9,875 results match your criteria Femoral Head Avascular Necrosis


Extramedullary Motorized Lengthening of the Femur in Young Children.

J Pediatr Orthop 2020 Jun 26. Epub 2020 Jun 26.

Department of Orthopaedic Surgery, Gillette Children's Specialty Healthcare, St. Paul.

Background: Limb lengthening by distraction osteogenesis is now achievable via motorized intramedullary devices, mitigating many complications of lengthening by external fixation. In young patients, antegrade intramedullary nailing of the femur risks avascular necrosis of the femoral head. A method of extramedullary placement of a motorized expandable intramedullary nail has been employed by the senior author to safely achieve femoral lengthening without the use of an external fixator in young patients. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001593DOI Listing

Avascular necrosis of the femoral head due to low-dose corticosteroid used in a patient with panhypopituitarism: A case report and literature review.

Jt Dis Relat Surg 2020 18;31(2):390-394. Epub 2020 Jun 18.

Dışkapı Yıldırım Beyazıt Eğitim ve Araştırma Hastanesi, Endokrinoloji ve Metabolizma Kliniği, 06110 Dışkapı, Ankara, Türkiye.

Osteonecrosis, commonly known as avascular necrosis (AVN) of bone, is one of the universally recognized side effects of high-dose steroids and commonly involves femur head leading to significant morbidity. However, the development of AVN in the femoral head due to low-dose oral corticosteroid therapy in a short time is a rare occurrence. Management by stopping corticosteroid treatment can be challenging in many cases due to the adrenal crisis. Read More

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http://dx.doi.org/10.5606/ehc.2020.72773DOI Listing

Acetabular reaming and sartorius muscle pedicle iliac bone grafting in the treatment of developmental dysplasia of the hip in older children: a retrospective study of 15 patients with more than two years follow-up.

J Child Orthop 2020 Jun;14(3):201-207

Department of Pediatric Surgery, Chinese PLA General Hospital, Beijing, China.

Purpose: Despite the early diagnosis and treatment of developmental dysplasia of the hip (DDH), some older children still need open reduction. It is usually difficult to get a satisfactory reduction particularly in patients with acetabular defect. The purpose of this study was to evaluate the short-term outcomes of acetabulum reaming and sartorius muscle pedicle iliac bone grafting in the treatment of older children with DDH and acetabular defect. Read More

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http://dx.doi.org/10.1302/1863-2548.14.190116DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7302418PMC

Does the size of the femoral head correlate with the incidence of avascular necrosis of the proximal femoral epiphysis in children with developmental dysplasia of the hip treated by closed reduction?

J Child Orthop 2020 Jun;14(3):175-183

Department of Pediatric Orthopaedics, GuangZhou Women and Children's Medical Center, GuangZhou, China.

Purpose: The purpose of this study was to identify if any correlation between size of the proximal femoral epiphysis and avascular necrosis (AVN) exists.

Methods: We retrospectively reviewed 111 patients with developmental dysplasia of the hip treated by closed reduction (124 hips). The diameter and height of both femoral head and ossific nucleus were assessed on preoperative MRI. Read More

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http://dx.doi.org/10.1302/1863-2548.14.190176DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7302414PMC

H subtype vascular endothelial cells in human femoral head: an experimental verification.

Ann Palliat Med 2020 Jun 22. Epub 2020 Jun 22.

Department of Orthopedics, China-Japan Friendship Hospital, National Health and Family Planning Commission of the People's Republic of China, Beijing, China.

Background: Osteonecrosis of the femoral head (ONFH) is difficult to treat, and leads to an impaired microcirculation of the femoral head and activation of a repair response. The type H vessels have been proved to mediate the growth of the bone vasculature and couple angiogenesis to osteogenesis. The aim of the study is to investigate the experimental verification of H subtype vascular endothelial cells (HSVECs) in the human femoral head. Read More

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http://dx.doi.org/10.21037/apm-20-121DOI Listing

Letter regarding "Popere et al. A cross sectional study of outcomes of muscle pedicle grafting in neck of femur fractures and avascular necrosis of femoral head. Injury.2020. Doi.org/10.1016/j.injury.2020.04.026.

Injury 2020 Jun 15. Epub 2020 Jun 15.

Department of Orthopaedic Surgery, Teikyo University Chiba Medical Center, 3426-3 Anesaki, Ichihara, Chiba 299-0111, Japan. Electronic address:

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http://dx.doi.org/10.1016/j.injury.2020.06.012DOI Listing

Does Adductor Tenotomy Need During Closed Reduction Have a Prognostic Value in the Treatment of Developmental Dysplasia of the Hip Between 6 and 12 Months of Age? "Adductor Tenotomy in the Treatment of Developmental Dysplasia''.

Indian J Orthop 2020 Jul 9;54(4):486-494. Epub 2020 Mar 9.

