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Management of Femoral Head Osteonecrosis: Current Concepts

Overview
Journal Indian J Orthop
Publisher Springer Nature
Specialty Orthopedics
Date 2015 Jan 17
PMID 25593355
Citations 68
Authors
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Abstract

Osteonecrosis of femoral head (ONFH) is a disabling condition of young individuals with ill-defined etiology and pathogenesis. Remains untreated, about 70-80% of the patients progress to secondary hip arthritis. Both operative and nonoperative treatments have been described with variable success rate. Early diagnosis and treatment is the key for success in preserving the hip joint. Once femoral head collapses (>2 mm) or if there is secondary degeneration, hip conservation procedures become ineffective and arthroplasty remains the only better option. We reviewed 157 studies that evaluate different treatment modalities of ONFH and then a final consensus on treatment was made.

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References
1.
Bozic K, Zurakowski D, Thornhill T . Survivorship analysis of hips treated with core decompression for nontraumatic osteonecrosis of the femoral head. J Bone Joint Surg Am. 1999; 81(2):200-9. DOI: 10.2106/00004623-199902000-00007. View

2.
Aaron R, STEINBERG M . Electrical stimulation of osteonecrosis of the femoral head. Semin Arthroplasty. 1991; 2(3):214-21. View

3.
Hernigou P, Beaujean F, Lambotte J . Decrease in the mesenchymal stem-cell pool in the proximal femur in corticosteroid-induced osteonecrosis. J Bone Joint Surg Br. 1999; 81(2):349-55. DOI: 10.1302/0301-620x.81b2.8818. View

4.
Konishiike T, Makihata E, TAGO H, Sato T, Inoue H . Acute fracture of the neck of the femur. An assessment of perfusion of the head by dynamic MRI. J Bone Joint Surg Br. 1999; 81(4):596-9. DOI: 10.1302/0301-620x.81b4.9013. View

5.
Wang G, Cui Q, Balian G . The Nicolas Andry award. The pathogenesis and prevention of steroid-induced osteonecrosis. Clin Orthop Relat Res. 2000; (370):295-310. DOI: 10.1097/00003086-200001000-00030. View