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Ann Rheum Dis 2000;59:817-821 ( October )

Extended report

Bilateral hip osteonecrosis: influence of hip size on outcome Ph Hernigou, J C Lambotte

Service de Chirurgie Orthopedique, Hôpital Henri Mondor, 51 avenue de Lattre de Tassigny, 94010 Creteil, France

Correspondence to: Professor Hernigou

Accepted for publication 28 March 2000

OBJECTIVE---To measure the volume of osteonecrosis in 30 patients with disease in both hips (one side with collapse and the other without at Ficat stage I).
METHOD---The volume of the osteonecrosis was measured by magnetic resonance imaging.
RESULTS---The progression to collapse was influenced by the size of the lesion in each patient. The first collapsed hip was that with the largest volume of osteonecrosis.
CONCLUSION---The volume of the osteonecrotic lesion on the second hip (stage I without collapse) is a good predictor of the time to collapse of this second hip.

© 2000 by Annals of the Rheumatic Diseases


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