University of Health Sciences, Baltalimani Bone Diseases Training and Research Center, Istanbul, Turkey.

Background: Adductor tenotomy is needed for clinically complex hips with soft-tissue contractures. It may be proposed that the patients who need adductor tenotomy during closed reduction would have poorer prognosis than the ones without need for adductor tenotomy. The main purposes were to compare the normalization of acetabular index angle (AI), to determine the incidence of femoral head avascular necrosis (AVN), and to predict the need for any secondary surgical intervention between the patients who need adductor tenotomy and those who do not during closed reduction for developmental dysplasia of the hip. Read More

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http://dx.doi.org/10.1007/s43465-020-00079-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7270239PMC

Idiopathic Transient Osteoporosis during Pregnancy - Report of a Clinical Case.

J Orthop Case Rep 2020 ;9(6):54-57

Department of Orthopedics and Traumatology, Centro Hospitalar de Tondela-Viseu, E.P.E., Portugal.

Introduction: Idiopathic Transient Osteoporosis (ITO) is a rare entity that may occur during pregnancy, usually manifesting in the third trimester and is considered a diagnosis of exclusion. When present in the hip, it is usually characterized by joint pain, claudicating gait, and osteoporosis of the femoral head with preservation of the joint space. These early clinical and radiological signs may be confused with those of aseptic necrosis, infection, or bone tumors, making it important to exclude these differential diagnoses. Read More

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http://dx.doi.org/10.13107/jocr.2019.v09.i06.1586DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7276588PMC
January 2020

[Bone remodeling after total hip arthroplasty with anatomic medullary locking prosthesis and its long-term effectiveness].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2020 Jun;34(6):689-695

Department of Orthopedics, First Affiliated Hospital, Soochow University, Suzhou Jiangsu, 215006, P.R.China.

Objective: To investigate the femoral bone remodeling and long-term effectiveness of total hip arthroplasty (THA) with anatomic medullary locking (AML) prosthesis.

Methods: The clinical data of 24 cases (26 hips) who were treated with THA with AML prosthesis between November 1997 and January 2003 were retrospectively analyzed. There were 12 males and 12 females with an age of 32-69 years (mean, 53. Read More

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http://dx.doi.org/10.7507/1002-1892.201910033DOI Listing

Treatment of non-united femoral neck fracture by a novel subtrochanteric angulation lateral translation valgus osteotomy (SALVA osteotomy).

Int Orthop 2020 Jun 12. Epub 2020 Jun 12.

Orthopedics and Trauma Department, Cairo University, Cairo, Egypt.

Purpose: The ideal treatment of non-united and neglected fracture neck femur in the young adult still remains unclear and is characterized by many biological and biomechanical challenges.

Methods: Twenty-one patients with non-united or neglected fracture neck femur aged between 19 and 50 years were treated by a novel subtrochanteric valgus osteotomy and were followed up for a mean of 26.7 months. Read More

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http://dx.doi.org/10.1007/s00264-020-04527-8DOI Listing
June 2020
2.019 Impact Factor

Dynamic limited axial compression yields favorable functional outcomes in the fixation of Pauwels type-3 femoral neck fractures: A retrospective cohort study.

Injury 2020 May 22. Epub 2020 May 22.

Department of Orthopedics, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, 200072, China; Shanghai Trauma Emergency Center, Shanghai, 200072, China; Orthopedic Intelligent Minimally Invasive Diagnosis & Treatment Center, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, 200072, China. Electronic address:

Purpose: Pauwels type-3 femoral neck fractures are challenging injuries to manage with high rates of complications after internal fixation and no consensus has been reached regarding the optimal fixation construct. The current study aims to evaluate the effect of dynamic limited axial compression in parallel screws combined with medial buttress plate (SMBP) or lateral compression plate (LCP) fixation of Pauwels type-3 femoral neck fractures.

Methods: We performed a retrospective analysis of 51 cases of Pauwels type-3 femoral neck fractures who were fixed by SMBP or LCP. Read More

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http://dx.doi.org/10.1016/j.injury.2020.05.005DOI Listing

Comparison of core decompression and porous tantalum rod implantation with conservative treatment for avascular necrosis of the femoral head: A minimum 18 month follow-up study.

Exp Ther Med 2020 Jul 21;20(1):472-478. Epub 2020 Apr 21.

Department of Joint Surgery, The Affiliated Hospital of Qingdao University, Qingdao, Shandong 266000, P.R. China.

Porous tantalum rod implantation is a novel surgical method that is used to treat avascular necrosis (AVN) of the femoral head (hip). In the present study, the results of core decompression and tantalum rod implantation were compared with non-surgical treatment for AVN, and the survivorship of the femoral head was evaluated. In total, 60 patients with AVN femoral head were recruited and analysed. Read More

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http://dx.doi.org/10.3892/etm.2020.8669DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7271720PMC

Pelvic and acetabular fracture management in intravenous drug users.

