Advertisement

Conservative, Non Invasive Treatment of Osteonecrosis of the Femoral Head

  • B. Mazieres
Chapter
Part of the NATO ASI Series book series (NSSA, volume 247)

Abstract

Is osteonecrosis of the femoral head (ON) spontaneously curable? One believes that it is, but one cannot yet confirm it. Of course, at collapse stage, healing is impossible. However, as long as the subchondral shell is intact, there is a possibility of healing. On the other hand, the evolution of controlateral hip, which goes to collapse in more than 50 % of the cases, invited us to strongly manage these patients without any hope in a spontaneous healing of the disease.

Keywords

Femoral Head Vasoactive Drug Core Decompression Bone Necrosis Pulse Electromagnetic Field 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Aaron R.K., D. Lennox, G.E. Bunce, T. Ebert: The conservative treatment of osteonecrosis of the femoral head. A comparison of core decompression and pulsing electromagnetic fields. Clin. Orthop. 249: 209–218 (1989).PubMedGoogle Scholar
  2. Arlet J., B. Mazières, M. Thiéchart, G. Vallières: The effect of i.v. injection of naftidrofuryl (Praxilène®) in intramedullary pressure in patients with osteonecrosis of the femoral head. In: J. Arlet and B. Mazières (eds): Bone Circulation and Bone Necrosis, pp. 405–406. Springer-Verlag, Berlin 1990.Google Scholar
  3. Bassett C.A.L., M. Schink-Ascani, S.M. Lewis: Effects of pulsed electromagnetic fields on Steinberg ratings of femoral head osteonecrosis. Clin. Orthop.. 246: 172–185 (1989).PubMedGoogle Scholar
  4. Hungerford D.S., T.M. Zizic: II. The treatment of ischemic necrosis of bone in systemic lupus erythematosus. Medicine 59: 143–148 (1980).PubMedCrossRefGoogle Scholar
  5. Laroche M., J.M. Jacquemier, Ph. Montané de la Roque, J. Arlet, B. Mazières: Lanifédipine per os améliore les douleurs de l’ostéonécrose de la tête fémoral. Rev. Rhum. 57: 669–670 (1990).PubMedGoogle Scholar
  6. Musso E.S., S.N. Mitchell, M. Schink-Ascani, C.A. Bassett: Results of conservative management of osteonecrosis of the femoral head. A retrospective review. Clin. Orthop. 207: 209–215 (1986).PubMedGoogle Scholar
  7. Steinberg M.E., G.D. Hayken, D.R. Steinberg: The “conservative” management of avascular necrosis of the femoral head. In: Arlet J., Ficat R.P., Hungerford D.S. (eds): Bone circulation, pp. 334–337. Williams & Wilkins Publ., Baltimore 1984.Google Scholar
  8. Steinberg M.E., C.T. Brighton, R.E. Bands, K.M. Hartman: Capacitive coupling as an adjunctive treatment for avacular necrosis. Clin. Orthop. 261: 11–18 (1990).PubMedGoogle Scholar
  9. Steinberg M.E., D.R. Steinberg: Evaluation and staging of avascular necrosis. Seminars in Arthroplasty 2: 175–181 (1991).Google Scholar
  10. Wang G.J., R.E. Fechner, J.P. O’Hara, N. Stoffel, W.G. Stamp: Improvement of femoral head blood flow in steroid-treated rabbits using lipid-clearing agents. In: J. Arlet and B. Mazières (eds): Bone Circulation and Bone Necrosis, pp. 395–398. Springer-Verlag Publ. Berlin 1990.Google Scholar

Copyright information

© Plenum Press, New York 1993

Authors and Affiliations

  • B. Mazieres
    • 1
  1. 1.Service de RhumatologieCHU de RangueilToulouseFrance

Personalised recommendations