The course and treatment of avascular necrosis of the femoral head in developmental dysplasia of the hip

Paul Connolly; Stuart L Weinstein

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The course and treatment of avascular necrosis of the femoral head in developmental dysplasia of the hip

Journal article

Open access

Peer reviewed

The course and treatment of avascular necrosis of the femoral head in developmental dysplasia of the hip

Paul Connolly and Stuart L Weinstein

Acta orthopaedica et traumatologica turcica, Vol.41 Suppl 1, pp.54-59

2007

PMID: 17483624

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https://dergipark.org.tr/tr/pub/aott/issue/18116/190948View

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Abstract

Proximal femoral growth disturbance, commonly referred to as avascular necrosis (AVN) of the femoral head in the literature, is a potentially devastating complication in the treatment of developmental dysplasia of the hip (DDH). The early onset of debilitating degenerative changes in the hip joint when treatment options are limited remains the biggest fear. Controversy exists regarding the pathophysiology of this disorder, as well as exactly defining and diagnosing this problem. The natural history of AVN in the setting of DDH is very variable. Current practice concentrates primarily on prevention of this disorder, as there are no reliable ways to intervene at an early stage when changes are potentially reversible. Newer techniques using magnetic resonance imaging may have a role in early diagnosis of this condition before irreversible damage has occurred, and allow for interventions that will favorably affect the natural history of AVN. Treatment options for established AVN in DDH concentrate on improving the biomechanics of the proximal femur but unfortunately do not obviate the need for arthrodesis or arthroplasty at a later date.

Femur Head - anatomy & histology

Femur Head - pathology

Femur Head Necrosis - surgery

Hip Joint - pathology

Humans

Femur Head Necrosis - diagnosis

Magnetic Resonance Imaging - methods

Hip Dislocation, Congenital - surgery

Femur Head - blood supply

Femur Head Necrosis - prevention & control

Hip Dislocation, Congenital - physiopathology

Bone Remodeling

Femur Head Necrosis - etiology

Details

Title: Subtitle: The course and treatment of avascular necrosis of the femoral head in developmental dysplasia of the hip
Creators: Paul Connolly - University of Iowa
Stuart L Weinstein - University of Iowa
Resource Type: Journal article
Publication Details: Acta orthopaedica et traumatologica turcica, Vol.41 Suppl 1, pp.54-59
Publisher: Turkey
PMID: 17483624
ISSN: 1017-995X
Alternative title: Gelişimsel kalça displazisinde femur başi avasküler nekrozunun seyri ve tedavisi
Language: English; Turkish
Date published: 2007
Academic Unit: Stead Family Department of Pediatrics; Orthopedics and Rehabilitation
Record Identifier: 9984040217002771

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