Arch Orthop Trauma Surg 2020 Jun 7. Epub 2020 Jun 7.

Trauma and Orthopaedics, University Hospitals of North Midlands NHS Trust, Royal Stoke Hospital, Newcastle Road, Stoke-on-Trent, ST4 6QG, UK.

Introduction: Pelvic and acetabular fractures are significant injuries associated with high morbidity or mortality. Intravenous drug users (IVDU) represent a challenging group of patients, with an increased risk of complications and infection. To our knowledge there has not been any published literature concerning IVDU and this type of injuries. Read More

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http://dx.doi.org/10.1007/s00402-020-03499-zDOI Listing

Tübingen hip flexion splints for developmental dysplasia of the hip in infants aged 0-6 months.

BMC Pediatr 2020 Jun 5;20(1):280. Epub 2020 Jun 5.

Department of Orthopedics, Kunming Children's Hospital, 288 Qianxing Road, Xishan District, Kunming, 650034, Yunnan, China.

Background: Developmental dysplasia of the hip (DDH) is a common disorder in infants. The present study aimed to evaluate the efficacy and safety of the Tübingen hip flexion splints in treating DDH in infants aged 0-6 months.

Methods: This is a retrospective study analyzing 259 hips in 195 infants with DDH of Graf type IIc or worse classifications treated between January 2015 and December 2017. Read More

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http://dx.doi.org/10.1186/s12887-020-02171-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7275443PMC
June 2020
1.918 Impact Factor

Osteochondroses of the bilateral metacarpal heads: Dieterich disease. A case report with review of the literature.

Clin Imaging 2020 May 29;67:7-10. Epub 2020 May 29.

Department of Diagnostic Radiology, St. Vincent's Medical Center at Hartford Healthcare, 2800 Main Street, Bridgeport, CT 06606, USA.

Osteochondroses is a well-known entity and typically affecting immature skeleton with few common locations involved are femoral head epiphysis, tibial tubercle apophysis, calcaneal apophysis, humeral capitellum and anterior vertebral end plates. We report a rare case of osteochondroses showing avascular necrosis involving metacarpal heads known as Dieterich disease, involving the head of the third metacarpal and probably the first case with a history of rock climbing as an etiology. Chronic repetitive microtrauma plays a significant role in the disease, as is seen in our patient. Read More

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http://dx.doi.org/10.1016/j.clinimag.2020.05.020DOI Listing

Fibula allograft propping as an effective treatment for early-stage osteonecrosis of the femoral head: a systematic review.

J Orthop Surg Res 2020 Jun 3;15(1):206. Epub 2020 Jun 3.

Department of Joint Surgery, Aviation General Hospital, Courtyard 3, AnwaiBeiyuan, Chaoyang District, Beijing, China.

Background: Osteonecrosis of the femoral head (ONFH) causes severe hip dysfunction. Left untreated, 80% of patients experience femoral head collapse, and 65-70% of patients require total hip arthroplasty (THA). Therefore, effective treatment is very important for ONFH. Read More

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http://dx.doi.org/10.1186/s13018-020-01730-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7268760PMC

Treatment of avascular osteonecrosis of femoral head by core decompression and platelet-rich plasma: a prospective not controlled study.

Int Orthop 2020 Jul 1;44(7):1287-1294. Epub 2020 Jun 1.

Clinical Orthopedics, Department of Clinical and Molecular Science, School of Medicine, Università Politecnica delle Marche, via Tronto 10/A, 60126, Torrette di Ancona, Italy.

Purpose: Core decompression is a surgical option since the 1960s for hip osteonecrosis treatment. This technique promotes bone repair by reducing intramedullary pressure, but this is not often enough to stop the progression of necrosis. The aim of this study was to associate core decompression with the regenerative stimulus provided by platelet-rich plasma (PRP) and compare our results with other regenerative techniques. Read More

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http://dx.doi.org/10.1007/s00264-020-04628-4DOI Listing

Efficacy of extracorporeal shock wave combined spinal core decompression for the treatment of patients with femoral head necrosis: A protocol for systematic review and meta-analysis.

Medicine (Baltimore) 2020 May;99(21):e20350

First Ward of Orthopedis Department, First Affiliated Hospital of Jiamusi University.

Background: Previous studies have reported that extracorporeal shock wave (EPSW) combined spinal core decompression (SCD) has been used for the treatment of patients with femoral head necrosis (FHN) effectively. However, their results are still inconsistent. Therefore, this study will systematically assess the efficacy and safety of EPSW and SCD for the treatment of patients with FHN. Read More

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http://dx.doi.org/10.1097/MD.0000000000020350DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7249869PMC

Avascular Necrosis of the Hip in Primary Care.

