EVIDENCE BASED MANAGEMENT OF FEMORAL HEAD OSTEONECROSIS

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Sujit Kumar Tripathy
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Evidence based medicine
EVIDENCE BASED MANAGEMENT OF FEMORAL HEAD OSTEONECROSIS

Early diagnosis and treatment is essential for the preservation of the hip joint in osteonecrosis of the femoral head. In advanced femoral head collapse (>2mm), hip preserving procedures are less effective and arthroplasty has a better outcome.

The article was published by
El artículo fue publicado por

Indian Journal of Orthopaedics
Volume / Volumen: 49
Number / Número: 1
First and last pages / Páginas inicial-final: 28-45
Year / Año: 2015
Month / Mes: january

This journal, which is covered by SIIC Data Bases,
is part of the bibliographic collections of the Biblioteca Biomédica (BB) SIIC.
Esta revista, clasificada por SIIC Data Bases,
integra el acervo bibliográfico de la Biblioteca Biomédica (BB) SIIC.

Principal institution where the research took place
Institución principal de la investigación
All India Institute of Medical Sciences, Bhubaneswar, Bhubaneswar, Odisha, India

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Actualización sobre el tratamiento de la osteonecrosis de la cabeza femoral

El diagnóstico precoz y el tratamiento son esenciales para preservar la articulación de la cadera en la osteonecrosis de la cabeza femoral. En el colapso femoral avanzado (> 2 mm), los procedimientos conservadores son menos eficaces y la artroplastia se asocia con mejor evolución.

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Bibliographic references
Referencias bibliográficas

1. Assouline-Dayan Y, Chang C, Greenspan A, Shoenfeld Y, Gershwin ME. Pathogenesis and natural history of osteonecrosis. Semin Arthritis Rheum 2002;32:94-124.
2. Fordyce MJ, Solomon L. Early detection of avascular necrosis of the femoral head by MRI. J Bone Joint Surg Br 1993;75:365-7.
3. Ficat RP. Idiopathic bone necrosis of the femoral head. Early diagnosis and treatment. J Bone Joint Surg Br 1985;67:3-9.
4. Banerjee S, Issa K, Pivec R, Kapadia BH, Khanuja HS, Mont MA. Osteonecrosis of the hip: Treatment options and outcomes. Orthop Clin North Am 2013;44:463-76.
5. Mont MA, Zywiel MG, Marker DR, McGrath MS, Delanois RE. The natural history of untreated asymptomatic osteonecrosis of the femoral head: A systematic literature review. J Bone Joint Surg Am 2010;92:2165-70.
6. Agarwala S, Shah SB. Ten-year follow-up of avascular necrosis of femoral head treated with alendronate for 3 years. J Arthroplasty 2011;26:1128-34.
7. Tripathy SK, Sen RK, Goyal T. Management of femoral head osteonecrosis: current concept. Indian J Orthop 2015;49: 28-45.
8. Wang CJ, Wang FS, Huang CC, Yang KD, Weng LH, Huang HY. Treatment for osteonecrosis of the femoral head: Comparison of extracorporeal shock waves with core decompression and bone-grafting. J Bone Joint Surg Am 2005;87:2380-7.
9. Marker DR, Seyler TM, Ulrich SD, Srivastava S, Mont MA. Do modern techniques improve core decompression outcomes for hip osteonecrosis? Clin Orthop Relat Res 2008;466:1093-103.
10. Varitimidis SE, Dimitroulias AP, Karachalios TS, Dailiana ZH, Malizos KN. Outcome after tantalum rod implantation for treatment of femoral head osteonecrosis: 26 hips followed for an average of 3 years. Acta Orthop 2009;80:20-5.
11. Floerkemeier T, Thorey F, Daentzer D, Lerch M, Klages P, Windhagen H, et al. Clinical and radiological outcome of the treatment of osteonecrosis of the femoral head using the osteonecrosis intervention implant. Int Orthop 2011;35:489-95.
12. Fang T, Zhang EW, Sailes FC, McGuire RA, Lineaweaver WC, Zhang F. Vascularized fibular grafts in patients with avascular necrosis of femoral head: A systematic review and meta-analysis. Arch Orthop Trauma Surg 2013;133:1-10.
13. Eward WC, Rineer CA, Urbaniak JR, Richard MJ, Ruch DS. The vascularized fibular graft in precollapse osteonecrosis: Is long-term hip preservation possible? Clin Orthop Relat Res 2012;470:2819-26.
14. Johannson HR, Zywiel MG, Marker DR, Jones LC, McGrath MS, Mont MA. Osteonecrosis is not a predictor of poor outcomes in primary total hip arthroplasty: A systematic literature review. Int Orthop 2011;35:465-73

