scholarly journals Core decompression of the femoral head. Literature review

2021 ◽  
Vol 28 (1) ◽  
pp. 65-76
Author(s):  
Mikhail A. Panin ◽  
Nikolay V. Zagorodniy ◽  
Medetbek D. Abakirov ◽  
Andrey V. Boyko ◽  
Danila A. Ananyin
Keyword(s):  
Surgical Treatment ◽  
Femoral Head ◽  
Literature Review ◽  
Hip Joint ◽  
Hip Replacement ◽  
Early Stage ◽  
Combined Treatment ◽  
Core Decompression ◽  
Surgical Interventions ◽  
Results Of Treatment

Avascular necrosis (AVN) of the femoral head is a disease, characterized by the death of osteocytes and bone marrow, leading to collapse of the femoral head and dysfunction of the hip joint. There are many known risk factors for the development of this disease including trauma of the hip joint, hemoglobinopathy, alcoholism, taking corticosteroids, collagenosis, etc. Conservative treatment (drug therapy using vascular drugs, bisphosphonates, chondroprotectors, NSAIDs, physiotherapy, exercise therapy) is shown for any stage of the hip AVN, however, surgical treatment has a higher potential. The key to successful treatment is the detection of AVN at an early (pre-collapse) stage to prevent subsequent collapse by performing organ-sparing surgical interventions that reduce the rate of disease progression and allow delaying of the hip replacement. The literature describes a number of organ-preserving operations performed at an early stage of AVN. Currently, there are three main areas of surgical treatment of this disease: classical decompression of the femoral head, decompression using various types of grafts and combined treatment using various cellular technologies. This literature review is devoted to the consideration of the indications for implementation, as well as the results of treatment of patients using the above techniques.

scholarly journals Carbuncle - the actual problem of modern surgery (Literature review)

2019 ◽  
Vol 21 (4) ◽  
pp. 19-24
Author(s):  
K V Lipatov ◽  
Yu E Cherkasov ◽  
V I Khrupkin ◽  
M V Lysenko ◽  
E I Dekhissi
Keyword(s):  
Surgical Treatment ◽  
Literature Review ◽  
Plastic Surgery ◽  
Pathological Process ◽  
Tissue Viability ◽  
Actual Problem ◽  
Surgical Interventions ◽  
Timely Diagnosis ◽  
Results Of Treatment ◽  
Surgical Tactics

Analyzed the features of the surgical treatment of carbuncles. The severity of the purulent-necrotic process was assessed, the significance of the timely diagnosis of the inflammatory stage and the choice of the timing of surgical treatment is shown. The features of the options of surgical tactics - from gentle to radical surgical interventions, methods of intraoperative assessment of tissue viability in the inflammatory focus are described. The necessity of a differentiated approach to the treatment of carbuncles depending on the stage of the disease, the prevalence of the pathological process and its localization is substantiated. The significance of restorative skin-plastic surgery in the replacement of postnecrectomy defects of epithelial tissues in the treatment of extensive carbuncles is shown. Ways of improving the results of treatment of patients with carbuncles are outlined, including timely diagnosis, a differentiated approach to surgical treatment, rational antibacterial therapy, and adequate general treatment.

scholarly journals Surgical treatment of hip ankylosis

2019 ◽  
Vol 16 (4) ◽  
pp. 404-409
Author(s):  
N. A. Voloshenyuk ◽  
N. S. Serdyuchenko ◽  
A. R. Tchaikovsky ◽  
N. V. Skuratovich ◽  
G. M. Evseev
Keyword(s):  
Surgical Treatment ◽  
Total Hip Replacement ◽  
Hip Joint ◽  
Hip Replacement ◽  
Total Hip ◽  
Results Of Treatment ◽  
Joint Ankylosis

The article presents the results of treatment of 33 patients with hip joint ankylosis. The authors had proposed the tactical scheme of surgical treatment of patients with hip ankylosis and the results of total hip replacement within 5–10 years.