Korean J Fam Med 2020 May 25. Epub 2020 May 25.

Department of Orthopaedics, Faculty of Medicine, University Teknologi MARA, Sungai Buloh Campus, Sungai Buloh, Malaysia.

Avascular necrosis, or osteonecrosis of the femoral head, is a debilitating condition which leads to the destruction of the hip joint due to an interruption in the blood supply to the bony region and is most commonly due to trauma. The case discussed here has been highlighted as it presented as non-traumatic osteonecrosis of the femoral head with an absence of risk factors in a healthy adult male. A 37-year-old male presented with a 4-month history of recurrent left hip pain, which worsened with initiation of movement and weightbearing on the affected side. Read More

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http://dx.doi.org/10.4082/kjfm.19.0021DOI Listing

Posterior dislocation of left hip joint with closed fracture of left acetabulum Judet-Letournel type posterior wall, femoral head fracture, management and follow up: A case report.

Int J Surg Case Rep 2020 8;71:85-90. Epub 2020 May 8.

Department of Orthopaedic & Traumatology, Cipto Mangunkusumo National Central Hospital and Faculty of Medicine, Universitas Indonesia, Jalan Diponegoro No. 71, Central Jakarta, Jakarta 10430, Indonesia.

Introduction: Traumatic dislocation of the hip is a very severe injury. Posterior hip dislocation can be associated with acetabular fracture, which can ultimately result in a higher incidence of complications.

Case Presentation: We present a case report of 26-year-old men with a motor vehicle accident and suffered a posterior hip dislocation on left hip joint and acetabular fracture with Judet-Letournel type posterior wall and femoral head fracture. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.04.009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7256206PMC

Efficacy of total hip arthroplasty for the treatment of patients with femoral head avascular necrosis: A protocol for systematic review and meta-analysis.

Medicine (Baltimore) 2020 May;99(20):e20259

First Ward of Orthopedis Department, First Affiliated Hospital of Jiamusi University.

Background: Femoral head avascular necrosis (FHAN) is a very common condition among elderly population. Previous studies have reported that total hip arthroplasty (THAP) can benefit patients with such condition. However, no study systematically addressed this topic. Read More

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http://dx.doi.org/10.1097/MD.0000000000020259DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7253497PMC

Comparison of surgical dislocation and impacting bone graft and surgical dislocation and rotational osteotomy for the treatment of ARCO III femoral head necrosis.

Medicine (Baltimore) 2020 May;99(20):e20215

Department of Orthopaedics, The Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, China.

Hip preserving procedures are still a challenge in late-stage osteonecrosis of femoral head (ONFH) patients. We aimed to compare the clinical outcomes of surgical dislocation and impaction bone graft and surgical dislocation and rotational osteotomy for treatment of ONFH in Association Research Circulation Osseous (ARCO) stage III patients.We retrospectively reviewed 30 ARCO stage III patients (33 hips) who had surgical dislocation and impaction bone graft or surgical dislocation and rotational osteotomy in our center from June 2012 to December 2017. Read More

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http://dx.doi.org/10.1097/MD.0000000000020215DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7253930PMC
May 2020
5.723 Impact Factor

TNF-α regulates the early development of avascular necrosis of the femoral head by mediating osteoblast autophagy and apoptosis via the p38 MAPK/NF-κB signaling pathway.

Cell Biol Int 2020 May 21. Epub 2020 May 21.

Department of Orthopedics, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China.

Previous studies have shown that the tumor necrosis factor-α (TNF-α) levels in serum and bone tissues formed in avascular necrosis of femoral head (ANFH) patients were higher than those of normal individuals, indicating TNF-α might play a role in the pathogenesis of ANFH. However, the underlying mechanisms remain unclear. Hematoxylin and eosin staining was performed to show the pathological changes of ANFH bone tissues. Read More

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http://dx.doi.org/10.1002/cbin.11394DOI Listing

Anterior approach with mini-bikini incision in open reduction in infants with developmental dysplasia of the hip.

J Orthop Surg Res 2020 May 20;15(1):180. Epub 2020 May 20.

Department of Pediatric Orthopedics, Shengjing Hospital of China Medical University, No. 36 Sanhao Street, Shenyang, China.

Purpose: The anterior and medial approaches in open reduction for developmental dysplasia of the hip (DDH) had been widely used. The former could not directly approach the intra-articular interposition, while the latter had been associated with injury to blood vessel and avascular necrosis (AVN) of the femoral head. Meanwhile, the bikini incision had also been mentioned in some studies. Read More

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http://dx.doi.org/10.1186/s13018-020-01700-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7238660PMC

Quantitative Characterization of Bone Viability of Femoral Head and Subchondral Bone by Using Single Photon Emission Computerized Tomography/Computerized Tomography (SPECT/CT).