Other articles written by the author Sujit Kumar Tripathy
Otros artículos de Sujit Kumar Tripathy

Sen RK, Kumar A, Tripathy SK, Aggarwal S, Singh P, Manoharan SR. Risk of postoperative venous thromboembolism in Indian patients sustaining Pelvi-acetabular trauma. International Orthopaedics (SICOT) 35(7):1057-1063, 2011.
Sen RK, Tripathy SK, Gill SS, Singh P, Radotra BD. Prediction of post-traumatic avascular necrosis of femoral head by quantitative intraosseus aspirate and core biopsy analysis: a prospective study. Acta Orthop Belgica 76(4):486-92, 2010.
Sen RK, Tripathy SK, Aggarwal S, Tamuk T. Posterior wall reconstruction using iliac-crest-strut graft in severely comminuted posterior acetabular wall fracture. Int Orthop 35(8):1223-8, 2011.
Sen RK, Tripathy SK, Aggarwal S, Sharma RR. Effect of bone marrow mononuclear cells instillation along with core decompression in avascular necrosis of femoral head: a randomized control study. J Arthroplasty 27(5):679-686, 2012.
Dhatt S, Tahasildar N, Tripathy SK, Bahadur R, Dhillon MS. Outcome of spinal decompression in Cauda Equina syndrome presenting late in developing countries: case series of 50 cases. Eur Spine J 20(12):2235-9, 2011.
Sen RK, Tripathy SK, Krishnan V. Role of corticosteroid as a prophylactic measure in fat embolism syndrome: a literature review. Musculoskelet Surg 96(1):1-8, 2012.
Tripathy SK, Saini R, Sudesh P, Dhillon MS, Gill SS, Sen RK, Dhatt S, Agarwal A, Mootha A. Application of Ponseti principle for deformity correction in neglected and relapsed club foot using Ilizarov fixator. J Ped Orthop B 20(1):26-32, 2011.
Sen RK, Tripathy SK, Kumar A. Is routine thromboprophylaxis justified among Indian patients sustaining major orthopaedic trauma. Ind J Orthop 45(3):197-207, 2011.
Sen RK, Tripathy SK, Goyal T, Aggarwal S, Tahasildar N, Singh D, Singh AK. Osteosynthesis of femoral neck nonunion with angle blade plate and autogenous fibular graft. Int Orthop 36(4):827-32, 2012.
Naik MA, Arora G, Tripathy SK, Sujir P, Rao SK. Clinical and radiological outcome of percutaneous plating in extra-articular proximal tibia fractures: a prospective study. Injury 44(8):1081-6, 2013.

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The authors' report was accepted on La crónica del autor fue aprobada el 2023, october 14	Published in siicsalud Publicado en siicsalud 2024, january 12

The article is strictly related to the following sections of siicsalud
El artículo se relaciona estrictamente con las siguientes secciones de siicsalud

Osteoporosis and Bone Disorders
/ Osteoporosis y Osteopatías Médicas

Orthopedics and Traumatology
/ Ortopedia y Traumatología

and secondarily related to the following sections
y secundariamente con las siguientes secciones

Geriatrics
Geriatría

Sports Medicine
Medicina Deportiva

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Management of Femoral Head Osteonecrosis: Current Concepts

Author / Autor
Sujit Kumar Tripathy¹, Ramesh Kumar Sen², Chandrakanta Nayak³, Ramesh Kumar Sen⁴, Chandrakanta Nayak⁵

5 Dr, All India Institute Of Medical Sciences, Bhubaneswar, Registrar

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Indian Journal of Orthopaedics

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