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Hip preserving procedures for osteonecrosis of the femoral head after collapse
Institution:1. Cermik State Hospital, Department of Orthopedics and Traumatology, Diyarbak?r Turkey;2. Hacettepe University Hospital, Department of Orthopedics and Traumatology, Ankara Turkey;1. Department of Orthopaedics, All India Institute of Medical Sciences, Rishikesh, India;2. Department of Orthopaedics, All India Institute of Medical Sciences, Bathinda, 151001, Punjab, India;3. Department of Orthopaedics, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, 249001, India;1. Department of Orthopaedics and Joint Replacement Surgery, Indraprastha Apollo Hospitals, Sarita Vihar, New Delhi, 110076, India;2. Department of Radiodiagnosis and Imaging, Indraprastha Apollo Hospitals, Sarita Vihar, New Delhi, 110076, India;3. PET SUITE (Indraprastha Apollo Hospitals and House of Diagnostics), Department of Molecular Imaging and Nuclear Medicine, Indraprastha Apollo Hospital, Sarita Vihar, New Delhi, 110076, India;1. Department of Musculoskeletal Imaging, Royal Orthopaedic Hospital, Birmingham, UK;2. Department of Spinal Surgery, Royal Orthopaedic Hospital, Birmingham, UK;1. Gleneagles Global Health City, Chennai, India;2. Department of Spine Surgery, Sri Ramachandra Institute of Higher Education and Research, Chennai, India
Abstract:Osteonecrosis of the femoral head (ONFH) affects mainly young patients and causes secondary hip osteoarthritis if remains untreated. Several operative treatments have been introduced with successful outcomes in the early stages. However, in late stages of ONFH treatment may be challenging due to the progressive nature of disease and many surgeons prefer arthroplasty option after collapse. Considering the size, age and etiology an effort should be made to preserve hip joint selected patients with early collapse or minimal arthritic changes. The purpose of the current review is to discuss the results of joint preserving procedures for late stages of ONFH.
Keywords:Osteonecrosis  Avascular necrosis  Hip preservation
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