Curr Health Sci J, vol. 39, no. 3, 2013

Epidemiologic Study of Avascular Necrosis of the Femoral Head

[Original Paper]

DIANA KAMAL1, RODICA TRAISTARU2, D. O.ALEXANDRU3, D. C. GRECU4, L. MOGOANTA5

1 University of Medicine and Pharmacy of Craiova; 2 Department of Physical Medicine and Rehabilitation, University of Medicine and Pharmacy of Craiova; 3 Department of Medical Informatics, University of Medicine and Pharmacy of Craiova; 4 Department of Orthopaedics and Traumatology, University of Medicine and Pharmacy of Craiova; 5 Research Center for Microscopic Morphology and Immunology, University of Medicine and Pharmacy of Craiova


Abstract:

Avascular necrosis of the femoral head is an increasingly common cause of musculoskeletal disability, and it poses a major diagnostic and therapeutic challenge. The disease affects mostly young adults within their 3rd and 5th decade, the majority of the patients being men. The aim of this paper is to present the findings of our epidemiological study that concerned patients diagnosed with avascular necrosis of the femoral head, admitted in the Orthopaedics Department of the Clinical and Emergency Hospital Craiova between 2007 and 2011. Material and method: The study group included 92 patients diagnosed with avascular necrosis of the femoral head and who were admitted in the Orthopaedics Department of the Clinical and Emergency Hospital Craiova between 2007 and 2011. Inclusion criteria were that the residential county of the patients had to be Dolj County. The obtained findings were processed statistically to correlate clinical and laboratory data of patients diagnosed with this condition. Results: We noticed an increase in the number of patients admitted with the diagnosis of 11 patients in 2007 to a total of 25 patients in 2011. Most patients included in the study, 85.87% were diagnosed in advanced evolutionary stages of the disease, stages III and IV. The main risk factors detected in patients were represented by smoking (36.96%), alcohol intake (20.65%), trauma (11.96%), and corticosteroid therapy (8.70%). In 29.35% of the patients we were not able to find any risk factor, we considered that the cause to be idiopathic. Conclusions: The results of the epidemiological study presented in this paper correspond with related research results found in the consulted literature. There were some variables of our study that we haven’t been able to find correspondence for in the literature.


Keywords:
avascular necrosis, femoral head, epidemiology



Corresponding:
Diana Kamal, University of Medicine and Pharmacy of Craiova, , No.2, Petru Rares Str., Craiova 200349, Romania; e-mail: alexandrudiana@yahoo.com


DOI 10.12865/CHSJ.39.03.08 - Download PDF