Bakircioglu Sancar, Atilla Bulent
Cermik State Hospital, Department of Orthopedics and Traumatology, Diyarbakır Turkey.
Hacettepe University Hospital, Department of Orthopedics and Traumatology, Ankara Turkey.
J Clin Orthop Trauma. 2021 Oct 9;23:101636. doi: 10.1016/j.jcot.2021.101636. eCollection 2021 Dec.
Osteonecrosis of the femoral head (ONFH) affects mainly young patients and causes secondary hip osteoarthritis if remains untreated. Several operative treatments have been introduced with successful outcomes in the early stages. However, in late stages of ONFH treatment may be challenging due to the progressive nature of disease and many surgeons prefer arthroplasty option after collapse. Considering the size, age and etiology an effort should be made to preserve hip joint selected patients with early collapse or minimal arthritic changes. The purpose of the current review is to discuss the results of joint preserving procedures for late stages of ONFH.
股骨头坏死（ONFH）主要影响年轻患者，若不治疗会导致继发性髋骨关节炎。早期已引入多种手术治疗方法并取得了成功。然而，在ONFH的晚期，由于疾病的进展性质，治疗可能具有挑战性，许多外科医生在股骨头塌陷后更倾向于选择关节置换术。考虑到患者的体型、年龄和病因，对于早期塌陷或关节炎变化轻微的特定患者，应努力保留髋关节。本综述的目的是讨论ONFH晚期保留关节手术的结果。
