scholarly journals Clinical reports of surgical dislocation of the hip with sequestrum clearance and impacting bone graft for grade IIIA-IIIB aseptic necrosis of femoral head (ANFH) patients

Oncotarget ◽  
2017 ◽  
Vol 8 (30) ◽  
pp. 50084-50090 ◽  
Author(s):  
Chen Yao ◽  
Nan Yi ◽  
Jirong Shen ◽  
Bin Du ◽  
Guangquan Sun ◽  
...  
Keyword(s):  
Femoral Head ◽  
Bone Graft ◽  
Aseptic Necrosis ◽  
Surgical Dislocation ◽  
Necrosis Of Femoral Head ◽  
Dislocation Of The Hip

scholarly journals Caso Clínico: Luxación Controlada de Cadera. Epifisiólisis de Cabeza Femoral

2018 ◽  
Vol 10 (2) ◽  
pp. 175-178
Author(s):  
Christian Romeo Bravo Aguilar ◽  
Franklin Xavier Bravo Aguilar ◽  
Adriana Abigail Guzmán Villa
Keyword(s):  
Femoral Head ◽  
High Body Mass Index ◽  
Long Term Results ◽  
Adequate Treatment ◽  
Surgical Dislocation ◽  
In Situ Fixation ◽  
Lancinating Pain ◽  
The Right ◽  
Dislocation Of The Hip

BACKGROUND: The epiphysiolysis of the femoral head is the displacement of the epiphysis with respect to the metaphysis, in anterosuperior direction; it is etiology is unknown, frequent in adolescents, peripubertal period, and with high body mass index, average age between 12 and 18 years. It is incidence is variable, 0.2 (Japan) to 10 (United States) per 100 000 inhabitants. It is characterized by progressive pain in the hip, with irradiation to the groin or knee, is associated with lameness; with the early detection, an adequate treatment can be established, the most accepted one is the in situ fixation with central screws. CASE REPORT: A 14-year-old female patient with no pathological history attended the Children's Orthopedic Service due to the chronic lancinating pain of the right hip, which increases with walking, it is diagnosed by clinical examination and complementary exams of femoral head epiphysiolysis. Surgical dislocation of the hip and anatomical open reduction with placement of spongy screws was performed. EVOLUTION: On the third day of surgery, hospital discharge is decided; walking with crutches and without support during a postoperative month. The osteosynthesis remained for a year with monthly controls and corresponding physiotherapy; it has been evidenced favorable evolution; hip mobility arches preserved, normal ambulation, without complications CONCLUSIONS: The initial treatment of a patient with epiphysiolysis of stable femoral head depends on the evolution time and is done by fixing with screws or needles with of anatomical dislocation of the hip and osteoplasty of femoral neck remodeling. Most patients do not develop necrosis or chondro- lysis and long-term results with in situ fixation are usually excellent, unlike patients with late diagnosis.

CURRENT CONCEPTS IN DIAGNOSIS AND MANAGEMENT OF CONGENITAL DISLOCATION OF THE HIP

PEDIATRICS ◽  
1964 ◽  
Vol 34 (4) ◽  
pp. 554-557
Author(s):  
Frederic N. Silverman
Keyword(s):  
Femoral Head ◽  
Clinical Signs ◽  
Adult Life ◽  
Extensive Study ◽  
Congenital Dislocation ◽  
Older Children ◽  
Aseptic Necrosis ◽  
Medical Centers ◽  
Orthopedic Surgeons ◽  
Dislocation Of The Hip

MANY OF US whose formal medical education was obtained more than ten years ago may, as a result, approach the problem of congenital dislocation of the hip (hereafter CDH) with concepts whic could profitably be abandoned. In many medical centers, CDH has been considered a consequence of failure of development of the acetabulum (acetabular dysplasia). It was usually recognized in the infant around the time of standing or walking, confirmed by radiologic examination, and treated by various types of restraining apparatus designed to replace the dislocated femoral head in proper relationship to the acetabular cavity, and to maintain it there for a period of months at least. The management in older children required hospitalizations for prolonged traction , forceful manipulation and plaster casts, radiographs, and changes of casts. And, in as many as 30% of the children, the involved hip, even if replaced, failed to develop properly so that aseptic necrosis of the femoral head (Legg-Calve-Perthe's disease) occurred and osteo-arthritis was frequent in adult life. Early diagnosis and treatment has been the goal of orthopedic surgeons for at least the last 30 years. Pediatricians have been instructed to look for abnormal body contours, shortening of a lower extremity, asymmetrical skin folds in groins and thighs, and limitation of motion of the involved hip. When any of these still useful clinical signs were observed, radiographs of the hips were requested for measurements of acetabular angles. In 1956, Coleman and Caffey independently challenged the validity of the available "standards" for acetabular angles, some of which were based on measurements from as few as 23 children. Caffey's report is the most extensive study to date and the most reliable statistically.

scholarly journals Results of Treatment for Aseptic Necrosis of the Femoral Head with Vascularized Bone Graft.

1992 ◽  
Vol 40 (3) ◽  
pp. 962-964
Author(s):  
Kosei Ijiri ◽  
Nagatoshi Yoshikuni ◽  
Hidefumi Kawaida ◽  
Hiroshi Ito ◽  
Mitsuhiro Yanase ◽  
...  
Keyword(s):  
Femoral Head ◽  
Bone Graft ◽  
Vascularized Bone Graft ◽  
Aseptic Necrosis ◽  
Results Of Treatment ◽  
Vascularized Bone

scholarly journals Evaluation of Vascularized Pedicle Iliac Bone Graft for Avascular Necrosis of Femoral Head: Radiological Assessment.

1995 ◽  
Vol 44 (2) ◽  
pp. 477-479
Author(s):  
Satoshi Mori ◽  
Naoto Hamasaki ◽  
Tomoaki Yoshikawa ◽  
Satoshi Tomiyama ◽  
Fuminori Kanaya ◽  
...  
Keyword(s):  
Femoral Head ◽  
Bone Graft ◽  
Avascular Necrosis ◽  
Iliac Bone ◽  
Radiological Assessment ◽  
Iliac Bone Graft ◽  
Necrosis Of Femoral Head
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