Introduction: Atraumatic ONFH is one of the leading cause of hip morbidity in the working-age group. It is a multi-factorial disease whose root cause can be attributed to single-nucleotide polymorphism. Identifying such polymorphisms could pave the way for new modalities of treatment for ONFH.
Methodology: Two databases were electronically searched for relevant articles. The articles were screened through titles, abstract and full texts to include the relevant studies. A secondary search was done through the reference list of selected articles.
Results: A total of 52 studies were included among the 181 hits. All 181 were case-control studies. Summary of these studies identifies multiple SNPs which can cause ONFH. There were 117 SNPs in all 181 studies, of which 92 were associated with the causation of ONFH and 25 were protective against ONFH.
Conclusion: SNPs play an essential role in causing atraumatic ONFH. Identification of SNP that contribute to causing ONFH may help reduce the disease burden by early identification, diagnosis and treatment, including targeted gene therapy.
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http://dx.doi.org/10.1007/s43465-021-00583-3 | DOI Listing |
J Arthroplasty
September 2024
Department of Orthopaedics and Rehabilitation, Oregon Health & Science University, Portland, Oregon.
Background: While individual risk factors, including chronic corticosteroid use, alcohol abuse, and smoking, are implicated in osteonecrosis of the femoral head (ONFH), the degree to which multiple risk factors increase risk is unknown. This study aimed to: (1) identify the demographic characteristics of patients who have ONFH; (2) quantify the effects of individual risk factors on ONFH development; (3) quantify the effects of combined risk factors on ONFH development; and (4) determine the prognostic implications of combined risk factors on ONFH development.
Methods: This was a retrospective cohort study.
Indian J Orthop
May 2022
Department of Orthopaedics, PGIMER, Chandigarh, 160012 India.
Introduction: Atraumatic ONFH is one of the leading cause of hip morbidity in the working-age group. It is a multi-factorial disease whose root cause can be attributed to single-nucleotide polymorphism. Identifying such polymorphisms could pave the way for new modalities of treatment for ONFH.
View Article and Find Full Text PDFFront Surg
April 2022
Sports Medicine Institute, Hospital for Special Surgery, New York, NY, United States.
Osteonecrosis of the femoral head (ONFH) is caused when circulation within the femoral head is disrupted. Etiology of this disease is characterized by either traumatic events or atraumatic risk factors, such as chronic alcohol consumption or glucocorticoid use. ONFH commonly presents as pain in the groin, gluteus muscles, and/or knee with reductions in internal rotation range of motion of the hip.
View Article and Find Full Text PDFJ Orthop Case Rep
December 2021
Department of Orthopaedics Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Background: Core decompression (CD) is an effective method in the management of pre-collapse stage of osteonecrosis of the femoral head (ONFH). It has been combined with various adjuvants to increase the efficacy including bone marrow aspirate concentration and platelet rich plasma. We evaluated a cheaper alternative in the form of ibandronate as an adjuvant to CD and to highlight the technique, safety, and early outcomes.
View Article and Find Full Text PDFJ Arthroplasty
September 2020
Department of Orthopaedic Surgery, Stanford University Medical Center Outpatient Center, Redwood City, CA.
Background: Joint preservation is more effective in early-stage osteonecrosis of the femoral head (ONFH); thus, prompt diagnosis when the femoral head is still salvageable is important. We report a 20-year retrospective study that summarizes age at presentation, etiology, and Association Research Circulation Osseous stage at diagnosis.
Methods: Our database was reviewed to identify patients younger than 65 years of age who were diagnosed with atraumatic ONFH between 1998 and 2018.
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