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Orthopaedic Proceedings
Vol. 94-B, Issue SUPP_VIII | Pages 37 - 37
1 Mar 2012
Huang WT Chen CJ Chang HJ Chung FY Lin SR Chen YF Wang GJ
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Introduction

Osteonecrosis (ON) is a disease that ultimately results in bone collapse. We investigated the correlation between SNPs and osteonecrosis.

Methods

In this study, 109 patients with systematic lupus erythematosus (SLE) (21 with and 88 without osteonecrosis) were collected for genotype analysis of 7 genes including VEGF, MTHFR, eNOS, and PAI-1 related to the blood system and BMP2 and PPARĪ³-2, genes that regulate the differentiation of bone marrow stromal cells.


Orthopaedic Proceedings
Vol. 94-B, Issue SUPP_VIII | Pages 9 - 9
1 Mar 2012
Wang GJ Hou SM Chang CH Lai KA Chang JK Chen CH Lac LT Lei WY
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Introduction

Osteonecrosis (ON) is one of the most debilitating skeletal disorders. Most patients with ON of the femoral head eventually require surgery, usually total hip arthroplasty, within a few years of disease onset. Previous reports have shown that alendronate reduces osteoclastic activity and reduces the incidence of femoral head collapse in osteonecrotic hips. A randomized study to examine the ability of alendronate to delay or prevent femoral head collapse was performed.

Methods

From June 2005 to December 2006, sixty four patients were enrolled and randomly assigned to alendronate or placebo. Five patients were excluded from the analysis because of their failure to adhere to the study protocol. Disease progression was evaluated using radiographs and magnetic resonance imaging (MRI).