ISSN 2458-7834
 

Original Article 


Steroid Induced Avascular Necrosis of the Femoral Head after COVID-19 Disease and Treatment Options Including Free Vascularized Fibula Reconstruction

Osman Orman, Hakan Ertem, Ethem Ayhan Ünkar, Kahraman Öztürk.

Abstract
The COVID-19 pandemic caused serious mortality and morbidity all over the world. SARS-CoV-2 infection can involve several different organ systems. Osteonecrosis has been reported in the femoral head of patients treated with corticosteroids due to COVID-19 similar to SARS-COV (severe acute respiratory syndrome) endemic in 2003. Being a tertiary hospital for osteonecrosis of femoral head (ONFH) for our country, we retrospectively analyzed OFNH patients for steroid administration for COVID-19 infection. Ten male and a female, mean age 38.7, total eleven patients (16 hips) who were treated with corticosteroids due to COVID-19 disease and had ONFH were found. Four of 11 patients were medical doctors. Cumulative dose of methylprednisolone in these patients was 1964.5 (+/-1083.2) mg. The mean daily dose of methylprednisolone was 289.4 (+/-182.6) mg. Free vascularized fibula reconstruction in 8 hips, core decompression in 3 hips and conservative treatment in 5 hips were done. Overall, visual analogue scale score for pain was decreased 2.9 points, Harris Hip score were increased 14.6 points and total hip range of motion were increased 45 degrees. The COVID-19 pandemic is an ongoing issue, and avascular necrosis of the femoral head should be considered in patients who present with hip pain at the late period after COVID-19.

Key words: Corticosteroid, Osteonecrosis, SARS, Free vascularized fibular flap


 
ARTICLE TOOLS
Abstract
PDF Fulltext
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Osman Orman
Articles by Hakan Ertem
Articles by Ethem Ayhan Ünkar
Articles by Kahraman Öztürk
on Google
on Google Scholar


How to Cite this Article
Pubmed Style

Orman O, Ertem H, Unkar EA, Ozturk K. Steroid Induced Avascular Necrosis of the Femoral Head after COVID-19 Disease and Treatment Options Including Free Vascularized Fibula Reconstruction. Hand Microsurg. 2022; 11(2): 96-103. doi:10.5455/handmicrosurg.98242


Web Style

Orman O, Ertem H, Unkar EA, Ozturk K. Steroid Induced Avascular Necrosis of the Femoral Head after COVID-19 Disease and Treatment Options Including Free Vascularized Fibula Reconstruction. https://handmicrosurgeryjournal.com/?mno=98242 [Access: January 09, 2024]. doi:10.5455/handmicrosurg.98242


AMA (American Medical Association) Style

Orman O, Ertem H, Unkar EA, Ozturk K. Steroid Induced Avascular Necrosis of the Femoral Head after COVID-19 Disease and Treatment Options Including Free Vascularized Fibula Reconstruction. Hand Microsurg. 2022; 11(2): 96-103. doi:10.5455/handmicrosurg.98242



Vancouver/ICMJE Style

Orman O, Ertem H, Unkar EA, Ozturk K. Steroid Induced Avascular Necrosis of the Femoral Head after COVID-19 Disease and Treatment Options Including Free Vascularized Fibula Reconstruction. Hand Microsurg. (2022), [cited January 09, 2024]; 11(2): 96-103. doi:10.5455/handmicrosurg.98242



Harvard Style

Orman, O., Ertem, . H., Unkar, . E. A. & Ozturk, . K. (2022) Steroid Induced Avascular Necrosis of the Femoral Head after COVID-19 Disease and Treatment Options Including Free Vascularized Fibula Reconstruction. Hand Microsurg, 11 (2), 96-103. doi:10.5455/handmicrosurg.98242



Turabian Style

Orman, Osman, Hakan Ertem, Ethem Ayhan Unkar, and Kahraman Ozturk. 2022. Steroid Induced Avascular Necrosis of the Femoral Head after COVID-19 Disease and Treatment Options Including Free Vascularized Fibula Reconstruction. Hand and Microsurgery, 11 (2), 96-103. doi:10.5455/handmicrosurg.98242



