• The aim of this paper is to critically review the literature documenting the imaging approach in adult Femoral Head Avascular Necrosis (FHAVN). (torvergata.it)
  • Femoral head necrosis is a mobility disorder and till now no satisfactory solution has been reported. (ijpsonline.com)
  • The principal contributing factor in the pathogenesis of the disease is insufficient blood supply to the femoral head resulting in necrosis of the femoral head. (ijpsonline.com)
  • Various preventive measures required to treat femoral head necrosis include revascularization, adequate supply of osteogenic cells and establishing enough strength to avoid collapse. (ijpsonline.com)
  • Among all, cell transplantation therapy is considered the most favourable treatment strategy for femoral head necrosis. (ijpsonline.com)
  • However, the results merely depend on the etiology and the clinical stage of femoral head necrosis. (ijpsonline.com)
  • The main objective of this communication is to study the treatment of femoral head necrosis with cell replacement therapy and also its effects by focusing on the disease stages. (ijpsonline.com)
  • Femoral head necrosis (FHN) is a mobility disorder, associated with hip joint[ 1 , 2 ]. (ijpsonline.com)
  • Bone repair of the femoral head necrosis area was analyzed after MSC transplantation. (biomedcentral.com)
  • Furthermore, comparing the effectiveness of iPSC-MSCs and the normal BMSCs in an ONFH rat model revealed that the iPSC-MSCs was equivalent to normal BMSCs in preventing bone loss and promoting bone repair in the necrosis region of the femoral head. (biomedcentral.com)
  • Transplantation of iPSC-MSCs could effectively promote bone repair and angiogenesis in the necrosis area of the femoral head. (biomedcentral.com)
  • The adolescent age group with skeletal immaturity deserves special attention from the surgeons because of grave complications like avascular necrosis of the femur head and angular deformities. (ijrsms.com)
  • Steroid-induced osteonecrosis of the femoral head (SONFH) is the necrosis of the femur bone caused by prolonged and massive use of corticosteroids. (biomedcentral.com)
  • In the MCS group, there were one avascular necrosis, five postoperative nonunion, five implant failure, and two femoral neck shortening. (researchsquare.com)
  • However, the optimal definitive management of such fractures remains controversial and a challenging orthopaedic problem due to the complexity of anatomical relationship and a vulnerable blood supply to the femoral head, which could result in malunion, nonunion, or avascular necrosis 4 - 6 . (researchsquare.com)
  • Avascular necrosis (AVN) is also known as osteonecrosis, aseptic necrosis, and ischemic necrosis. (cadth.ca)
  • Osteonecrosis, Aseptic necrosis and Ischemic necrosis are other terms used for avascular necrosis. (orthopaedicsbangalore.com)
  • In avascular necrosis, the hip causes the femoral head to flatten. (orthopaedicsbangalore.com)
  • Legg-Calve-Perthes' disease, ischemic necrosis of the hip, coxa plana, osteochondritis and avascular necrosis of the femoral head , Legg-Perthes Disease or Legg-Calve-Perthes Disease (LCPD). (findmeacure.com)
  • Dr. Stocks provides expert care for osteonecrosis (also known as avascular necrosis) of the hip. (fondren.com)
  • Barney J, Piuzzi NS, Akhondi H. Femoral Head Avascular Necrosis. (medscape.com)
  • Ai ZS, Gao YS, Sun Y, Liu Y, Zhang CQ, Jiang CH. Logistic regression analysis of factors associated with avascular necrosis of the femoral head following femoral neck fractures in middle-aged and elderly patients. (medscape.com)
  • Non-traumatic avascular necrosis of the femoral head. (medscape.com)
  • Risk factors of avascular necrosis of the femoral head and fixation failure in patients with valgus angulated femoral neck fractures over the age of 50 years. (medscape.com)
  • Maini L, Kumar S, Batra S, Gupta R, Arora S. Evaluation of the muscle morphology of the obturator externus and piriformis as the predictors of avascular necrosis of the femoral head in acetabular fractures. (medscape.com)
  • Avascular necrosis of femoral head following COVID-19 infection. (medscape.com)
  • Femoral head avascular necrosis in COVID-19 survivors: a systematic review. (medscape.com)
  • Arlet J, Ficat P. [Non-traumatic avascular femur head necrosis. (medscape.com)
  • Shah SN, Kapoor CS, Jhaveri MR, Golwala PP, Patel S. Analysis of outcome of avascular necrosis of femoral head treated by core decompression and bone grafting. (medscape.com)
  • Fang T, Zhang EW, Sailes FC, McGuire RA, Lineaweaver WC, Zhang F. Vascularized fibular grafts in patients with avascular necrosis of femoral head: a systematic review and meta-analysis. (medscape.com)
