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A μCT analysis of the femoral bone stock in osteonecrosis of the femoral head compared to osteoarthrosis

  • Orthopaedic Surgery
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Introduction

Long-term results of resurfacing in osteonecrosis of the femoral head (ONFH) are lacking and migration of the femoral component, necrosis of the femoral head and fracture of the femoral neck or head have been depicted. The aim of this study was to analyse the bone quality and 3-dimensional microarchitecture of the femoral head and neck in patients with ONFH compared to a group of patients with primary osteoarthritis (OA).

Materials and methods

μCT was used to compare the microarchitecture of the femoral head and neck in patients with ONFH (n = 10) and a control group of patients with primary OA (n = 10).

Results

No statistical significant differences were found for bone volume and the bone volume fraction, the connectivity density and the structure model index in patients with ONFH and those with OA (P > 0.05). Patients with ONFH and those with OA had a similar trabecular number, thickness and separation (P > 0.05).

Conclusion

Based on our findings, we might conclude that hip resurfacing arthroplasty is a possible therapeutic option in the treatment of ONFH of the young and active patient and that an insufficient bone stock in ONFH seems not to be the deciding factor for failure. However, we just focussed on one of probably various factors. Further studies are needed to support these findings.

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Acknowledgments

We appreciate the financial support of the Deutsche Forschungsgemeinschaft (DFG) for this study (Az: TI 305/2-1).

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Authors and Affiliations

  1. Orthopaedic Clinic and Policlinic of the University of Regensburg, Asklepios Klinik Bad Abbach, Kaiser-Karl-V-Allee 3, 93077, Bad Abbach, Germany

    J. Beckmann, S. Grässel, F. Köck, J. Grifka & M. Tingart

  2. Institute of Anatomy, Ludwig-Maximilian-University, Munich, Germany

    M. Matsuura

  3. Centre for Medical Biotechnology, BioPark I, Regensburg, Germany

    S. Grässel

Authors
  1. J. Beckmann
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  2. M. Matsuura
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  3. S. Grässel
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  4. F. Köck
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  5. J. Grifka
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  6. M. Tingart
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Correspondence to J. Beckmann.

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Beckmann, J., Matsuura, M., Grässel, S. et al. A μCT analysis of the femoral bone stock in osteonecrosis of the femoral head compared to osteoarthrosis. Arch Orthop Trauma Surg 129, 501–505 (2009). https://doi.org/10.1007/s00402-008-0666-y

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  • DOI: https://doi.org/10.1007/s00402-008-0666-y

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