By E. De Santis, L. Proietti, V. De Santis (auth.), Francesco Saverio Santori, Nicola Santori, Annarita Piccinato (eds.)
Avascular Necrosis (AVN) is a sickness due to transitority or everlasting lack of blood offer. It often impacts the femoral head and during this sector, if left untreated, usually reasons untimely joint destruction.
In america, five to ten% of situations of hip osteoarthritis requiring overall hip alternative are basically as a result of AVN. In 33 to seventy two% of sufferers, the disorder is bilateral. the height prevalence is among 30 and 60 years of age, and the social charges of this pathology are notable. there's as a result expanding curiosity in hip joint holding ideas comparable to conservative remedy via electromagnetic fields and shockwaves in addition to joint holding surgical recommendations. This quantity goals to give an entire review of the present wisdom on AVN together with healing options.
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Additional resources for Avascular Necrosis of the Femoral Head: Current Trends
1) and calcified matrix deposition (Fig. 2) in human osteoblast culture (unpublished results). It is possible that in the early phases of the disease the application of magnetic fields favors the in vivo proliferation and commitment of the osteogenic cells, leading to creeping replacement. Avascular Necrosis: Rehabitation of Dead Bone 27 Fig. la, b. Human osteoblast cell culture: without magnetic field treatment (a), with magnetic field treatment (b). Human osteoblast cell culture: without magnetic fields treatment (a), with magnetic fields treatmentn (b).
I. Tissue biology. Clin Orthop 138:284-309 Glimcher MJ, Kenzora JE (1979) The biology of osteonecrosis of the human femoral head and its clinical implications. II. The pathological changes in the femoral head as an organ and in the hip joint. Clin Orthop 139:283-312 Glimcher MJ, Kenzora JE (1979) The biology of osteonecrosis of the human femoral head and its clinical implications. III. Discussion of the etiology and genesis of the pathological sequelae; comments on treatment. Clin Orthop 140:273-312 Avascular Necrosis: Rehabitation of Dead Bone 23.
STIR sequence. d, e MRI follow-up at 2 months after treatment by means of ESWT. f STIR MRI follow-up at 2 months after treatment by ESWT 51 52 S. M. Corrado, B. Corrado, T. g-i MRI follow-up at 4 months after ESWT The Role of Extracorporeal Shock Waves 53 References 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. Ohzono K, Saito M, Takaoka K et al (1991) Natural history of non-traumatic avascular necrosis of the femoral head. J Bone Joint Surg Br 73:68-72 Mont MA, Hungerford S (1995) Current concepts review: non-traumatic avascular necrosis of the femoral head.
Avascular Necrosis of the Femoral Head: Current Trends by E. De Santis, L. Proietti, V. De Santis (auth.), Francesco Saverio Santori, Nicola Santori, Annarita Piccinato (eds.)