Aims: To assess the effectiveness of muscle pedicle graft in avascular necrosis (AVN) head femur in Grade 1 and Grade 2 AVN of femoral head grade 1 and grade 2 as head sparing procedure. Method: The pixel count in Tc-99 bone scan single... more
Aims: To assess the effectiveness of muscle pedicle graft in avascular necrosis (AVN) head femur in Grade 1 and Grade 2 AVN of femoral head grade 1 and grade 2 as head sparing procedure. Method: The pixel count in Tc-99 bone scan single photon emission computed tomography (SPECT) was used as perfusion analysis through a standardized procedure of assessment at six monthly intervals. Comparisons of the scan and the counts at each interval was used to determine whether the procedure was producing a beneficial effect and to what extent. The cases were followed-up for a minimum period of two years. Result: It was discovered that the comparative ratios had a bearing on the clinical improvement and could be used as a predictor variable for the outcome. They also had a significant prognostic value. Conclusions: Muscle pedicle graft in Grade 1 and Grade 2 AVN femoral head does benefit the patient. The SPECT analysis of the Tc-99 bone scan can be used as a monitor and reasonably predict the outcome and adverse end results.
Purpose: Usually, about 25% of the patients treated with corticosteroids after kidney transplantation suffer from the complication of Avascular Necrosis (AVN) of the femoral head. This study aims to compare the effect of Neuromuscular... more
Purpose: Usually, about 25% of the patients treated with corticosteroids after kidney transplantation suffer from the complication of Avascular Necrosis (AVN) of the femoral head. This study aims to compare the effect of Neuromuscular Electric Stimulation (NMES) and traditional treatment (infrared and decrease weight-bearing) on Harris hip score. Methods: Twenty patients who developed AVN of the femoral head after kidney transplantation were divided into two groups. The first group was treated by NMES and stretching and strengthening exercises 3 sessions a week for 3 months. The second group was treated by Traditional Treatment (TT) and stretching and strengthening exercises 3 sessions a week for 3 months. Results: Harris hip score component was measured before the intervention and then three months after the intervention using the t-test. After the intervention, significant differences were found between both groups in pain, support, distance walked, limping, putting on shoes and s...
Vaishya et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 3.0., which permits unrestricted use, distribution, and reproduction in any medium,
