Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 윤병호 | * |
dc.date.accessioned | 2022-07-14T16:31:02Z | - |
dc.date.available | 2022-07-14T16:31:02Z | - |
dc.date.issued | 2022 | * |
dc.identifier.issn | 0883-5403 | * |
dc.identifier.other | OAK-31645 | * |
dc.identifier.uri | https://dspace.ewha.ac.kr/handle/2015.oak/261530 | - |
dc.description.abstract | Background: The Association Research Circulation Osseous developed a novel classification for early-stage (precollapse) osteonecrosis of the femoral head (ONFH). We hypothesized that the novel classification is more reliable and valid when compared to previous 3 classifications: Steinberg, modified Kerboul, and Japanese Investigation Committee classifications. Methods: In the novel classification, necrotic lesions were classified into 3 types: type 1 is a small lesion, where the lateral necrotic margin is medial to the femoral head apex; type 2 is a medium-sized lesion, with the lateral necrotic margin being between the femoral head apex and the lateral acetabular edge; and type 3 is a large lesion, which extends outside the lateral acetabular edge. In a derivation cohort of 40 early-stage osteonecrotic hips based on computed tomography imaging, reliabilities were evaluated using kappa coefficients, and validities to predict future femoral head collapse by chi-squared tests and receiver operating characteristic curve analyses. The predictability for future collapse was also evaluated in a validation cohort of 104 early-stage ONFH. Results: In the derivation cohort, interobserver reliability (k = 0.545) and intraobserver agreement (63%-100%) of the novel method were higher than the other 3 classifications. The novel classification system was best able to predict future collapse (P < .05) and had the best discrimination between non-progressors and progressors in both the derivation cohort (area under the curve = 0.692 [0.522-0.863], P < .05) and the validation cohort (area under the curve = 0.742 [0.644-0.841], P = 2.46 × 10−5). Conclusion: This novel classification is a highly reliable and valid method of those examined. Association Research Circulation Osseous recommends using this method as a unified classification for early-stage ONFH. Level of Evidence: Level III, diagnostic study. © 2022 Elsevier Inc. | * |
dc.language | English | * |
dc.publisher | Elsevier B.V. | * |
dc.subject | avascular necrosis | * |
dc.subject | classification | * |
dc.subject | femoral head | * |
dc.subject | location | * |
dc.subject | osteonecrosis | * |
dc.subject | size | * |
dc.title | The 2021 Association Research Circulation Osseous Classification for Early-Stage Osteonecrosis of the Femoral Head to Computed Tomography–Based Study | * |
dc.type | Article | * |
dc.relation.issue | 6 | * |
dc.relation.volume | 37 | * |
dc.relation.index | SCIE | * |
dc.relation.index | SCOPUS | * |
dc.relation.startpage | 1074 | * |
dc.relation.lastpage | 1082 | * |
dc.relation.journaltitle | Journal of Arthroplasty | * |
dc.identifier.doi | 10.1016/j.arth.2022.02.009 | * |
dc.identifier.wosid | WOS:000803010300015 | * |
dc.identifier.scopusid | 2-s2.0-85125719495 | * |
dc.author.google | Koo K.-H. | * |
dc.author.google | Mont M.A. | * |
dc.author.google | Cui Q. | * |
dc.author.google | Hines J.T. | * |
dc.author.google | Yoon B.-H. | * |
dc.author.google | Novicoff W.M. | * |
dc.author.google | Lee Y.J. | * |
dc.author.google | Cheng E.Y. | * |
dc.author.google | Drescher W. | * |
dc.author.google | Hernigou P. | * |
dc.author.google | Kim S.-Y. | * |
dc.author.google | Sugano N. | * |
dc.author.google | Zhao D.-W. | * |
dc.author.google | Ha Y.-C. | * |
dc.author.google | Goodman S.B. | * |
dc.author.google | Sakai T. | * |
dc.author.google | Jones L.C. | * |
dc.author.google | Lee M.S. | * |
dc.author.google | Yamamoto T. | * |
dc.author.google | Lee Y.-K. | * |
dc.author.google | Kang Y. | * |
dc.author.google | Burgess J. | * |
dc.author.google | Chen D. | * |
dc.author.google | Quinlan N. | * |
dc.author.google | Xu J.Z. | * |
dc.author.google | Park J.-W. | * |
dc.author.google | Kim H.-S. | * |
dc.contributor.scopusid | 윤병호(15078729100) | * |
dc.date.modifydate | 20240315141233 | * |