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| http://dx.doi.org/10.1136/ard.53.10.702 | DOI Listing |
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Does Periacetabular Osteotomy Affect the Load Distribution on the Knee?
Clin Orthop Relat Res
March 2025
Department of Orthopaedic Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan.
Background: Periacetabular osteotomy (PAO) treats developmental dysplasia of the hip (DDH) by reducing load on the hip and improving joint function. Untreated DDH affects lower extremity alignment and alters knee morphology, with valgus alignment more pronounced in hip osteoarthritis secondary to DDH. While PAO may influence knee mechanics, its association with subchondral bone density in the tibiofemoral joint remains unclear.
View Article and Find Full Text PDFChronic Midfoot Pain Due to Idiopathic Osteonecrosis of Tarsal Navicular Bone in Adult - Mueller-Weiss Syndrome: A Case Report.
J Orthop Case Rep
February 2025
Department of Orthopaedics, Sri Madhusudhan Sai Institute of Medical sciences and Research, Chikkaballapur, Karnataka, India.
Introduction: Mueller-Weiss syndrome is a rare condition seen in adults due to spontaneous osteonecrosis of tarsal navicular bone unlike Koehler's disease which is quite common in paediatric population.
Case Report: We report a single case of Mueller-Weiss syndrome in an adult female. After a trail of conservative treatment, operative management was done with excision of necrotic fragment and arthrodesis of mid-foot joints augmented with tricortical iliac crest graft.
Comparison of outcomes of Salter and Varus osteotomies in the treatment of Legg-Calve-Perthes Disease: a retrospective cohort study.
BMC Musculoskelet Disord
February 2025
Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Background: Legg-Calve-Perthes Disease (LCPD) is described as idiopathic avascular osteonecrosis of the capital femoral epiphysis in pediatrics. LCPD is usually present in children between 2 and 15 years and happens more frequently in boys more than girls; this study aims to compare the outcome of two surgical methods in treating LCPD.
Methods: We included sixty patients with unilateral LCPD who underwent Salter or femoral varus osteotomy from 2007 to 2017.
Is core decompression and bone marrow concentrate with demineralized bone matrix and platelet-rich fibrin suitable for treating femoral head osteonecrosis?
J Hip Preserv Surg
December 2024
Unit of 3rd Orthopaedic and Traumatologic Clinic prevalently Oncologic, IRCCS Istituto Ortopedico Rizzoli, Via Pupilli 1, Bologna 40136, Italy.
The aim of this article is to determine the safety and efficacy of core decompression (CD) combined with injection of autologous bone marrow concentrate (BMC), demineralized bone matrix (DBM), and platelet-rich fibrin (PRF) for treating femoral head osteonecrosis. Seventy-seven patients (53 males and 24 females) for a total of 87 hips were treated for hip osteonecrosis with CD combined with injection of autologous BMC, DBM, and PRF at Rizzoli Orthopedic Institute from September 2008 to December 2019. Patients were assessed at baseline, at 45 days, and at 3, 6, 12, 24, and 36 months postoperatively.
View Article and Find Full Text PDFTechniques of core decompression in the treatment of idiopathic avascular necrosis of the femoral head.
Arch Orthop Trauma Surg
December 2024
Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, OH, USA.
Core decompression was developed as a joint-preserving procedure for patients with early-stage osteonecrosis of the femoral head. Previous studies indicated a high success rate that outperforms nonoperative management of pre-collapse hips. The traditional single-tunnel core decompression technique uses a cannulated drill bit inserted into the lateral cortex of the proximal femur.
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