Avascular Necrosis of Femoral Head-Overview and Current State of the Art

被引：115

作者：

Konarski, Wojciech ^{[1
]}

Pobozy, Tomasz ^{[1
]}

Sliwczynski, Andrzej ^{[2
]}

Kotela, Ireneusz ^{[3
]}

Krakowiak, Jan ^{[2
]}

Hordowicz, Martyna ^{[4
]}

Kotela, Andrzej ^{[5
]}

机构：

[1] Ciechanow Hosp, Dept Orthopaed Surg, PL-06400 Ciechanow, Poland

[2] Med Univ Lodz, Social Med Inst, Dept Social & Prevent Med, PL-90647 Lodz, Poland

[3] Cent Res Hosp, Minist Interior, Dept Orthoped Surg & Traumatol, Woloska 137, PL-02507 Warsaw, Poland

[4] Dr Barbara Borzyms Independent Publ Reg Psychiat, Gen Psychiat Unit 3, PL-26600 Radom, Poland

[5] Cardinal Stefan Wyszynski Univ Warsaw, Coll Med, Fac Med, Woycickiego 1-3, PL-01938 Warsaw, Poland

来源：

INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH | 2022年 / 19卷 / 12期

关键词：

implants; avascular necrosis; femoral head; osteonecrosis; DYNAMIC HIP SCREW; CORE DECOMPRESSION; INTERNAL-FIXATION; RISK-FACTORS; NONTRAUMATIC OSTEONECROSIS; OSTEOCHONDRAL ALLOGRAFTS; INTRACAPSULAR FRACTURES; NECK FRACTURES; BONE; MANAGEMENT;

D O I：

10.3390/ijerph19127348

中图分类号：

X [环境科学、安全科学];

学科分类号：

08 ; 0830 ;

摘要：

Avascular necrosis (AVN) of the femoral head is caused by disruption of the blood supply to the proximal femur. The alterations in the blood supply may occur following a traumatic event or result from a non-traumatic cause. Femoral neck fracture and hip dislocation and associated surgical procedures, corticosteroid therapy, and alcohol abuse frequently lead to AVN development. Type of fracture (displaced or undisplaced) and time between injury and surgery are the most critical factors in assessing the risk of developing AVN. Diagnosis of AVN can be established based on patients' complaints, medical history, and radiographic findings. There is no consensus on the treatment of patients with AVN to date. Non-surgical methods are dedicated to patients in the early pre-collapse stages of the disease and consist of pharmacotherapy and physiotherapy. Surgery is recommended for patients with advanced disease.

引用

页数：14

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