  • Avascular necrosis (AVN) likewise called as osteonecrosis, is a condition that of loss of blood supply to the bone. (ejpmr.com)
  • 11 Massage Heads: ED shockwave therapy machine with 11 massage heads with different functions, which are suitable for bone tissue diseases, femoral head necrosis in early adult, osteoarthritis, plantar fasciitis and chronic disease of soft tissue injury, etc. (paineasetherapy.com)
  • Bone Tissue Diseases: Delayed union of fracture and bone nonunion, femoral head necrosis in early adult. (paineasetherapy.com)
  • This leads to degeneration and eventually necrosis (dying of the bone), sometimes referred to as osteonecrosis. (popb.md)
  • The articular cartilage is damaged with the collapse of the femoral head and a painful hip condition, known as avascular necrosis (AVN) or osteonecrosis, can develop. (houstonsportsortho.com)
  • Although avascular necrosis (AVN) can be the consequence of a traumatic injury to the hip, such as a proximal femur fracture or a hip dislocation, there are a number of non-traumatic factors that can increase an individual's risk of experiencing AVN. (houstonsportsortho.com)
  • Hip necrosis, also called osteonecrosis or avascular necrosis, is a painful condition in which lack of proper blood flow to the head of the femur results in osteocytes and the bone marrow dying. (mendmyhip.com)
  • Avascular necrosis, also called osteonecrosis, is a condition in which bone death occurs because of. (drchrisevensen.com)
  • Avascular necrosis, also called osteonecrosis, is a condition in which bone death occurs because of inadequate blood supply to it. (uppervalleyortho.com)
  • Meanwhile, as the bone tissue grows, blood circulation is also introduced into the nail body, which is conducive to preventing the occurrence of fracture nonunion and femoral head necrosis. (strongtantalum.com)
  • Porous tantalum nail implantation is an ideal minimally invasive surgical treatment for the treatment of early Avascular Necrosis of Femur Head (ANFH) in adults. (strongtantalum.com)
  • Although, a list of contributing factors such as sickle cell anaemia, use of steroids, femoral neck fractures are involved in the loss of osteogenic cells via obstructing blood supply especially in the greater trochanteric region[ 1 , 2 ]. (ijpsonline.com)
  • Anatomic reduction and stable fixation contribute to satisfactory outcomes in the treatment of nonelderly displaced femoral neck fractures. (researchsquare.com)
  • Femoral neck fractures in healthy nonelderly individuals are relatively uncommon and are usually caused by high energy trauma 1 . (researchsquare.com)
  • 3 proposed that anatomic reduction and fixation, coupled with a medial buttress plate that resists shearing forces, may reduce the historically high complication rate of vertical femoral neck fractures. (researchsquare.com)
  • The retrospective study included 342 patients who underwent femoral neck fractures treated at our institution from April 2012 to February 2018. (researchsquare.com)
  • There is a paucity of data on the treatment of femoral neck fractures in young patients. (sogacot.org)
  • The purpose of the present study was to review the results and complications associated with the treatment of femoral neck fractures with internal fixation in a large consecutive series of young patients. (sogacot.org)
  • Between 1975 and 2000, eighty-three femoral neck fractures in eighty-two consecutive patients who were between fifteen and fifty years old were treated with internal fixation at our institution. (sogacot.org)
  • According to an estimate, 70 % of the individuals diagnosed with FHN progress to develop the collapse of the femoral head. (ijpsonline.com)
  • Published opinions regarding this disease represent that there are 59 % of cases that proceed to symptomatic disease, which results in femoral head collapse[ 5 ]. (ijpsonline.com)
  • If timely treatment is not received, ONFH would lead to the collapse of the femoral head, which requires total hip arthroplasty (THA) [ 8 ]. (biomedcentral.com)
  • Therefore, better treatment approaches for preventing femoral head collapse are required. (biomedcentral.com)
  • Although the actual pathology behind femoral osteonecrosis is not yet understood, the disease typically follows a progression to eventual femoral head collapse, which results in the need for a total hip replacement. (moreaupt.com)
  • Perthes' disease is a degenerative disease of the hip joint , where growth/loss of bone mass leads to some degree of collapse of the hip joint and to deformity of the ball of the femur and the surface of the hip socket. (findmeacure.com)