Med Sci Monit 2020 May 20;26:e922624. Epub 2020 May 20.

Department of Orthopedic Surgery, Zhongshan Hospital, Fudan University, Shanghai, China (mainland).

BACKGROUND Vascularized fibular grafting (VFG) has been successfully employed for treating avascular necrosis of the femoral head (ANFH). In this study, we aimed to evaluate the bone viability of the femoral head and subchondral bone following VFG by using single photon emission computerized tomography and computerized tomography (SPECT/CT). MATERIAL AND METHODS Between March 2011 and June 2014, 14 ANFH patients (17 hips) treated with VFG at Zhongshan Hospital, Fudan University, were prospectively enrolled. Read More

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http://dx.doi.org/10.12659/MSM.922624DOI Listing

[Evaluation of multimodal analgesia in treatment of avascular necrosis of femoral head with free vascularized fibular grafting].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2020 May;34(5):579-584

Department of Orthopedic Surgery, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, 200233, P.R.China.

Objective: To prospective study the effectiveness and safety of multimodal analgesia (MA) in treatment of avascular necrosis of the femoral head with free vascularized fibular grafting (FVFG).

Methods: Sixty patients with avascular necrosis of the femoral head, who were scheduled to unilateral primary FVFG between February 2016 and December 2016 and met the selection criteria, were included in the study. All patients were allocated to two groups according to the method of random number table: MA group ( =30) and control group ( =30). Read More

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http://dx.doi.org/10.7507/1002-1892.201907023DOI Listing

A cross sectional study of outcomes of muscle pedicle grafting in neck of femur fractures and avascular necrosis of femoral head.

Injury 2020 Jul 8;51(7):1622-1625. Epub 2020 May 8.

RGMC, Kalwa Thane, India.

Avascular necrosis (AVN) of the femoral head is a progressive disease that generally affects patients in the second through fifth decades of life; if left untreated, it leads to complete deterioration of the hip joint. Treatments range from simple decompression of the femoral head, to muscle pedicle bone grafting of the involved area, or by using a vascularized fibular graft with varying degree of success. If the disease have progresses further causing secondary arthritis, Total Hip Arthroplasty may be necessary. Read More

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http://dx.doi.org/10.1016/j.injury.2020.04.026DOI Listing

[Comparative effectiveness of complex physiotherapeutic treatment of patients in the early stages of avascular necrosis of the femoral head].

Vopr Kurortol Fizioter Lech Fiz Kult 2020 ;97(2):52-57

State Scientific Center of the Russian Federation - A.I. Burnazyan Federal Medical Biophysical Center, Moscow, Russia.

Introduction: In the late stages of avascular necrosis of the femoral head (ANFH), total hip arthroplasty (THA) is a non-alternative treatment method. In the early stages, methods of conservative treatment show some effectiveness. Among them, most often there is evidence of the effectiveness of physiotherapy options. Read More

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http://dx.doi.org/10.17116/kurort20209702152DOI Listing
January 2020

The outcomes of Perthes' disease.

Bone Joint J 2020 May;102-B(5):611-617

University of Liverpool, Liverpool, UK.

Aims: To identify a suite of the key physical, emotional, and social outcomes to be employed in clinical practice and research concerning Perthes' disease in children.

Methods: The study follows the guidelines of the COMET-Initiative (Core Outcome Measures in Effectiveness Trials). A systematic review of the literature was performed to identify a list of outcomes reported in previous studies, which was supplemented by a qualitative study exploring the experiences of families affected by Perthes' disease. Read More

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http://dx.doi.org/10.1302/0301-620X.102B5.BJJ-2020-0072DOI Listing

Procedure for Femoral Intertrochanteric Fractures using the "Three-Finger Method" Assisted by Proximal Femoral Nail Antirotation.

Orthop Surg 2020 Apr;12(2):543-551

Department of Orthopaedic, Affiliated Hospital of Jiangsu University, Zhenjiang, China.

Objective: To assess long-term follow-up evaluations for the treatment of femoral intertrochanteric fractures with the "three-finger method" assisted by proximal femoral nail antirotation (PFNA).

Methods: From January 2010 to January 2017, 123 patients were selected and followed for the treatment of femoral intertrochanteric fractures with PFNA assisted by the "three-finger method" (application of the index finger, middle finger, and ring finger in the process of surgery to assist PFNA). There were 56 male patients and 67 female patients aged 52-93 years with an average age of 75. Read More

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http://dx.doi.org/10.1111/os.12656DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7189038PMC

High-energy focused extracorporeal shock wave therapy for bone marrow edema syndrome of the hip: A retrospective study.

Medicine (Baltimore) 2020 Apr;99(16):e19747

Luoyang Orthopedic Hospital of Henan Province, Orthopedics Hospital of Henan Province, Luoyang, China.

