Core decompression in early stages of femoral head osteonecrosis – an MRI-controlled study
نویسندگان
چکیده
منابع مشابه
Core decompression for early atraumatic osteonecrosis of the femoral head.
We performed 41 core decompressions in 32 patients for stage I or stage II osteonecrosis of the femoral head. The intra-osseous pressure at the intertrochanteric level was raised in 28 (68%) and there was histological confirmation of necrosis in 36 hips (88%). After a follow-up of 10 to 84 months (mean 31) nine of the 12 stage I hips (75%) showed significant clinical or radiological deteriorati...
متن کاملPreventing collapse in early osteonecrosis of the femoral head. A randomised clinical trial of core decompression.
We performed a randomised trial on 37 hips (33 patients) with early-stage osteonecrosis (ON). After the initial clinical evaluation, including plain radiography and MRI, 18 hips were randomly assigned to a core-decompression group and 19 to a conservatively-treated group. All the patients were regularly followed up by clinical evaluation, plain radiography and MRI at intervals of three months. ...
متن کاملTreatment of Femoral Head Osteonecrosis (Stages 2B, 3 Ficat) Through Open Direct Core Decompression by Allograft Impaction and Light Bulb Technique
Background: Femoral head avascular necrosis is the cause of paralyzing status of youth population. Initial diagnosisis the main element in treating the disease. Bone grafting and core decompression are the approved cures at the earlysteps of the disease. Hip replacement in a total manner is the common cure in the final stages. The optimal treatment inthe intermediate stages is...
متن کاملPrevention of Femoral Head Collapse In Osteonecrosis of Femoral Head by Core Decompression and Autologous Bone Marrow Aspirate Concentrate
Objective :The objective of this study is preserving the joint by preventing the collapse of femoral head in Osteonecrosis of femoral head (ONFH) Methods :In this study patients with early ONFH are treated with core decompression and augmented with bone marrow aspirate concentrate spread on a collagen scaffold . Results : Core decompression augmented with bone marrow aspirate concentrate seems ...
متن کاملOsteonecrosis of the femoral head: a prospective study with MRI.
We performed a prospective study using MRI to evaluate early necrosis of the femoral head in 48 patients receiving high-dose corticosteroids for the treatment of various autoimmune-related disorders. The mean interval from the initiation of corticosteroid therapy to the first MRI examination was 2 months (0.5 to 6). MRI was repeated, and the mean period of follow-up was 31 months (24 to 69). Ab...
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ژورنال
عنوان ژورنال: International Orthopaedics
سال: 2002
ISSN: 0341-2695,1432-5195
DOI: 10.1007/s00264-001-0311-7