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Clinical and radiological outcome of the treatment of osteonecrosis of the femoral head using the osteonecrosis intervention implant

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Abstract

The aim of this study was to evaluate the clinical and radiological outcome of the treatment of osteonecrosis of the femoral head by implantation of an osteonecrosis intervention rod. In this retrospective study the follow-up of 19 patients with 23 osteonecrotic femoral heads treated with implantation of an osteonecrosis intervention implant was assessed. From 19 patients with 23 necrotic femoral heads, there were 13 cases in which a total hip replacement was necessary. This implies a survival rate of 44% after implantation of an osteonecrosis intervention rod after a mean follow-up of 1.45 years. The outcome after core decompression combined with the insertion of a tantalum osteonecrosis intervention implant did not show superior results compared to core decompression alone. This is in contrast to existing studies. In addition, this study showed that in cases of total hip replacement, no problems appeared during explantation of the tantalum rod.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Hannover Medical School, Hannover, Germany

    Thilo Floerkemeier, Fritz Thorey, Dorothea Daentzer, Matthias Lerch, Phillip Klages, Henning Windhagen & Gabriela von Lewinski

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  1. Thilo Floerkemeier
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  2. Fritz Thorey
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  3. Dorothea Daentzer
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  4. Matthias Lerch
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  5. Phillip Klages
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  6. Henning Windhagen
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  7. Gabriela von Lewinski
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Correspondence to Thilo Floerkemeier.

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Floerkemeier, T., Thorey, F., Daentzer, D. et al. Clinical and radiological outcome of the treatment of osteonecrosis of the femoral head using the osteonecrosis intervention implant. International Orthopaedics (SICOT) 35, 489–495 (2011). https://doi.org/10.1007/s00264-009-0940-9

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  • DOI: https://doi.org/10.1007/s00264-009-0940-9

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