The objective of this retrospective study was to evaluate the efficacy of high-energy focused extracorporeal shock wave therapy (HF-ESWT) on painful bone marrow edema syndrome (BMES) of the hip and shorten the natural course of disease.Thirty-four consecutive patients with BMES of the hip were treated with HF-ESWT in our department between August 2017and July 2018. The progression and treatment results of BMES were evaluated by imaging examination and clinical outcomes. Read More

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http://dx.doi.org/10.1097/MD.0000000000019747DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7220451PMC

The pathogenesis, diagnosis and clinical manifestations of steroid-induced osteonecrosis.

J Autoimmun 2020 Jun 16;110:102460. Epub 2020 Apr 16.

Division of Pediatric Immunology and Allergy, Joe DiMaggio Children's Hospital, Hollywood, FL, 33021, USA. Electronic address:

Corticosteroid associated osteonecrosis is bone death resulting from the use of chronic glucocorticoids and most commonly affects the femoral head, although the bones such as around knee joint, wrist joint and ankle joint can be affected. The pathogenesis is likely multifactorial, with genetic and environmental factors playing a role. Epigenetics may be the mechanism by which environment exerts it effects. Read More

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http://dx.doi.org/10.1016/j.jaut.2020.102460DOI Listing

[Analysis of risk factors for necrosis of femoral head after internal fixation surgery in young and mid-aged patients with femoral neck fracture].

Beijing Da Xue Xue Bao Yi Xue Ban 2020 Apr;52(2):290-297

Department of Orthopedics, Peking University Third Hospital, Beijing 100191, China.

Objective: To retrospectively analyze the risk factors of avascular necrosis of femoral head (ANFH) after internal fixation in young and mid-aged adults.

Methods: From January 2007 to December 2017, femoral neck fracture patients (18-60 years old) treated by reduction and internal fixation were retrospectively studied in Peking University Third Hospital. We recorded their gender, age, body mass index (BMI), American Society of Anesthesiology (ASA) grade, reason of injury, fracture side, interval between injury and surgery, location of fracture line, Garden classification, Pauwels classification, reduction method (open or closed), internal fixation and reduction quality. Read More

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Valgus slipped capital femoral epiphysis: presentation, treatment, and clinical outcomes using patient-reported measurements.

J Pediatr Orthop B 2020 Apr 13. Epub 2020 Apr 13.

Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.

Valgus slipped capital femoral epiphysis (SCFE), is rare. This study describes the diagnosis, treatment and outcome of valgus SCFE in Uruguay. The medical records and radiographs were reviewed in eight consecutive children [mean age 11. Read More

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http://dx.doi.org/10.1097/BPB.0000000000000736DOI Listing

Total hip arthroplasty in sickle cell disease: a systematic review.

EFORT Open Rev 2020 Mar 2;5(3):180-188. Epub 2020 Mar 2.

Academic Orthopaedic Department, Papageorgiou General Hospital, Aristotle University Medical School, Hellas, Greece.

Total hip arthroplasty (THA) in sickle cell disease (SCD) patients can be a challenging procedure.This systematic review evaluated the revision rate, functional outcomes and complications of THA in sicklers.A systematic search was conducted according to the PRISMA guidelines, using four search engines from inception to May 2019. Read More

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http://dx.doi.org/10.1302/2058-5241.5.190038DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7144887PMC

Transcervical superior wedge resection (osteotomy) and fixation with contoured plate for the non- union of femoral neck fractures.

J Pak Med Assoc 2020 Apr;70(4):751-756

Department of Orthopedics, Sir Syed Medical University, Karachi, Pakistan.

Study was conducted to determine the healing rate of non-union femoral neck fractures following a new transcervical superior based wedge resection and fixation with contoured plate. This study is based on a concept, that the presence of a residual part of the femoral neck on the trochanteric side of the non-union and removal of a wedge with a superior base not only converts shearing forces into compression forces but also provides fresh bone with an osteogenic potential. This is a descriptive case series 'one group pre-test post-test design', conducted from 2010 to 2016 with a sample size of 18, convenience sampling technique with a minimum follow up of 12 months. Read More

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http://dx.doi.org/10.5455/JPMA.19242DOI Listing
April 2020
0.403 Impact Factor

Open Reduction and Internal Fixation and Intraoperative Exploration of the Superior Retinacular Arterial System in Young Adults Garden III Femoral Neck Fracture: A 10 Case Report.

Ann Plast Surg 2020 May;84(5S Suppl 3):S222-S224

From the Department of Orthopedics, Affiliated Zhongshan Hospital of Dalian University, Dalian, Liaoning.

