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Surgical Technique: Trapdoor Procedure for Avascular Necrosis

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Hip Arthroscopy and Hip Joint Preservation Surgery

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Abstract

Avascular necrosis is a debilitating disease that often leads to degeneration of the hip joint and the need for total hip arthroplasty. Several risk factors have been identified, but the etiology and pathogenesis of this disease are incompletely understood. The treatment of avascular necrosis is based on the disease stage, and preservation of the femoral head is the ultimate goal of treating cases without extensive collapse of the femoral head and resultant hip osteoarthritis. The trapdoor procedure is a nonvascularized bone grafting technique, and the rationale for its use is to remove the necrotic bone under direct visualization and replace it with cancellous autograft which may stimulate bone formation and support the subchondral bone and articular cartilage of the femoral head. Although there is a paucity of studies assessing the trapdoor procedure and its results, it has been reported that it may delay or prevent total hip replacement in patients with avascular necrosis.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, SP, Brazil

    Flávio L. Garcia

  2. Rush-IBTS International Fellowship Program, Rush University Medical Center, Chicago, IL, USA

    Flávio L. Garcia

Authors
  1. Flávio L. Garcia
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Correspondence to Flávio L. Garcia .

Editor information

Editors and Affiliations

  1. Department of Orthopedic Surgery, Rush University Medical Center, Chicago, IL, USA

    Shane J. Nho

  2. Department of Orthopedic Surgery, University of Michigan, Ann Arbor, MI, USA

    Bedi Asheesh

  3. Department of Orthopedic Surgery, Case Western Reserve University, Cleveland, OH, USA

    Michael J. Salata

  4. Department of Orthopedic Surgery, Duke Medical Center, Durham, NC, USA

    Richard C. Mather III

  5. Department of Orthopedic Surgery, Weill Medical College of Cornell Univers, New York, NY, USA

    Bryan T. Kelly

Section Editor information

  1. Department of Orthopedic Surgery, Henry Ford Health System and School of Medicine, Wayne State University, Detroit, MI, USA

    Eric C. Makhni

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Garcia, F.L. (2021). Surgical Technique: Trapdoor Procedure for Avascular Necrosis. In: Nho, S.J., Asheesh, B., Salata, M.J., Mather III, R.C., Kelly, B.T. (eds) Hip Arthroscopy and Hip Joint Preservation Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-7321-3_177-1

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  • DOI: https://doi.org/10.1007/978-1-4614-7321-3_177-1

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-7321-3

  • Online ISBN: 978-1-4614-7321-3

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