Aigner C, Ehall R, Stampfel O
Klinische Abteilung für Orthopädie, Universitätsklinik für Chirurgie Graz.
Z Orthop Ihre Grenzgeb. 1995 Sep-Oct;133(5):467-73. doi: 10.1055/s-2008-1039956.
The radiation induced osteonecrosis of the hip is a rare complication after radiation therapy. The time of radiological manifestation is dramatically longer (2 to 17 years) than reported from other bones. There is an inverse correlation between age at the time of radiotherapy and the latency time. Sclerosis, focal lyses, fractures and migration of the femoral head are seen in the radiographs. Differential diagnosis to neoplastic changes should be achieved by bone scan and MRI. We have seen five patients with this condition and had operated on four of them. Treated with THR the fractured acetabulae healed within 9 months and the sclerosis diminished. We did not see any progression of the damage induced by irradiation.
放射性髋骨坏死是放射治疗后一种罕见的并发症。其影像学表现出现的时间比其他部位骨骼要长得多（2至17年）。放疗时的年龄与潜伏期呈负相关。X线片可见硬化、局灶性骨质溶解、骨折及股骨头移位。通过骨扫描和磁共振成像（MRI）可与肿瘤性病变进行鉴别诊断。我们已诊治5例该疾病患者，其中4例接受了手术治疗。接受全髋关节置换术（THR）治疗后，髋臼骨折在9个月内愈合，硬化减轻。我们未观察到放疗所致损伤有任何进展。
