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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.
Osteonecrosis of the Femoral Head: A Clinical Casebook will be an excellent resource for orthopedic surgeons, residents and fellows treating hip pain.
List of contents
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.
About the author
Rafael J. Sierra, MD, Professor of Orthopedic Surgery, Consultant, Orthopedic Surgeon Fellowship Director, Lower Reconstruction, Mayo Clinic, Rochester, MN, USA
Summary
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.