Drilling and plombage (core decompression) of a femoral head avascular necrosis

2010 ◽  
Vol 19 (01) ◽  
pp. 36-39 ◽  
Author(s):  
P. Chládek ◽  
V. Havlas ◽  
T. Trc
Keyword(s):  
Surgical Treatment ◽  
Femoral Head ◽  
Core Decompression ◽  
Effective Treatment Option ◽  
Simple Method ◽  
X Ray ◽  
Large Femoral Head ◽  
Press Fit ◽  
Round Shape ◽  
Late Stages

SummaryThe treatment of femoral head necrosis of adults is still rather problematic. Conservative treatment has been reported relatively unsuccessful and surgical treatment does not show convincing results either. The most effective seems to be a surgical treatment in early stages of the disease, however, the diagnosis still remains relatively complicated. For the late stages (2B and above) the most effective treatment option is represented by core decompression and vascular grafting. However, drilling and plombage (especially when using press-fit technique) seems to be successful, although not excellent. The authors describe their own method of drilling and plombage of the necrotic zone of the femoral head in 41 patients with X-ray detected necrotic changes of the femoral head. The pain measured by VAS was seen to decrease after surgery in all patients significantly. The Jacobs score was also observed to have increased (from fair to good outcome). We have not observed any large femoral head collapse after surgery, moreover, in some cases an improvement of the round shape of the femoral head was seen. It is important to mention that in all cases femoral heads with existing necrotic changes (flattening or collapse) were treated. Although the clinical improvement after surgery was not significantly high, the method we describe is a safe and simple method of diminishing pain in attempt to prepare the femoral head for further treatment in a future, without significant restriction of the indication due to necrosis (osteochondroplasty, resurfacing, THR).

scholarly journals Therapeutic tactics in the deep forms of rectal abscesses complicated by fournie gangrene

2020 ◽  
Vol 73 (2) ◽  
pp. 293-297
Author(s):  
Oleh E. Kanikovskyi ◽  
Andrii V. Osadchyі ◽  
Sergey I. Androsov ◽  
Anatolii V. Tomashevsky ◽  
Oleh A. Yarmak ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Antibacterial Therapy ◽  
Treatment Duration ◽  
Complex Treatment ◽  
Surgical Interventions ◽  
Results Of Treatment ◽  
Surgical Clinic ◽  
Modern Technologies ◽  
Clinical Emergency ◽  
Early Surgical Treatment

The aim: To conduct an analysis of the complex treatment of severe forms of rectal abscesses complicated by NF. Materials and methods: The results of treatment in 471 patients with deep forms of RA was performed. In 38(8%) the spread of the process and rotten-necrotic affection of the perineal fascia. Patients were treated at the surgical clinic of the medical faculty №2, VNPMMU, and Vinnytsya Clinical Emergency Hospital in the period from 2010-2018. Results: Total lethality 8(1,7%). Mortality in GF was 8(19,5%). It is worth noting the reduction of the treatment duration against the background of the modern technologies usage in the period from 2016 to 12 days in relation to the total figure of 15 days. Conclusions: Early surgical treatment, adequate necrectomy, fasciotomy and antibacterial therapy stop the necrotic process. The active aspiration reduces the timing of wound cleansing and further ensures the accelerated implementation of reconstructive surgical interventions.

scholarly journals Surgical Treatment of Fracture-Dislocation of the Femoral Head Pipkin IV: About One Case and Literature Review -Case Report

2020 ◽  
Vol 6 (6) ◽  
pp. 253-256
Author(s):  
Seddik Benchekroun ◽  
Senhaji Said ◽  
Lahsika Mohammed ◽  
Maanouk Rachid ◽  
Abid Hatim ◽  
...  
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Femoral Head ◽  
Literature Review ◽  
Fracture Dislocation

A silk-based high impact composite for the core decompression of the femoral head

2020 ◽  
Vol 8 (42) ◽  
pp. 9734-9743
Author(s):  
Jin Wang ◽  
Ruixin Mi ◽  
Guanglei Zhao ◽  
Jingsheng Shi ◽  
Jie Chen ◽  
...  
Keyword(s):  
Femoral Head ◽  
Early Stage ◽  
Core Decompression ◽  
High Impact ◽  
Filling Material ◽  
The Core

A novel silk based composite as a filling material in core decompression of the femoral head for early-stage osteonecrosis of the femoral head.

scholarly journals Surgical treatment of femoral head fractures through previously controlled hip luxation: four case series and literature review

2018 ◽  
Vol 53 (3) ◽  
pp. 337-341
Author(s):  
Guilherme Augusto Stirma ◽  
Christiano Saliba Uliana ◽  
Weverley Rubele Valenza ◽  
Marcelo Abagge
Keyword(s):  
Surgical Treatment ◽  
Femoral Head ◽  
Literature Review ◽  
Case Series ◽  
Hip Luxation

Acoustic Vibration and Mechanical In Vivo Analysis of the Hip Joint After a Total Hip Arthroplasty

2007 ◽  
Author(s):  
D. A. Glaser ◽  
R. D. Komistek ◽  
H. E. Cates ◽  
M. Mahfouz
Keyword(s):  
Femoral Head ◽  
Total Hip Replacement ◽  
Hip Joint ◽  
Hip Replacement ◽  
Acoustic Vibration ◽  
Valuable Insight ◽  
Acetabular Cup ◽  
Total Hip ◽  
Resonance Frequencies

