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Forage Biopsy plus Autologous Bone Grafting: Indications and Limits

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Avascular Necrosis of the Femoral Head: Current Trends

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Abstract

Avascular necrosis (AVN) of the femoral head is the end point of a variety of disease processes, resulting in decreased blood flow and eventual destruction of the hip joint [1]. It affects mostly young patients in the 3rd, 4th, and 5th decades of life. Between 10,000 and 20,000 new cases of AVN of the femoral head are diagnosed each year in the United States. The average age of all patients undergoing total hip arthroplasty (THA) is 66 years, whereas the average age for patients with AVN undergoing THA is 40 years [2]. Due to the relatively young age of onset, these patients are often subjected to multiple surgical procedures during their lifetime, and because their disability occurs during their prime working years, social costs to the community are high. For these reasons, the economic impact of AVN is much greater than the absolute numbers suggest.

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References

  1. Hungerford DS (1995) Treatment of avascular necrosis in the young patient. Orthopedics 18:822–823

    CAS  PubMed  Google Scholar 

  2. Hungerford DS (2002) Osteonecrosis: avoiding total hip arthroplasty. J Athroplasty 17 [Suppl 1]:121–124

    Article  Google Scholar 

  3. Steinberg ME, Hayken GD, Steinberg DR (1984) The “conservative” management of avascular necrosis of the femoral head. In: Arlet J, Ficat PR, Hungerford DS (eds) Bone circulation. Williams and Wilkins, Baltimore, pp 334–337

    Google Scholar 

  4. Bradway JK, Morrey BF (1993) The natural history of the silent hip in bilateral atraumatic osteonecrosis. J Arthroplasty 8:383–387

    Article  CAS  PubMed  Google Scholar 

  5. Xenakis TA, Beris AE, Malizos KK et al (1997) Total hip arthroplasty for avascular necrosis and degenerative osteoarthritis of the hip. Clin Orthop 341:62–68

    PubMed  Google Scholar 

  6. Saito S, Saito M, Nishina T et al (1989) Long-term results of total hip arthroplasty for osteonecrosis of the femoral head. A comparison with osteoarthritis. Clin Orthop 244:198–207

    PubMed  Google Scholar 

  7. Salvati EA, Cornell CN (1988) Long-term follow-up of total hip replacement in patients with avascular necrosis. Instr Course Lect 37:67–73

    CAS  PubMed  Google Scholar 

  8. Ohzono K, Saito M, Takaoka K et al (1991) Natural history of nontraumatic avascular necrosis of the femoral head. J Bone Joint Surg Br 73:68–72

    CAS  PubMed  Google Scholar 

  9. Mont MA, Hungerford DS (1995) Current concepts review. Non-traumatic avascular necrosis of the femoral head. J Bone Joint Surg Am 77:459–474

    CAS  PubMed  Google Scholar 

  10. Koo KH, Kim R, Ko GH et al (1995) Preventing collapse in early osteonecrosis of the femoral head. A randomised clinical trial of core decompression. J Bone Joint Surg Br 77:870–874

    CAS  PubMed  Google Scholar 

  11. Kristensen KD, Pedersen NW, Kiaer T, Starklint H (1991) Core decompression in femoral head osteonecrosis. 18 stage I hips followed up for 1-5 years. Acta Orthop Scand 62:113–114

    Article  CAS  PubMed  Google Scholar 

  12. Lausten GS, Mathiesen B (1990) Core decompression for femoral head necrosis. Prospective study of 28 patients. Acta Orthop Scand 61:507–511

    Article  CAS  Google Scholar 

  13. Learmonth ID, Maloon S, Dali G (1990) Core decompression for early atraumatic osteonecrosis of the femoral head. J Bone Joint Surg Br 72:387–390

    CAS  PubMed  Google Scholar 

  14. Steinberg ME, Larcom PG, Strafford B et al (2001) Core decompression with bone grafting for osteonecrosis of the femoral head. Clin Orthop 386:71–78