  • If not stopped, this process eventually causes the bone to collapse .Commonly affecting sites includes the head of femur, humerus, proximal tibia and femoral condyles. (ejpmr.com)
  • This can cause the head of the femur (thighbone) to collapse, causing dislocations and severe arthritic conditions. (popb.md)
  • If the blood supply through the femoral head is damaged or interrupted, the supporting bone underneath the cartilage can gradually deteriorate and ultimately collapse. (houstonsportsortho.com)
  • Stage 3: Arthritis symptoms begin to develop with the femoral head collapse visible in imaging studies. (houstonsportsortho.com)
  • This weakens the bone and can lead to a collapse of the femur head and eventual arthritis as the surface of the femur head (articular cartilage) changes shape. (mendmyhip.com)
  • ONFH is also a rare condition but may cause femoral head collapse and disability in walking. (biomedcentral.com)
  • Therefore, porous tantalum nail has a good long-term effect in the treatment of femoral neck fracture and has a broad application prospect in other disciplines of orthopedics and medicine. (strongtantalum.com)
  • The femur or thigh bone is fitted into the cup-shaped socket of the pelvis. (orthopaedicsbangalore.com)
  • The femoral artery is a large blood supplier that starts in the pelvis and travels down the leg to the inside of the knee. (mendmyhip.com)
  • Hip dislocation is a term used to describe the medical situation where the proximal end of the femur and the hollow socket of the pelvis become disjointed. (symptoma.com)
  • 6 Bone scanning is useful for early diagnosis and follow-up of osteonecrosis. (cadth.ca)
  • If MRI or bone scans are necessary, a positive diagnosis relies upon patchy areas of vascularity to the capital femoral epiphysis (the developing femoral head). (findmeacure.com)
  • Ultrasonography and MRI have been used for diagnosis and evaluation of Slipped Capital Femoral Epiphysis SCFE. (orthofixar.com)
  • To make a diagnosis, your doctor may take an x-ray to rule out a fracture (as this is often the cause of limited blood flow to the femoral head). (mendmyhip.com)
  • Much like post-traumatic arthritis, any injury to the hip joint that stifles blood flow to the joint - such as a dislocation or a fracture - can cause a lack of blood supply to the femoral head. (popb.md)
  • Trauma to the hip joint (i.e. fracture or dislocation) can interrupt the flow of blood to the femoral head, leading to osteonecrosis. (mendmyhip.com)
  • Hip dislocation occurs when the head of the femur moves out of the socket. (uppervalleyortho.com)
  • The femoral head can dislocate either backward (posterior dislocation) or forward (anterior dislocation). (uppervalleyortho.com)
  • Medications: Research has found a connection between long-term use of corticosteroid medications and the development of osteonecrosis. (houstonsportsortho.com)
  • Five (9.8%) of the fifty-one displaced fractures were associated with the development of nonunion, and fourteen (27%) were associated with the development of osteonecrosis. (sogacot.org)
  • Three (14%) of the twenty-two nondisplaced fractures were associated with the development of osteonecrosis, and one (4.5%) was associated with the development of nonunion. (sogacot.org)
  • Eleven (24%) of the forty-six displaced fractures with a good to excellent reduction were associated with the development of osteonecrosis, and two (4%) were associated with the development of nonunion. (sogacot.org)
  • Four of the five displaced fractures with a fair or poor reduction were associated with the development of osteonecrosis, nonunion, or both. (sogacot.org)
  • This takes 18 to 36 months and may lead to a deformed shape, with flattening of the ball-shaped head of the femur that normally fits into the round socket of the hip joint. (findmeacure.com)
  • Stress fractures of the hip are a break in the upper part of the thigh bone (femur) that fits into the. (drchrisevensen.com)
  • Revision hip surgery may be recommended when previous hip surgeries such as debridement, hip labrum repair, hip labrum reconstruction, femoral osteoplasty, and periacetabular osteotomy have failed to resolve painful and debilitating hip symptoms associated with the hip conditions. (krisalden.com)
  • The pathogenesis of SONFH is associated with increased intraosseous pressure caused by increased adipocyte proliferation and adipogenesis in the bone marrow, which can slow blood flow in the femoral head and eventually lead to ischemic osteonecrosis [ 4 ]. (biomedcentral.com)
  • The femoral shaft fractures constitute 1.6% of the pediatric fractures. (ijrsms.com)
