Skip to main content
Log in

Typische Zivilisationskrankheit

Hüftkopfnekrose — Es muss nicht immer eine Prothese sein

Avascular necrosis of femoral head — Do we always need arthroplasty?

  • FORTBILDUNG . ÜBERSICHT
  • Published:
MMW - Fortschritte der Medizin Aims and scope

Rauchen, erhöhte Blutfette, Alkoholmissbrauch oder ein schlecht eingestellter Diabetes mellitus sind Risikofaktoren für die Entwicklung einer Hüftkopfnekrose. Typische Symptome sind plötzliche, oft nächtliche Schmerzen in der Leiste sowie Bewegungseinschränkungen. Wird die Erkrankung frühzeitig erkannt, ist noch eine gelenkerhaltende Therapie möglich.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Abb. 1
Abb. 2

Literatur

  1. Mont MA, Hungerford DS. Non-traumatic avascular necrosis of the femoral head. The Journal of bone and joint surgery. American volume 1995; 77: 459–474

    CAS  Google Scholar 

  2. Vandenbussche E, Madhar M, Nich C, Zribi W, Abdallah T, Augereau B. Bilateral osteonecrosis of the femoral head after pregnancy. Archives of orthopaedic and trauma surgery 2005; 125: 201–203

    Article  Google Scholar 

  3. Mont MA, Jones LC, Hungerford DS. Nontraumatic osteonecrosis of the femoral head: Ten years later. The Journal of bone and joint surgery. American volume 2006; 88: 1117–1132

    Google Scholar 

  4. Green KR, Hernandez-Jimenez JM, Isache CL, Jacob R. Avascular necrosis: A growing concern for the HIV population. BMJ case reports 2018; 2018

  5. Hauzeur JP, Pasteels JL, Orloff S. Bilateral non-traumatic aseptic osteonecrosis in the femoral head. An experimental study of incidence. The Journal of bone and joint surgery. American volume 1987; 69: 1221–1225

    CAS  Google Scholar 

  6. Hofmann S, Kramer J, Plenk H. Die Osteonekrose des Hüftgelenkes im Erwachsenenalter. Der Orthopade 2005; 34: 171–83; quiz 184

    Article  CAS  Google Scholar 

  7. Roth A, Beckmann J, Bohndorf K et al. S3-Guideline non-traumatic adult femoral head necrosis. Archives of orthopaedic and trauma surgery 2016; 136: 165–174

    Article  CAS  Google Scholar 

  8. Bohndorf K, Beckmann J, Jäger M, Kenn W, Maus UM. S3-Leitline. Teil 1: Diagnostik und Differenzialdiagnostik der atraumatischen Femurkopfnekrose (aFKN) des Erwachsenen: S3 Guideline. Part 1: Diagnosis and Differential Diagnosis of Non.Traumatic Adult Femoral Head Necrosis. Zeitschrift für Orthopädie und Unfallchirurgie: Organ der Deutschen Gesellschaft für Orthopädie und Orthopädische Chirurgie 2015; 153: 375–386

    Article  CAS  Google Scholar 

  9. Gardeniers JW. Report of the Committee of Staging and Nomenclature (1993), 1993

  10. Castro FP, Barrack RL. Core decompression and conservative treatment for avascular necrosis of the femoral head: A meta-analysis. American journal of orthopedics (Belle Mead, N.J.) 2000; 29: 187–194

    Google Scholar 

  11. Lai K-A, Shen W-J, Yang C-Y, Shao C-J, Hsu J-T, Lin R-M. The use of alendronate to prevent early collapse of the femoral head in patients with nontraumatic osteonecrosis. A randomized clinical study. The Journal of bone and joint surgery. American volume 2005; 87: 2155–2159

    Google Scholar 

  12. Disch AC, Matziolis G, Perka C. The management of necrosis-associated and idiopathic bone-marrow oedema of the proximal femur by intravenous iloprost. The Journal of bone and joint surgery. British volume 2005; 87: 560–564

    CAS  Google Scholar 

  13. Urbaniak JR, Coogan PG, Gunneson EB, Nunley JA. Treatment of osteonecrosis of the femoral head with free vascularized fibular grafting. A long-term follow-up study of one hundred and three hips. The Journal of bone and joint surgery. American volume 1995; 77: 681–694

    CAS  Google Scholar 

  14. Shannon BD, Trousdale RT. Femoral osteotomies for avascular necrosis of the femoral head. Clinical orthopaedics and related research 2004: 34 – 40

  15. Ficat RP. Idiopathic bone necrosis of the femoral head. Early diagnosis and treatment. The Journal of bone and joint surgery. British volume 1985; 67: 3–9

    CAS  Google Scholar 

  16. Classen T, Warwas S, Jäger M, Landgraeber S. Two-year follow-up after advanced core decompression. Journal of tissue engineering and regenerative medicine 2017; 11: 1308–1314

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Alexander Zimmerer.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Zimmerer, A., Sobau, C. & Miehlke, W. Hüftkopfnekrose — Es muss nicht immer eine Prothese sein. MMW - Fortschritte der Medizin 161, 56–59 (2019). https://doi.org/10.1007/s15006-019-0275-4

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s15006-019-0275-4

Keywords

Navigation