Osteonecrosis of the femoral head: Part 2-Options for treatment

被引:51
作者
Parsons, Samuel J. [1 ]
Steele, Niall [2 ]
机构
[1] Univ Hosp N Staffordshire NHS Trust, N Staffordshire Royal Infirm, Stoke On Trent ST54 7LN, Staffs, England
[2] Robert Jones & Agnes Hunt Orthopaed Hosp, Oswestry SY10 7AG, Shrops, England
来源
CURRENT ORTHOPAEDICS | 2008年 / 22卷 / 05期
关键词
Osteonecrosis; Hip; Treatment;
D O I
10.1016/j.cuor.2008.07.009
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
The management of osteonecrosis of the hip is evolving but remains challenging. As the patients are typically younger, it remains imperative to preserve the femoral. head for as Long as is possible. When arthroplasty is indicated, the need for longevity of implants and bearing surfaces is paramount. Developments in bone biology, the use of appropriate pharmacology, improved implant design, better bearing surfaces and appropriate choice of implant fixation should all improve the historically poorer results seen with arthroplasty in osteonecrosis patients. (C) 2008 Etsevier Ltd. All rights reserved.
引用
收藏
页码:349 / 358
页数:10
相关论文
共 45 条
[1]
Efficacy of alendronate, a bisphosphonate, in the treatment of AVN of the hip. A prospective open-label study [J].
Agarwala, S ;
Jain, D ;
Joshi, VR ;
Sule, A .
RHEUMATOLOGY, 2005, 44 (03) :352-359
[2]
Arlet J, 1964, REV RHUMAT, V31, P257
[3]
Systemic alendronate prevents resorption of necrotic bone during revascularization.: A bone chamber study in rats -: art. no. 19 [J].
Åstrand, J ;
Aspenberg, P .
BMC MUSCULOSKELETAL DISORDERS, 2002, 3 (1) :1-5
[4]
Beaulé PE, 2001, CLIN ORTHOP RELAT R, P104
[5]
Viability of femoral heads treated with resurfacing arthroplasty [J].
Campbell, P ;
Mirra, J ;
Amstutz, HC .
JOURNAL OF ARTHROPLASTY, 2000, 15 (01) :120-122
[6]
Spontaneous resolution of osteonecrosis of the femoral head [J].
Cheng, EY ;
Thongtrangan, I ;
Laorr, A ;
Saleh, KJ .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2004, 86A (12) :2594-2599
[7]
Steroid-induced adipogenesis in a pluripotential cell line from bone marrow [J].
Cui, Q ;
Wang, GJ ;
Balian, G .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1997, 79A (07) :1054-1063
[8]
Cui QJ, 1997, CLIN ORTHOP RELAT R, P8
[9]
Treatment of osteonecrosis of the femoral head with implantation of autologous bone-marrow cells - A pilot study [J].
Gangji, V ;
Hauzeur, JP ;
Matos, C ;
De Maertelaer, V ;
Toungouz, M ;
Lambermont, M .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2004, 86A (06) :1153-1160
[10]
Ganz R, 1983, Hip, P296