Abstract
Recent studies based on histological and MRI examination have improved the understanding of the pathogenesis of osteonecrosis of the femoral head (ONFH) (Hauzeur, 1989). The early stages have been more systematically explored. Until the presence of typical radiological lesions with the crescent sign and collapse, radiology could be doubtful or normal. In such cases bone scintigraphy is positive in 51%, MRI and biopsy in 100 %. Excessive intraosseous pressure is found in 80 % of the early stages. This data led to the division of the evolution of ONFH into three phases. First, the necrotizing process produces areas of bone weakening or bone thickening. Such remodelling induces modification in the mechanical properties of the bone. The second phase results from the bad outcome of the first one when a fracture of the subchondral bone arises, usually in the weightbearing portion of the head. The third and last phase is osteoarthritis produced by acquired dysplasia due to the fracture.
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References
Bassett C., M. Scink, S. Mitchell: Treatment of osteonecrosis of the hip with specific, pulsed electromagnetic fields (PEMFs): a preliminary clinical report. In: J. Arlet, R. Ficat and D. Hungerford (eds): Bone circulation, pp. 343-354. Williams and Wilkins Publ., 1984.
Hauzeur J.P., J.L. Pasteeis, S. Orloff: Bilateral non-traumatic aseptic osteonocrosis in the femoral head. J. Bone Joint Surg. 69-A(8): 1221–1225 (1987).
Hauzeur J.P., J.L. Pasteels, A. Schoutens, M. Hinsenkamp, T. Appelboom, I. Chochrad, N. Perlmutter: The diagnostic value of magnetic resonance imaging in non-traumatic osteonecrosis of the femoral head. J. Bone Joint Surg. 71-A(5): 641–649 (1989).
Hauzeur J.P.: Contribution à l’étude de l’ostéonécrose aseptique non traumatique de la tête fémorale: apport de nouvelles méthodes d’investigation au diagnostic et à l’étude de l’évolution de cette affection. Thèse d’Agrégation, U.L.B.: pp. 71 (1991).
Hinsenkamp M., M. Rooze, M. Noorbergen, B. Tuerlinckx: Topography of EM exposure and its relationship to biological effects on tissues. In: A. Chiabrera, C. Nicolini and H. Schwan (eds): Interactions between electromagnetic fields and cells, pp. 557-567. Plenum Press Publ., 1985.
Hinsenkamp M., M. Rooze, B. Tuerlinckx: Biophysical and biological intervention: future directions. In: J. Lane (ed): Fracture Healing, pp. 267-275. Churchill Livingstone Publ., 1987.
Hinsenkamp M: Stimulation électromagnétique de la croissance et de la consolidation osseuse. Thèse d’Agrégation, U.L.B.: pp. 381 (1990).
Hungerford D.: Treatment of ischemic necrosis of bone in systemic lupus erythematosis. Medicine 59: 143–148 (1980).
Musso E., S. Mitchell, M. Schink-Ascani, C. Bassett: Results of conservative mangement of osteonecrosis of the femoral head. A retrospective review. Clin. Orthop. 207: 209–215 (1986).
Steinberg M., G. Hayken, D. Steinberg: The “conservative” management of avascular necrosis of the femoral head. In: J. Arlet, R. Ficat and D. Hungerford (eds): Bone Circulation, pp. 334-337. Williams and Wilkins Publ., 1984.
Stulberg B., A. Davis, T. Bauer, M. Levine, K. Easley: Ostenecrosis of the femoral head. Clin. Orthop. 268: 140–151 (1991).
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© 1993 Plenum Press, New York
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Hinsenkamp, M., Hauzeur, J.P., Sintzoff, S. (1993). Long Term Results in Electromagnetic Fields (EMF) Treatment of Osteonecrosis. In: Schoutens, A., Arlet, J., Gardeniers, J.W.M., Hughes, S.P.F. (eds) Bone Circulation and Vascularization in Normal and Pathological Conditions. NATO ASI Series, vol 247. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-2838-8_36
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DOI: https://doi.org/10.1007/978-1-4615-2838-8_36
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