Abstract
Since 1970, the syndrome of segmental femoral head necrosis (also called idiopathic, aseptic, or avascular femoral head necrosis) has been observed with increasing frequency. This is particularly important since, as a rule, young adults are affected, and as yet there is no method of treatment which can definitely cure the process once characteristic morphological changes have developed. Without treatment, segmental femoral head necrosis results in destruction of the joint: While the overlying articular cartilage remains vital, there is usually a demarcation zone between the necrotic segment and surrounding living bone due to a space filled with fibrous tissue, which can be compared to pseud- arthrosis. With weight-bearing pressure, the necrotic segment collapses, resulting in progressive deformity of the femoral head. A characteristic arthrosis develops in reaction to this. Since segmental femoral head necrosis in itself rarely causes discomfort (Willert 1977), it is not noticed in many cases until deformity of the femoral head has already occurred.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Appel H, Friberg S (1973) Effect of osteotomy on pain in idiopathic osteoarthritis of the hip. Acta Orthop Scand 44: 710–718
Arnoldi CC, Lemperg RK, Linderholm H (1971) Immediate effect of osteotomy on the intramedullary pressure of the femoral head and neck in patients with degenerative osteoarthritis. Acta Orthop Scand 42: 357–365
Charnley J (1968) The numerical grading of hips. Center for hip surgery, Wrightington Hospital, UK. Internal publication no 2
Fredrickson DS, Levy RI (1972) In: Stanbury JB, Wynngarden JB, Fredrickson DS (eds) The metabolic basic of inherited disease. 3rd edn McGraw-Hill, New York, chap 26
Merle d’Aubigne R, Postel M, Mazabraud A, Massias P, Gueguen J (1965) Idiopathic necrosis of the femoral head in adults. J Bone Joint Surg [Br] 41: 612–633
Müller ME (1971) Die hüftnahen Femurosteotomien. Thieme, Stuttgart
Müller ME (1973) Intertrochanteric osteotomy in the treatment of arthritic hip joint Surgery of the hip joint Lea & Febiger, Philadelphia
Pauwels F (1960) Neue Richtlinien fur die operative Behandlung der Koxarthrose. Verh Dtsch Orthop Ges 48
Reichelt A (1969) Die idiopathische Hiiftkopfnekrose. Z Orthop 106: 273–295
Schneider R (1970) Radiologische Funktionsdiagnostik zur Planung der intertrochanteren Osteotomie. Verh Schweiz Ges Orthop 131
Wagner H (1968) Atiologie, Pathogenese, Klinik und Therapie der idiopathischen Hüftkopfnekrose. Verh Dtsch Orthop Ges 54: 224–235
Willert HG (1977) Pathogenese und Klinik der spontanen Osteonekrosen. Z Orthop 115: 444–462
Willert HG, Horrig C (1979) Alternativoperationen zum kunstlichen Gelenkersatz bei Koxarthrose. Therapiewoche 29: 8524–8537
Willert HG, Sarfert D (1974) Operative Behandlung der segmentalen Hüftkopfnekrose. Z Orthop 112: 694–695
Willert HG, Sarfert D (1975) Die Behandlung segmentaler, ischämischer Hüftkopfnekrosen mit der intertrochanteren Flexionsosteotomie. Z Orthop 113: 974–994
Willert HG, Zichner L, Enderle A (1977) Indikation und Ergebnisse der Flexionsosteotomie in der Behandlung der Hiiftkopfnekrose. Z Orthop 115: 484–485
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1981 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
Willert, H.G., Buchhorn, G., Zichner, L. (1981). Results of Flexion Osteotomy on Segmental Femoral Head Necrosis in Adults. In: Weil, U.H. (eds) Segmental Idiopathic Necrosis of the Femoral Head. Progress in Orthopaedic Surgery, vol 5. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-68049-6_6
Download citation
DOI: https://doi.org/10.1007/978-3-642-68049-6_6
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-68051-9
Online ISBN: 978-3-642-68049-6
eBook Packages: Springer Book Archive