Objective: To summarize surgical procedures of hip-preservation based on peri-collapse stage of osteonecrosis of the femoral head (ONFH).
Methods: The basic points of peri-collapse stage theory was expounded. The related literature on surgical procedures was summarized and analyzed based on the theory.
Results: Surgical procedures of hip-preservation tend to emphasize on mechanical repair, giving consideration to biological repair. It is consistent with the essence of peri-collapse stage theory, which attaches great importance to biomechanical stability.
Conclusion: Peri-collapse stage theory has a guiding significance to the choice of surgical timing and approach, and it is one of the important theoretical basis for hip-preservation treatment.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8458593 | PMC |
| http://dx.doi.org/10.7507/1002-1892.201611084 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Mid-term Clinical Outcomes of "Light Bulb" Core Decompression with Arthroscopic Assistance in Peri-collapse Osteonecrosis of the Femoral Head: A Retrospective Comparative Study.
Orthop Surg
June 2024
Department of Orthopedic Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi, China.
Objective: Nontraumatic osteonecrosis of the femoral head (ONFH) is commonly encountered in orthopedics. Without early clinical intervention, most patients with peri-collapse of the ONFH will develop femoral head necrosis and eventually require hip replacement surgery. The aim of this study is to evaluate clinical outcomes in patients with ONFH who underwent "light bulb" core decompression (CD) with arthroscopic assistance and to compare them with the outcomes of those treated with traditional procedures.
View Article and Find Full Text PDFEvolutionary course of the femoral head osteonecrosis: Histopathological - radiologic characteristics and clinical staging systems.
J Orthop Translat
January 2022
Department of Orthopaedics, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, 200233, China.
Osteonecrosis of the femoral head (ONFH) is a recalcitrant ischemic disorder, which could be classified into two major categories: traumatic and nontraumatic. Regardless of different risk factors, it has been testified that ONFH results from primitive vascular problems, leading to temporary or permanent loss of blood supply to bone tissue. Histopathological and microarchitectural alterations ensues, which is a gradual evolutionary process involving bone marrow and osteocyte necrosis, progressive destruction of subchondral bone, unsuccessful reparative process, and eventual articular collapse and degenerative arthritis.
View Article and Find Full Text PDF[Clinical significance of different imaging manifestations of osteonecrosis of femoral head in the peri-collapse stage].
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi
September 2021
Guangdong Academy of Traditional Chinese Medicine Orthopedics and Traumatology, Guangzhou Guangdong, 510378, P.R.China.
Objective: To explore the different imaging manifestations of osteonecrosis of the femoral head (ONFH) and their correlation with the occurrence of pain during the peri-collapse period.
Methods: The 372 patients (624 hips) with ONFH in the peri-collapse stage who were admitted between December 2016 and October 2019 and met the selection criteria were selected as the research objects. Among them, there were 270 males and 102 females, with an average age of 35.
Analysis of MR Signs to Distinguish Between ARCO Stages 2 and 3A in Osteonecrosis of the Femoral Head.
J Magn Reson Imaging
February 2022
Department of Radiology, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Article Synopsis
- MRI is effective for diagnosing osteonecrosis of the femoral head (ONFH), but its ability to detect fractures is less reliable than CT, making staging challenging during the peri-collapse period.* -
- This study aimed to enhance MRI's accuracy in differentiating between ARCO stage 2 and stage 3A ONFH by evaluating various MRI signs and using CT as a reference standard.* -
- Results showed a high effectiveness of combined MRI signs in distinguishing between the stages, with a sensitivity of 100% and specificity of 88.71%, indicating promising potential for improved diagnosis.*
[A summary of hip-preservation surgery based on peri-collapse stage of osteonecrosis of femoral head].
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi
August 2017
The Lab of Orthopaedics and Traumatology, Chinese Medicine of Lingnan Medical Research Center, Guangzhou University of Chinese Medicine, Guangzhou Guangdong, 510405, P.R.China;Department of Joint Orthopaedics, the First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou Guangdong, 510405, P.R.China;National Chinese Medicine Key Specialist of Hip Disease, the First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou Guangdong, 510405,
Objective: To summarize surgical procedures of hip-preservation based on peri-collapse stage of osteonecrosis of the femoral head (ONFH).
Methods: The basic points of peri-collapse stage theory was expounded. The related literature on surgical procedures was summarized and analyzed based on the theory.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!