At present, there is no uniform standard for the treatment of femoral neck fractures (FNFs) in young adults, and the current strategy is inclined to the native hip joint preservation. Femoral neck fractures in young adult are mostly caused by high-energy violence, and the blood supply of femoral head is severely damaged, which is prone to secondary femoral head avascular necrosis. In this article, we report 10 cases of young adult Garden III FNF treated with open reduction and internal fixation (ORIF) and microsurgical exploration of the superior retinacular vessels from 2015 to 2018, to more intuitively understand the involvement of superior retinacular vessels after displaced FNF in young adults. Read More

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http://dx.doi.org/10.1097/SAP.0000000000002364DOI Listing

Top Ten Adult Manifestations of Childhood Hip Disorders: An Up-To-Date Review for General Radiologists.

Radiol Clin North Am 2020 May;58(3):529-548

Department of Imaging Sciences, Strong Memorial Hospital, Box 648, 601 Elmwood Avenue, Rochester, NY 14642, USA.

Congenital, developmental, and acquired conditions of the pediatric hip frequently present with sequelae in the adult. There is substantial overlap in the end-stage results of these pathologic conditions, including osseous changes, chondral/labral injuries, and premature osteoarthritis. This review discusses the top 10 etiopathogeneses of pediatric hip conditions and presents associated dysmorphisms in the adult on an illustrative, multimodality, case-based template. Read More

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http://dx.doi.org/10.1016/j.rcl.2020.01.002DOI Listing

What are the outcomes of core decompression in patients with avascular necrosis? Protocol for a systematic review.

F1000Res 2020 31;9:71. Epub 2020 Jan 31.

Young Adult Hip Service, Department of Trauma and Orthopaedics, Addenbrooke's - Cambridge University Hospital, Cambridge, CB2 0QQ, UK.

 Core decompression is a hip preserving surgical procedure that is used to treat avascular necrosis (AVN) of the femoral head. The eventual clinical and radiological outcome following this procedure is varied in literature. Also, the time to a total hip replacement (THR) from the index procedure and the percentage of patients subsequently undergoing a THR is controversial. Read More

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http://dx.doi.org/10.12688/f1000research.22167.1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7101011PMC
January 2020

Clinical Application of 3-Dimensional Printed Navigation Templates in Treating Femoral Head Osteonecrosis With Pedicled Iliac Bone Graft.

Ann Plast Surg 2020 May;84(5S Suppl 3):S230-S234

From the The 920th Hospital of the Joint Logistic Support Force of the PLA, Kunming, Yunnan, China.

Objective: The aim of the study was to explore the feasibility and early effect of digital design combined with 3-dimensional (3D) printing technique in the transplantation of vascular pedicled iliac bone flap in the treatment of avascular necrosis of the femoral head.

Methods: The navigation template was designed according to computed tomography scan and printed in 3D printing technique before operation, which was used to guide the localization and clearance of osteonecrosis of the femoral head in vascular pedicled iliac bone flap transplantation. In blank control group, 28 cases (32 hips) of osteonecrosis of the femoral head were treated with vascular pedicled iliac bone flap without the assistance of 3D navigation template from February 2002 to February 2009, including 19 males (21 hips) and 9 females (11 hips), with an average age of 37 years (range, 20-61 years). Read More

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http://dx.doi.org/10.1097/SAP.0000000000002362DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7170442PMC

Zoledronic acid for the treatment of pregnancy-associated femoral head necrosis: A case report.

Case Rep Womens Health 2020 Apr 19;26:e00190. Epub 2020 Mar 19.

Department of Medicine DIMED, Clinica Medica 1, University of Padova, via Giustiniani 2, 35128 Padova, Italy.

Introduction: The management of pregnancy-associated femoral necrosis is controversial. Conservative management may eventually lead to hip replacement.

Case: A 40-year-old woman developed necrosis of the left hip during her first pregnancy. Read More

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http://dx.doi.org/10.1016/j.crwh.2020.e00190DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7109417PMC

Evidence based treatment for developmental dysplasia of the hip in children under 6 months of age. Systematic review and exploratory analysis.

Surgeon 2020 Apr 2. Epub 2020 Apr 2.

Al Jalila Children's Specialty Hospital, Dubai, United Arab Emirates.

Introduction: Developmental dysplasia of the hip (DDH) is a common paediatric orthopaedic condition that attracts a substantive amount of controversy. The treatments vary because of the wide spectrum of the condition and the age of children at presentation. Although conservative and surgical treatments exist; it is widely accepted that conservative treatment is the first line of treatment in the first 6 months of life. Read More

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http://dx.doi.org/10.1016/j.surge.2020.02.006DOI Listing

COVID-19 pneumonia as a cause of acute chest syndrome in an adult sickle cell patient.

Am J Hematol 2020 07 21;95(7):E154-E156. Epub 2020 Apr 21.

Department of Hematology and Medical Oncology, Icahn School of Medicine at Mount Sinai, New York, New York.

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http://dx.doi.org/10.1002/ajh.25809DOI Listing

A Rare Case of a Traumatic Posterior Hip Dislocation in a 3-Year-Old Boy: A Case Report and Review of the Literature.