    Article  PubMed  Google Scholar 

  15. Arlet J, Ficat P (1964) Forage-biopsie de la tête fémorale dans l’ostéonécrose primitive. Observations histo-pathologiques portant sur huit forages. Rev Rhum 31:257–264

    Google Scholar 

  16. Hungerford DS, Lennox DW (1990) Diagnosis and treatment of ischemic necrosis of the femoral head. In: McEvarts C (ed) Surgery of the musculoskeletal system, 2nd edn, Vol. 3. Churchill Livingstone, New York, pp 2757–2794

    Google Scholar 

  17. Hopson CN, Siverhus SW (1988) Ischemic necrosis of the femoral head. Treatment by core decompression. J Bone Joint Surg Am 70:1048–1051

    CAS  PubMed  Google Scholar 

  18. Malizos KN, Soucacos PN, Beris AE (1995) Osteonecrosis of the femoral head: hip salvaging with implantation of vascularized fibular graft. Clin Orthop 314:67–75

    PubMed  Google Scholar 

  19. Eisenschenk A, Lautenbach M, Schwetlick G, Weber U (2001) Treatment of femoral head necrosis with vascularized iliac crest trasplants. Clin Orthop Relat Res 386:110–105

    Article  Google Scholar 

  20. Urbaniak JR, Coogan PG, Gunneson EB, Nunley JA (1995) Treatment of osteonecrosis of the femoral head with free vascularized fibular grafting. A long-term follow-up study of one hundred and three hips. J Bone Joint Surg Am 77:681–694

    CAS  PubMed  Google Scholar 

  21. Mont MA, Fairbank AC, Krackow KA, Hungerford DS (1996) Corrective osteotomy for osteonecrosis of the femoral head. The results of a long-term follow-up study. J Bone Joint Surg Am 78:1032–1038

    CAS  PubMed  Google Scholar 

  22. Siguier T, Siguier M, Judet T et al (2001) Partial resurfacing arthroplasty of the femoral head in avascular necrosis. Clin Orthop Relat Res 386:85–92

    Article  PubMed  Google Scholar 

  23. Musso ES, Mitchell SN, Schink-Ascani M et al (1997) Total hip arthroplasty for avascular necrosis and degenerative osteoarthritis of the hip. Clin Orthop 341:62–68

    Google Scholar 

  24. Bassett CAL (1986) Results of conservative management of osteonecrosis of the femoral head. A retrospective review. Clin Orthop 207:209–215

    Google Scholar 

  25. Mont MA, Carbone JJ, Fairbank AC (1996) Core decompression versus nonoperative management for osteonecrosis of the hip. Clin Orthop 324:169–178

    Article  PubMed  Google Scholar 

  26. Cornell CN, Salvati EA, Pellici PM (1985) Long-term follow up of total hip replacement in patient with osteonecrosis. Orthop Clin North Am 16:757–769

    CAS  PubMed  Google Scholar 

  27. Dorr LD, Luckett M, Conaty JP (1990) Total hip arthroplasties in patient younger than 45 years: a 9-10 year follow up study. Clin Orthop 260:215–219

    PubMed  Google Scholar 

  28. Camp JF, Colwell CW Jr (1986) Core decompression of the femoral head for osteonecrosis. J Bone Joint Surg Am 68:1313–1319

    CAS  PubMed  Google Scholar 

  29. Bozic KJ, Zurakowski D, Thornhill TS (1999) Survivorship analysis of hips treated with core decompression for nontraumatic osteonecrosis of the femoral head. J Bone Joint Surg 81:200–209

    CAS  PubMed  Google Scholar 

  30. Koo K-H, Kim R (1995) Quantifying the extent of osteonecrosis of the femoral head. A new method using MRI. J Bone Joint Surg Br 77:875–880

    CAS  Google Scholar 

  31. Stulberg BN, Davis AW, Bauer TW et al (1991) Osteonecrosis of the femoral head. A prospective randomized treatment protocol. Clin Orthop 268:140–151