  • The rigid intramedullary interlocking nail is a valuable option for the fixation of femoral shaft fractures in an adolescent age group with a good union rate and minimal complications. (ijrsms.com)
  • Femur shaft fractures constitute 1.6% of overall fractures in children. (ijrsms.com)
  • For generations traction and casting was the standard treatment for all femoral shaft fractures in children. (openorthopaedicsjournal.com)
  • When subtrochanteric and supracondylar fractures are included the femoral shaft fractures represents about 1.6% of all bony injuries in children. (openorthopaedicsjournal.com)
  • Femoral shaft fractures in the paediatric patients have traditionally been treated non- operatively with either early spica cast or a period of traction followed by application of hip spica cast until the time of fracture union. (openorthopaedicsjournal.com)
  • The ideal device to treat most femoral fractures in children would be a simple, load sharing internal splint that allows mobilisation and maintenance of alignment and extremity length until bridging callus forms. (openorthopaedicsjournal.com)
  • The purpose of this study was to compare the effectiveness of multiple cannulated screws combined with medial buttress plate or not for the treatment of unstable femoral neck fracture. (researchsquare.com)
  • A buttress plate in the medial region of the femur neck with cannulated screws offers patients the best biomechanical microenvironment needed for fracture healing without obviously blood-supply disruption, especially in Pauwels type Ⅱ and III. (researchsquare.com)
  • It is thought that the artery of the ligamentum teres femoris closes too early, not allowing time for the medial circumflex femoral artery to take over. (findmeacure.com)
  • The lateral and medial circumflex femoral arteries branch off the femoral artery and supply the femoral head with the majority of its blood supply. (mendmyhip.com)
  • The orthopaedic surgeon's goals of obtaining and maintaining anatomic reduction until bony union have been addressed by a number of surgical approaches and fixation constructs, including a sliding hip screw device, proximal femoral locking plates, cephalomedullary nails, and multiple cannulated parallel lag screws 7 - 9 . (researchsquare.com)
  • The inclusion criteria were: (1) age between 18 to 65 years, (2) femoral neck fracture, Garden type III-IV, (3) fixation should be conducted less than 10 days from injury, (4) American Academy of Anesthesiology class 1 or 2, (5) no other fracture in the lower limb, (6) a minimum of 2 years follow-up. (researchsquare.com)
  • The treatment of paediatric shaft femur fracture has been drastically changed over the last two decades to internal fixation by elastically stable intra- medullary nail (ESIN). (openorthopaedicsjournal.com)
  • Microtrauma caused by hyperextension of the hip paired with external femoral rotation is the quickest path to an acetabular labral tear. (beaconortho.com)
  • The aim of this study was to produce a descriptive analysis of the femur, tibia, and humerus non-union epidemiology in Spain. (uam.es)
  • Regarding non-union of long bones (femur, tibia and humerus), a total of 37,053 cases were found, representing a yearly mean of 1,950 cases. (uam.es)
  • The proportion of long bone fractures that evolved into a non-union was 4% (1.4% femur, 1.5% tibia, and 1% humerus). (uam.es)
  • By the type of bone, the period prevalence (per 100,000 persons-period) of the femur NU was 31, of the tibia 33, and of the humerus 22. (uam.es)
  • Conclusions This description of the epidemiology of long bone non-unions in Spain confirms that the overall non-union rate has been stable from 2000 to 2015, higher in the tibia and in the femur compared to the humerus. (uam.es)
  • The disease is characterized by idiopathic avascular osteonecrosis of the capital femoral epiphysis of the femoral head leading to an interruption of the blood supply of the head of the femur close to the hip joint. (findmeacure.com)
  • Slipped Capital Femoral Epiphysis is a disorder of proximal femoral epiphysis where there is a slippage of the epiphysis relative to the femoral neck. (orthofixar.com)
  • Slipped Capital Femoral Epiphysis SCFE is seen most often in obese adolescent African American boys during their rapid growth spurt (10-16 years of age). (orthofixar.com)
  • Slipped Capital Femoral Epiphysis traditionally has been classified according to the stability, the duration of symptoms and the severity of the slip. (orthofixar.com)
  • The Klein line is a line along the anterior or superior aspect of the femoral neck that normally is intersected by the epiphysis. (orthofixar.com)