Case Rep Orthop 2020 9;2020:7560392. Epub 2020 Mar 9.

Trauma Department, Klinikum Hochsauerland GmbH, Arnsberg, Germany.

We present a rare case of neglected hip dislocation in a 3-year-old boy. Hip dislocations in childhood represent less than 6% of all injuries. The boy presented to the ED with ongoing hip pain after his leg got stuck in a carousel. Read More

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http://dx.doi.org/10.1155/2020/7560392DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7085349PMC

Taohong Siwu decoction for femoral head necrosis: A protocol for systematic review.

Medicine (Baltimore) 2020 Mar;99(13):e19368

Department of Orthopedics, First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.

Backgrounds: Femoral head necrosis is one of the most common orthopedic diseases which can be diagnosed in all ages with different reasons. Taohong Siwu decoction (TSD) has been widely used in the treatment of femoral head necrosis. However, as far as we know, there is still a lack of supporting evidence regarding the efficacy of TSD for femoral head necrosis. Read More

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http://dx.doi.org/10.1097/MD.0000000000019368DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7220747PMC

The Use of Platelet-Rich Plasma for the Treatment of Osteonecrosis of the Femoral Head: A Systematic Review.

Biomed Res Int 2020 7;2020:2642439. Epub 2020 Mar 7.

Department of Orthopedic Surgery, Peking University China-Japan Friendship Hospital School of Clinical Medicine, China.

Background: As a pathological process, osteonecrosis of the femoral head (ONFH) is characterized by the avascularity of the femoral head, cellular necrosis, microfracture, and the collapse of the articular surface. Currently, critical treatment for early-stage ONFH is limited to core decompression. However, the efficacy of core decompression remains controversial. Read More

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http://dx.doi.org/10.1155/2020/2642439DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7081027PMC

Rapid Onset of Femoral Head Osteonecrosis After a Single Intra-articular Hip Joint Injection of Corticosteroid.

Am J Phys Med Rehabil 2020 04;99(4):e54-e55

From the Department of Orthopaedics and Rehabilitation, Oregon Health and Science University, Portland, Oregon.

We outline a case in which osteonecrosis of the femoral head developed in temporal association with a single intra-articular injection of corticosteroid (triamcinolone acetonide) in a 72-yr-old woman, resulting in a total hip arthroplasty. We conclude that the risk of developing osteonecrosis after a single intra-articular injection of corticosteroid needs to be considered in the informed consent process. Read More

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http://dx.doi.org/10.1097/PHM.0000000000001202DOI Listing

Factors Affecting Outcomes of Slipped Capital Femoral Epiphysis.

Cureus 2020 Feb 5;12(2):e6883. Epub 2020 Feb 5.

Orthopaedics, Attikon University Hospital, Athens, GRC.

Slipped capital femoral epiphysis (SCFE) is a frequent cause of nontraumatic painful hip of the adolescence. It is the result of the separation of the proximal femoral growth cartilage at the level of the hypertrophic cell zone. The femoral neck metaphysis rotates externally and migrates proximally relative to the femoral head epiphysis, which is stably seated in the acetabulum; early diagnosis and in situ stabilization grants the best long term results. Read More

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http://dx.doi.org/10.7759/cureus.6883DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7058394PMC
February 2020

Moon (or Eid) Crescent Sign of the Femoral Head.

Cureus 2020 Feb 4;12(2):e6867. Epub 2020 Feb 4.

Trauma and Orthopaedics, Medcare Orthopaedics and Spine Hospital, Dubai, ARE.

Avascular necrosis (AVN) of the femoral head following slipped capital femoral epiphysis (SCFE) is a serious complication that often leads to a permanent disability. Radiological findings of AVN may take up to two years to become apparent. This means painful waiting for children, parents, and treating teams. Read More

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http://dx.doi.org/10.7759/cureus.6867DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7053701PMC
February 2020

Bone marrow edema around the hip in non-traumatic pain: dual-energy CT vs MRI.

Eur Radiol 2020 Jul 12;30(7):4098-4106. Epub 2020 Mar 12.

Department of Radiology, IRCCS Sacro Cuore Don Calabria Hospital, Via Don A. Sempreboni 10, 37024, Negrar, Italy.

Objectives: To evaluate the diagnostic accuracy of dual-energy computed tomography (DECT) in identifying bone marrow edema (BME) around the hip joint in non-traumatic patients.

Methods: This prospective IRB-approved study was conducted between January 2019 and October 2019 and included 59 consecutive patients (18 males, 41 females; mean age 61.5 years, range 32-82) who were assessed by DECT and magnetic resonance imaging (MRI) within a 5-day period. Read More

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http://dx.doi.org/10.1007/s00330-020-06775-zDOI Listing