Landgraeber Stefan, Büchler Lorenz, Roth Andreas
Klinik für Orthopädie und Orthopädische Chirurgie, Universität des Saarlandes, Kirrberger Str. 100, 66421, Homburg, Deutschland.
AGA, Gesellschaft für Arthroskopie und Gelenkchirurgie, c/o Walder Wyss Ltd., Seefeldstrasse 123, 8034, Zürich, Schweiz.
Orthopadie (Heidelb). 2025 Jun 26. doi: 10.1007/s00132-025-04666-z.
The incidence of atraumatic necrosis of the femoral head (ATN) has increased in recent years. The pathogenesis is complex and has a multifactorial etiology. In order to find the best possible treatment option for the often young patients, a well-coordinated evaluation, including differential diagnoses, is required. In particular, the decision whether to attempt to preserve the joint or to proceed with joint replacement is important. Knowledge of relevant classification systems is helpful in making this decision. This CME article aims to provide the necessary knowledge for the optimal treatment of ATN.
近年来，股骨头缺血性坏死（ATN）的发病率有所上升。其发病机制复杂，病因具有多因素性。为了给通常较为年轻的患者找到最佳治疗方案，需要进行包括鉴别诊断在内的协调良好的评估。特别是，决定是尝试保留关节还是进行关节置换很重要。了解相关分类系统有助于做出这一决定。这篇继续医学教育文章旨在为ATN的最佳治疗提供必要的知识。
