Commentary: “Evolutionary course of the femoral head osteonecrosis: Histopathological - radiologic characteristics and clinical staging systems”

In recent years, there has been an increase in the number of studies on the etiology of femoral head necrosis. We retrospectively reviewed all patients diagnosed with aseptic necrosis of the femoral in the period of 2010-2015. We recorded a total of 230 cases diagnosed with aseptic necrosis of the femoral head, group was composed of 65.7% men and 34.3% women, risk factors identified was 19.13% (post-traumatic), 13.91% (glucocorticoids), 26.52% (alcohol), 3.47% (another cause) and in 36 95% of the cases no risk factors were found. The results of the study based on the type of surgery performed on the basis of stages of disease progression, 8 patients (3.48%) benefited from osteotomy, 28 patients (12.17%) benefited of bipolar hemiarthroplasty prosthesis and 188 patients (81.74%) benefited of total hip arthroplasty. Osteonecrosis of the femoral head is characteristic to young patients between the age of 30-50 years old. Predisposing factors, alcohol and corticosteroid therapy remains an important cause of the disease. Total hip arthroplasty remains the best option for the patients with osteonecrosis of the femoral head.

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Outcome after a new porous tantalum rod implantation for treatment of early-stage femoral head osteonecrosis

Annals of Translational Medicine ◽

10.21037/atm.2019.08.86 ◽

2019 ◽

Vol 7 (18) ◽

pp. 441-441 ◽

Cited By ~ 1

Author(s):

Wei Huang ◽

Xuan Gong ◽

Steve Sandiford ◽

Xiaoqiang He ◽

Feilong Li ◽

...

Keyword(s):

Femoral Head ◽

Early Stage ◽

Porous Tantalum ◽

Femoral Head Osteonecrosis

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Sonographic Evaluation of Hidradenitis Suppurativa with Smartphone-Linked Portable Ultrasound

Dermatology ◽

10.1159/000513920 ◽

2021 ◽

pp. 1-5

Author(s):

Maximillian A. Weigelt ◽

Yuval Hilerowicz ◽

Jeffrey A. Leichter ◽

Hadar Lev-Tov

Keyword(s):

Hidradenitis Suppurativa ◽

Wound Care ◽

University Hospital ◽

Clinical Staging ◽

Routine Practice ◽

Portable Ultrasound ◽

Number Of Patients ◽

Staging Systems ◽

Conventional Ultrasound ◽

Potential Benefits

Background: Clinical staging systems for hidradenitis suppurativa (HS) have poor interrater reliability and may underestimate disease activity. Sonographic staging systems may overcome these challenges, but conventional ultrasound (US) machines are expensive and bulky. Portable (p)US may facilitate the integration of sonography into routine practice. Objectives: To assess the ability of a novel smartphone-linked pUS device to identify key sonographic lesions of HS. Methods: The charts of 16 patients with HS who were assessed with pUS at the outpatient Dermatology and Wound Care Clinics of a university hospital center were retrospectively reviewed. Clinical and sonographic images of the affected areas were examined. The main outcome measures were the number of patients with identifiable sonographic lesions and the number of patients with subclinical lesions detected by pUS. Results: All 3 key sonographic lesions of HS were identifiable with pUS. Sonographic lesions were identified in 10 patients (62.5%). Subclinical lesions were identified in 2 patients (12.5%); in both cases, this affected management decisions. Conclusions: We demonstrate the ability of pUS to identify the key sonographic lesions of HS. pUS is a simple and affordable way to integrate HSUS into clinical and research settings, with clear potential benefits to patients.

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A poly(propylene fumarate) – Calcium phosphate based angiogenic injectable bone cement for femoral head osteonecrosis

Biomaterials ◽

10.1016/j.biomaterials.2010.01.124 ◽

2010 ◽

Vol 31 (14) ◽

pp. 4048-4055 ◽

Cited By ~ 26

Author(s):

Chih-Hung Chang ◽

Tai-Chieh Liao ◽

Yuan-Ming Hsu ◽

Hsu-Wei Fang ◽

Chia-Chun Chen ◽

...

Keyword(s):

Calcium Phosphate ◽

Femoral Head ◽

Bone Cement ◽

Femoral Head Osteonecrosis ◽

Poly Propylene

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Septic arthritis of the hip in patients with femoral head osteonecrosis

Archives of Orthopaedic and Trauma Surgery ◽

10.1007/s00402-011-1334-1 ◽

2011 ◽

Vol 131 (11) ◽

pp. 1585-1590 ◽

Cited By ~ 5

Author(s):

Young-Kyun Lee ◽

Yun Jong Lee ◽

Yong-Chan Ha ◽

Ki-Choul Kim ◽

Kyung-Hoi Koo

Keyword(s):

Femoral Head ◽

Septic Arthritis ◽

Femoral Head Osteonecrosis

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Recent Methods of Neck Femur Fixation A Systematic review and meta-analysis

QJM ◽

10.1093/qjmed/hcab104.017 ◽

2021 ◽

Vol 114 (Supplement_1) ◽

Author(s):

Ahmed Salem Eid ◽

Ahmed Mohamed Mohasseb ◽

Ramy Mohamed Mohamed El-Bahnasy

Keyword(s):

Systematic Review ◽

Femoral Head ◽

Femoral Neck ◽

High Energy ◽

Femoral Neck Fractures ◽

Final Outcome ◽

Cannulated Screws ◽

Fixed Angle ◽

Femur Fractures ◽

Femoral Head Osteonecrosis

Abstract Background Femoral neck fractures in adults younger than age 50 years are uncommon and often the result of high energy trauma. They account for only 2-3% of all femoral neck fractures. Femoral neck fractures are associated with aging and osteoporosis and can occur after relatively trivial trauma in elderly patients. femoral neck fractures are associated with higher incidences of femoral head osteonecrosis and nonunion. Fixation options include cannulated screws, non parallel cannulated screws, medial augmentation plate, and fixed angle femoral neck fixation implants. A systematic review of literature done to evaluate which technique is better. Methods After literature search thirteen articles were found and were reviewed to evaluate final outcome of fixation of neck femur fractures by cannulated screws, non parallel cannulated screws, medial augmentation plate, and fixed angle femoral neck fixation implants. Results After evaluation of all studies the incidence of nonunion, osteonecrosis of femoral head, implant failure & revesion surgery is lower in comparing Targon plate with multiple cannulated screws while we need further studies for application of non parallel screws and medial plate. Conclusion Targon plate recorded low incidence of complications in the final outcome in comparison with multiple cannulated screw while we need further studies for application of Non parallel screws and medial plate.

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