M Betsch1, M Tingart2, A Driessen2, V Quack2, B Rath2. 1. Klinik für Orthopädie, Uniklinik RWTH Aachen, Pauwelsstraße 30, 52074, Aachen, Deutschland. mbetsch@ukaachen.de. 2. Klinik für Orthopädie, Uniklinik RWTH Aachen, Pauwelsstraße 30, 52074, Aachen, Deutschland.
Abstract
BACKGROUND: Avascular necrosis of the femoral head is a progressive perfusion disorder of the hip joint. Progress in avascular necrosis causes structural damage to the affected joint, often requiring total hip replacement. AIM: This article is intended to give the reader an overview of the current literature on total hip replacement of patients with an avascular necrosis of the femoral head. RESULTS: Before 1990, patients with avascular necrosis of the femoral head had significantly higher revision rates after total hip replacement. Recent studies, however, showed no significant differences in clinical outcomes after total hip replacement in femoral head necrosis and primary osteoarthritis. Despite the young age of the patients, good long-term clinical results can be expected even in patients with an avascular necrosis of the femoral head after total hip replacement.
BACKGROUND:Avascular necrosis of the femoral head is a progressive perfusion disorder of the hip joint. Progress in avascular necrosis causes structural damage to the affected joint, often requiring total hip replacement. AIM: This article is intended to give the reader an overview of the current literature on total hip replacement of patients with an avascular necrosis of the femoral head. RESULTS: Before 1990, patients with avascular necrosis of the femoral head had significantly higher revision rates after total hip replacement. Recent studies, however, showed no significant differences in clinical outcomes after total hip replacement in femoral head necrosis and primary osteoarthritis. Despite the young age of the patients, good long-term clinical results can be expected even in patients with an avascular necrosis of the femoral head after total hip replacement.
Entities:
Keywords:
Coxa; Coxarthrosis; Joint replacement; Osteoarthrosis; Young adult
Authors: Michael A Mont; Thorsten M Seyler; Johannes F Plate; Ronald E Delanois; Javad Parvizi Journal: J Bone Joint Surg Am Date: 2006-11 Impact factor: 5.284
Authors: Michael A Mont; Thorsten M Seyler; David R Marker; German A Marulanda; Ronald E Delanois Journal: J Bone Joint Surg Am Date: 2006-11 Impact factor: 5.284