  • Nonoperative treatment by traction and spica cast immobilization is rarely used today in Slipped Capital Femoral Epiphysis treatment because of its complications. (orthofixar.com)
  • There are many treatment options for patients who have osteonecrosis of the femoral head (ONFH) and management strategies vary widely both among and within individual countries. (nih.gov)
  • Cellular therapy based on mesenchymal stem cells (MSCs) is a promising novel therapeutic strategy for the osteonecrosis of the femoral head (ONFH), which is gradually becoming popular, particularly for early-stage ONFH. (biomedcentral.com)
  • In the present study, the bone marrow samples of patients with ONFH ( n = 16) and patients with the fracture of the femoral neck ( n = 12) were obtained during operation. (biomedcentral.com)
  • Osteonecrosis of the femoral head (ONFH) is a progressive and refractory disease that is common in orthopedics. (biomedcentral.com)
  • The ball in the ball and socket joint of the hip is called the femoral head. (orthopaedicsbangalore.com)
  • One of the most common places for osteonecrosis to occur is in the hip joint. (nuh.com.sg)
  • The teres ligament connects the top of the femoral head to the tissue inside the acetabular joint and contains a small artery that supplies blood to the femoral head . (mendmyhip.com)
  • It can occur in any part of the hip, however, it mostly occurs just below the ball of the ball-and-socket hip joint called the femoral neck. (uppervalleyortho.com)
  • For osteonecrosis in stage Ⅰ and Ⅱ young patients, it can relieve pain and minimize complications, at least slow down or even avoid the joint replacement, but the long-term curative effect is yet to be large sample especially central level and long-term follow-up. (strongtantalum.com)
  • One of the most common and serious complications caused by steroid therapy is steroid-induced osteonecrosis of the femoral head (SONFH) [ 2 ]. (biomedcentral.com)
  • The aim was to find out the short term complications of titanium elastic nailing in diaphyseal fracture of femur in children and compare the findings of this study with pre- existing studies in this field. (openorthopaedicsjournal.com)
  • This endeavour is an honest effort to analyse the short term complications of titanium elastic nailing in paediatric diaphyseal femoral fractures in a new set up where conservative treatment was performed in greater magnitude and to look in to factors causing them and possibly to provide a way as to how to minimise these complications. (openorthopaedicsjournal.com)
  • Its function is to increase the surface area of that cup, increasing stability by giving the femoral head more surface area to move around against. (beaconortho.com)
  • We had only one type of stem, only one type of acetabular cup and only 28 mm cobalt chrome heads. (unimi.it)
  • It also creates a semi-airtight seal that helps to maintain the levels of synovial fluid, which acts as a lubricator between the femoral head and acetabular cartilage. (beaconortho.com)
  • Hip fractures can also occur in the head of the femur or below the large bumps (called subtrochanteric fractures). (msdmanuals.com)
  • Osteonecrosis is most commonly caused by an injury but can also occur without an injury. (msdmanuals.com)
  • Hip fractures can occur either due to a break in the femoral neck, in the area between the greater and lesser trochanter or below the lesser trochanter. (uppervalleyortho.com)
  • Femoral shaft fracture is the most common major paediatric orthopaedic. (openorthopaedicsjournal.com)
  • Femoral shaft fracture is the most common major paediatric orthopaedic injury that most orthopaedist will treat routinely and is the most common paediatric orthopaedic injury requiring hospitalisation. (openorthopaedicsjournal.com)
  • In order to classify FHN into different clinical stages, the Ficat and ARCO (Association Research Circulation Osseous) classification system was used, on the basis of radiographic evaluation of the femoral head. (ijpsonline.com)
  • The aim of this study is to report the outcome of an adolescent femur shaft fracture treated with a rigid intramedullary interlocking nail in North Indian patients. (ijrsms.com)
  • Osteonecrosis of the femoral head most frequently affects 30 to 50 year olds. (moreaupt.com)
  • Perthes' disease affects the top of the femur ( thigh bone ) where it meets the hip bone. (findmeacure.com)
  • Osteonecrosis of the femoral head most frequently affects 30 to 50 years old, with 20,000-30,000 new cases diagnosed annually. (eorthopod.com)
  • Also called Perthes disease, this is a problem similar to osteonecrosis (see above) but happens during childhood. (nuh.com.sg)