The major complications following total hip replacement (THA) are implant loosening, dislocation, instability, fracture and infection. It is hypothesized that vibration, in the range of the resonance frequencies, may cause pain, bone degeneration and fracture. A further understanding of the physical response resulting from impact during femoral head sliding may lead to valuable insight pertaining to THA failure. Therefore, the first objective of this present study was to determine if frequencies propagating through the hip joint near resonant frequencies may lead to wear or loosening of the components. Recently, studies found that femoral head sliding, often referred to as hip separation, between the acetabulum cup and the femoral head does occur, which may also play a role in complications observed with THA today, but a the effects of hip separation and the causes of its occurrence has not been studied as jet. Therefore, the second objective of this study was to determine if a sound sensor, externally attached, could be used to correlate impact loading sounds from femoral head sliding in the acetabular cup. Additional objective of this study was to develop a mathematical model that better simulates the in vivo loading conditions of total hip replacement patients using in vivo fluoroscopic and ground reaction data as input.

scholarly journals The Use of Platelet-Rich Plasma for the Treatment of Osteonecrosis of the Femoral Head: A Systematic Review

2020 ◽  
Vol 2020 ◽  
pp. 1-11 ◽  
Author(s):  
Jun Han ◽  
Fuqiang Gao ◽  
Yajia Li ◽  
Jinhui Ma ◽  
Wei Sun ◽  
...  
Keyword(s):  
Stem Cells ◽  
Femoral Head ◽  
Early Stage ◽  
Platelet Rich Plasma ◽  
Articular Surface ◽  
Experimental Studies ◽  
Core Decompression ◽  
Comprehensive Overview ◽  
Autologous Plasma ◽  
Operation Modes

Background. As a pathological process, osteonecrosis of the femoral head (ONFH) is characterized by the avascularity of the femoral head, cellular necrosis, microfracture, and the collapse of the articular surface. Currently, critical treatment for early-stage ONFH is limited to core decompression. However, the efficacy of core decompression remains controversial. To improve the core decompression efficacy, regenerative techniques such as the use of platelet-rich plasma (PRP) were proposed for early-stage ONFH. As a type of autologous plasma containing concentrations of platelets greater than the baseline, PRP plays an important role in tissue repair, regeneration, and the differentiation of mesenchymal stem cells (MSCs). In this review, we present a comprehensive overview of the operation modes, mechanism, and efficacy of PRP for early-stage ONFH treatment. Methods. We searched for relevant studies in the PubMed, Web of Science, and Embase databases. By searching these electronic databases, the identification of either clinical or experimental studies evaluating PRP, MSC, core decompression, and ONFH was our goal. Results. Seventeen studies of PRP and avascular necrosis of the femoral head were evaluated in our review. Ten studies related to the possible mechanism of PRP for treating ONFH were reviewed. Seven studies of the operation modes of PRP in treating ONFH were identified. We reviewed the efficacy of PRP in treating ONFH systematically and made an attempt to compare the PRP operation modes in 7 studies and other operation modes in past studies for early-stage ONFH treatment. Conclusion. PRP treats ONFH mainly through three mechanisms: inducing angiogenesis and osteogenesis to accelerate bone healing, inhibiting inflammatory reactions in necrotic lesions, and preventing apoptosis induced by glucocorticoids. In addition, as an adjunctive therapy for core decompression, the use of PRP is recommended to improve the treatment of early-stage ONFH patients, especially when combined with stem cells and bone grafts, by inducing osteogenic activity and stimulating the differentiation of stem cells in necrotic lesions.

Unusual intravesical foreign body: Case report and literature review

1996 ◽  
Vol 63 (1) ◽  
pp. 139-141
Author(s):  
E. Cossaro ◽  
F. Laganà ◽  
F. Sercia ◽  
C. Ronconi ◽  
M. Marchini
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Femoral Head ◽  
Literature Review ◽  
Hip Replacement ◽  
Foreign Bodies ◽  
Long Latency ◽  
Body Case

— There are several reports of intravesical foreign bodies, but those due to migration from adjacent organs or tissues are unusual. We report a case of an intravesical acetabular prosthesis in an 81-year-old woman, who 24 years before had a total left hip replacement for severe coxarthrosis, with subseguent removal of the femoral head 3 years later due to rejection. Our case is unusual for the long latency, lack of severe complications and absence in literature of reports of acetabular prosthesis as an intravesical foreign body.

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