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Pedicled Autograft and Osteotomy in Revascularization of the Femoral Head

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Abstract

The incidence of idiopathic femoral head necrosis in general is increasing. This entity is found much more frequently in men than in women with the peak age between 20 and 40 years. Quite often both hips are involved. The pathophysiology is rather clear in posttraumatic conditions, but a more complex picture is involved in the idiopathic group. The currently favored etiology is that of a bone marrow fibrosis causing increased perivascular pressure [11]. There is a resultant necrotic segment which lies in the anterosuperior quadrant of the femoral head, an area which is supplied by terminal vessels and is exposed to the maximum mechanical load.

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© 1989 Springer-Verlag, Berlin Heidelberg

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Ganz, R. (1989). Pedicled Autograft and Osteotomy in Revascularization of the Femoral Head. In: Aebi, M., Regazzoni, P. (eds) Bone Transplantation. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-83571-1_48

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  • DOI: https://doi.org/10.1007/978-3-642-83571-1_48

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-83573-5

  • Online ISBN: 978-3-642-83571-1

  • eBook Packages: Springer Book Archive

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