Chicago Style

Orman, Osman, Hakan Ertem, Ethem Ayhan Unkar, and Kahraman Ozturk. "Steroid Induced Avascular Necrosis of the Femoral Head after COVID-19 Disease and Treatment Options Including Free Vascularized Fibula Reconstruction." Hand and Microsurgery 11 (2022), 96-103. doi:10.5455/handmicrosurg.98242



MLA (The Modern Language Association) Style

Orman, Osman, Hakan Ertem, Ethem Ayhan Unkar, and Kahraman Ozturk. "Steroid Induced Avascular Necrosis of the Femoral Head after COVID-19 Disease and Treatment Options Including Free Vascularized Fibula Reconstruction." Hand and Microsurgery 11.2 (2022), 96-103. Print. doi:10.5455/handmicrosurg.98242



APA (American Psychological Association) Style

Orman, O., Ertem, . H., Unkar, . E. A. & Ozturk, . K. (2022) Steroid Induced Avascular Necrosis of the Femoral Head after COVID-19 Disease and Treatment Options Including Free Vascularized Fibula Reconstruction. Hand and Microsurgery, 11 (2), 96-103. doi:10.5455/handmicrosurg.98242





Most Viewed Articles
Most Accessed Articles

  • Giant intramuscular lipoma of arm: A case report and review of the literature
    Muzaffer Durmus, Ahmet Demirhan Dal, Abdul Kerim Yapici, Sedat Avsar, Yalcin Bayram
    Hand Microsurg. 2014; 3(3): 87-90
    » Abstract » doi: 10.5455/handmicrosurg.173820

  • Cubital tunnel syndrome due to heterotrophic ossification caused by radial head fracture: A case report
    Seyitali Gumustas, Haci Bayram Tosun, Ismail Agir, Abuzer Uludag
    Hand Microsurg. 2014; 3(1): 24-28
    » Abstract » doi: 10.5455/handmicrosurg.1577

  • Munchausen’s syndrome or pure self-mutilation? A case of self-inflicted tendon injury
    Burak Kaya, Servet Elcin Alpat, Mehmet Sonmez, Cem Cerkez, Savas Serel
    Hand Microsurg. 2014; 3(3): 83-86
    » Abstract » doi: 10.5455/handmicrosurg.172607

  • Radial nerve grafting in high energy humeral fractures
    Yusuf Gürbüz, Tahir Sadık Sügün, Kemal Özaksar, Murat Kayalar, Tulgar Toros, İbrahim Kaplan
    Hand Microsurg. 2012; 1(2): 60-64
    » Abstract » doi: 10.2399/emd.12.58077

  • The utility of onion extract gel containing topical allantoin and heparin after surgical treatment of upper extremity burn scars
    Mehmet Ihsan Okur, Alpagan Mustafa Yildirim, Bilsev Ince
    Hand Microsurg. 2014; 3(3): 74-79
    » Abstract » doi: 10.5455/handmicrosurg.172436

  • Most Downloaded
    Top Downloaded Articles

  • Bone island and hand involvement – A short review
    Ganesh Singh Dharmshaktu, Binit Singh
    Hand Microsurg. 2018; 7(2): 93-97
    » Abstract » doi: 10.5455/handmicrosurg.258665

  • Lipofibromatous hamartoma of the digital nerve: A case report
    Emin Sir, Alper Aksoy
    Hand Microsurg. 2018; 7(1): 45-48
    » Abstract » doi: 10.5455/handmicrosurg.255406

  • Love sign’s love for glomus tumor
    Ankit Shukla, Varun Verma, Roshni Shukla, Rajesh Chaudhary, Saurab Sharma, Sajid Mohammad
    Hand Microsurg. 2018; 7(2): 105-108
    » Abstract » doi: 10.5455/handmicrosurg.279749

  • Synovial chondromatosis of the wrist
    Murat Kayalar, Abuzer Uludag, Basak Doganavsargil Yakut, Ahmet Savran
    Hand Microsurg. 2018; 7(2): 109-111
    » Abstract » doi: 10.5455/handmicrosurg.269392

  • The three bony point relationship of the elbow-Why is there still a lack of consensus?
    Supreeth Nekkanti, Dama Kondaiah Naidu, Jasmine Sebastin, Kamal Prasad, Mohan Yeshwanth, Archana Meka
    Hand Microsurg. 2018; 7(2): 79-82
    » Abstract » doi: 10.5455/handmicrosurg.291476

  • Most Cited Articles
    Most Cited Articles