Osteonecrosis of the Femoral Head

Comprised exclusively of clinical cases involving osteonecrosis of the femoral head (ONFH), this concise, practical casebook will provide orthopedic surgeons with the best real-world strategies to properly diagnose and treat both pre- and post-collapse conditions. Each chapter is a case that opens with a unique clinical presentation, followed by a description of the diagnosis, assessment and management techniques used to treat it, as well as the case outcome and clinical pearls and pitfalls. Part I discusses pre-collapse treatments aimed at the early stages of ONFH, including the use of bisphosphonates, stem cell therapy and minimally invasive core decompression. Chapters presenting post-collapse treatments aimed at preserving the femoral head comprise part II, including non-vascularized bone grafting, osteochondral transfer and transtrochanteric osteotomy. Cases covering post-collapse total hip arthroplasty (THA) and common complications round out the presentation.<Pragmatic and reader-friendly, Osteonecrosis of the Femoral Head: A Clinical Casebook will be an excellent resource for orthopedic surgeons, residents and fellows treating hip pain.

A case-based, practical guide to the management of osteonecrosis of the femoral head (ONFH) Discusses pre- and post-collapse non-operative and operative techniques, including cell therapy, hip decompression, bone graft substitutes and total hip arthroplasty (THA) An excellent resource for practicing orthopedic surgeons, residents and students Includes supplementary material: sn.pub/extras

Autorentext
Rafael J. Sierra, MD, Professor of Orthopedic Surgery, Consultant, Orthopedic Surgeon Fellowship Director, Lower Reconstruction, Mayo Clinic, Rochester, MN, USA

Inhalt
Part I: Pre-Collapse: Treatment of Early Stage Osteonecrosis.- Osteonecrosis and Thrombophilia, Pathophysiology, Diagnosis and Treatment.- Bisphosphonates.- Successful Decompression with Multiple Percutaneous Drilling.- Simultaneous Cell Therapy Preserving Surgery and Contralateral Arthroplasty for Bilateral Hip Osteonecrosis.- Bilateral Osteonecrosis Associated with Corticosteroid Treatment: Stem Cell Therapy versus Core Decompression in the Same Patient.- Minimally Invasive Core Decompression Augmented with Concentrated Autologous Mesenchymal Stem Cells.- Core Decompression and Bone Marrow Stem Cell Injection.- Osteonecrosis of the Femoral Head.- Bilateral Hip Decompression Using X-REAM® and PRO-DENSE®.- Surgical Dislocation and Osteochondral Autograft Transfer System (OATS) as Salvage of Failed Core Decompression Complicated by Femoral Head Penetration.- Part II: Post-Collapse: Head Preserving .- Non-Vascularized Bone Grafting.- BilateralNon-Vascularized Bone Grafting.- Femoral Head Decompression Using the X-REAM® Followed by Autologous Tibial Cancellous Bone Impaction.- Autologous Osteochondral Transfer for Management of Femoral Head Osteonecrosis.- Long-term Result of Hip Decompression and Vascularized Fibula for Steinberg Stage IV AVN.- Bone Grafting Pedicled with Femoral Quadratus for Alcohol-induced Osteonecrosis of the Femoral Head.- Transtrochanteric Anterior Rotational Osteotomy of the Femoral Head for Treatment of Osteonecrosis Affecting the Hip.- Part III. Post-Collapse: Arthroplasty and Complications.- Systemic Lupus Erythematosus Patient Requiring THA.- Attempted Bone Grafting Converted Intra-operatively to THA.- All Osteonecroses Are Not Predictor of Poor Outcome with Cemented Total Hip Arthroplasty: A 30-year Follow-up Case Presentation with Bilateral Ceramic on Ceramic Bearing Surface.- Complications of Uncemented Total Hip Arthroplasty: Failure.- Complications of Uncemented Total Hip Arthroplasty: Success.