (osteotomies around the hip, open or arthroscopic osteochondroplasty for femoral-acetabular impingement)
* presence of excessive deformity (acetabular or femoral head dysplasia; collapse deformity and deformed femoral head sequelae of Perthes);
* concomitant rheumatic diseases;
* bone tumors
Minimum Eligible Age

18 Years

Maximum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Dante Dallari, MD

OTHER

Sponsor Role lead

Responsible Party

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Dante Dallari, MD

MD

Responsibility Role SPONSOR_INVESTIGATOR

Locations

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Istituto Ortopedico Rizzli

Bologna, , Italy

Site Status

Countries

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Italy

Other Identifiers

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0029170

Identifier Type: -

Identifier Source: org_study_id