Osteonecrosis of Femoral Head: Efficacy of Core Decompression and Non Vascularised Fibular Graft
نویسندگان
چکیده
منابع مشابه
Vascularised fibular graft in the management of femoral head osteonecrosis: twenty years later.
The management of osteonecrosis of the femoral head ranges from symptomatic therapy to total hip replacement. Conservative treatment is effective only in small, early-stage lesions. Free vascularised fibular grafting has provided more consistently successful results than any other joint-preserving method. It supports the collapsing subchondral plate by primary callus formation, reduces intra-os...
متن کاملFree vascularised fibular graft for post-traumatic osteonecrosis of the femoral head in teenage patients.
Free vascularised fibular grafting has been reported to be successful for adult patients with osteonecrosis of the femoral head (ONFH). However, its benefit in teenage patients with post-traumatic ONFH has not been determined. We evaluated the effectiveness of free vascularised fibular grafting in the treatment of this condition in children and adolescents. We retrospectively analysed 28 hips i...
متن کاملCore 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 کاملSubchondral Insufficiency Fracture of the Femoral Head Treated with Core Decompression and Bone Void Filler Support
Subchondral insufficiency fracture of the femoral head (SIFFH) is characterized by acute onset hip pain without overt trauma. It appears as a low intensity band with bone marrow edema on T1-weighted MRI. The most common course of treatment is protected weight bearing for a period of several weeks. Total hip arthroplasty (THA) has been commonly used if the patient does not respond to the initial...
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 ...
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ژورنال
عنوان ژورنال: IOSR Journal of Dental and Medical Sciences
سال: 2016
ISSN: 2279-0861,2279-0853
DOI: 10.9790/0853-150728389