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Core decompression and alendronate treatment of the osteonecrotic rat femoral head: computer‐assisted analysis
Authors:Eli Peled  Jacob Bejar  Michal Barak  Eyal Orion  Doron Norman
Institution:1. Department of Orthopedic Surgery B, The Bruce Rappaport Faculty of Medicine, Technion‐Israel Institute of Technology, , Haifa, Israel;2. Department of Pathology, Bnai Zion Medical Center, The Bruce Rappaport Faculty of Medicine, Technion‐Israel Institute of Technology, , Haifa, Israel;3. Department of Anesthesiology, Rambam Health Care Campus, The Bruce Rappaport Faculty of Medicine, Technion‐Israel Institute of Technology, , Haifa, Israel
Abstract:Femoral head avascular necrosis is a process leading to femoral head deformity and osteoarthritic changes in the hip joint. Alendronate slows down bone resorption and remodelling in rats, while core decompression hastens the healing processes. We evaluated the influence of daily alendronate treatment on the rat femoral head shape after surgical osteonecrosis with core decompression, compared with controls. No differences were found in shape factor and femoral head height/length ratios. It was concluded that alendronate treatment slows down the process of replacing osteonecrotic bone by new bone and prevents early immature new bone collapse resulting from early revascularization because of core decompression.
Keywords:alendronate  avascular necrosis  core decompression  femoral head  morphometry  rat model
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