    Google Scholar 

  32. Fairbank AC, Bhatia D, Jinnah RH, Hungerford DS (1995) Long-term results of core decompression for ischaemic necrosis of the femoral head. J Bone Joint Surg Br 77:42–49

    CAS  PubMed  Google Scholar 

  33. Aaron RK, Lennox D, Bunce GE, Ebert T (1989) The conservative treatment of osteonecrosis of the femoral head. A comparison of core decompression and pulsing electromagnetic fields. Clin Orthop 249:209–218

    PubMed  Google Scholar 

  34. Lennox DW, Murrah RL, Ebert T, Carbone J (1993) The efficacy and safety of core decompression of the hip as a treatment for osteonecrosis. Complicat Orthop 47:39–42

    Google Scholar 

  35. Steinberg ME, Brighton CT, Steinberg DR et al (1984) Treatment of avascular necrosis of the femoral head by a combination of bone grafting, decompression, and electrical stimulation. Clin Orthop 186:137–153

    PubMed  Google Scholar 

  36. Steinberg ME, Brighton CT, Corces A et al (1989) Osteonecrosis of the femoral head. Results of core decompression and grafting with and without electrical stimulation. Clin Orthop 249:199–208

    PubMed  Google Scholar 

  37. Brown TD, Pedersen DR, Baker KJ, Brand RA (1993) Mechanical consequences of core drilling and bone-grafting on osteonecrosis of the femoral head. J Bone Joint Surg Am 75:1358–1367

    CAS  PubMed  Google Scholar 

  38. Cherian SF, Laorr A, Saleh KJ et al (2003) Quantifying the extent of femoral head involvement in osteonecrosis. J Bone Joint Surg Am 85:309–315

    PubMed  Google Scholar 

  39. Brown TD, Murrah RL, Ebert T, Carbone J (1993) The efficacy and safety of core decompression of the hip as a treatment for osteonecrosis. Complicat Orthop 47:39–42

    Google Scholar 

  40. Bobyn J D, Hacking SA, Chan SP et al (1999) Characterization of a new porous tantalum biomaterial for reconstructive orthopaedics. A Scientific Exhibit at the 66th Annual AAOS, 4–8 February, Anaheim, CA, USA

    Google Scholar 

  41. Lewis R, Unger A, O’Keefe TJ (2003) Monobloc trabecular metal acetabulum: 2 to 5 year results. A Scientific Exhibit at the 70th Annual AAOS, 5–9 February, New Orleans, Louisiana, USA

    Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Orthopaedics and Traumatology, San Pietro Fatebenefratelli Hospital, Rome, Italy

    F. S. Santori & N. Fredella

  2. Department of Orthopaedics and Traumatology, San Giacomo Hospital, Rome, Italy

    N. Santori

  3. Department of Orthopaedics and Traumatology, La Sapienza University, Rome, Italy

    A. Piccinato

  4. Bioarchitecture SRL, Rome, Italy

    M. Tonci Ottieri

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  1. F. S. Santori
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  2. N. Santori
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  3. N. Fredella
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  4. A. Piccinato
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  5. M. Tonci Ottieri
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Editors and Affiliations

  1. San Pietro Fatebenefratelli Hospital, Rome, Italy

    Francesco Saverio Santori

  2. San Giacomo Hospital, Rome, Italy

    Nicola Santori

  3. La Sapienza University, Rome, Italy

    Annarita Piccinato

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© 2004 Springer-Verlag Italia

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Santori, F.S., Santori, N., Fredella, N., Piccinato, A., Tonci Ottieri, M. (2004). Forage Biopsy plus Autologous Bone Grafting: Indications and Limits. In: Santori, F.S., Santori, N., Piccinato, A. (eds) Avascular Necrosis of the Femoral Head: Current Trends. Springer, Milano. https://doi.org/10.1007/978-88-470-2119-8_5

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  • DOI: https://doi.org/10.1007/978-88-470-2119-8_5

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-2172-3

  • Online ISBN: 978-88-470-2119-8

  • eBook Packages: Springer Book Archive

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