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Total hip arthroplasty in the treatment of osteonecrosis of the femoral head: then and now

  • Modern Surgical Treatment of Hip Avascular Necrosis (MA Mont, Section Editor)
  • Published:
Current Reviews in Musculoskeletal Medicine Aims and scope Submit manuscript

Abstract

The objective of this review is to summarize and analyze the survivorship and the reported results of the use of total hip arthroplasty (THA) in patients with osteonecrosis of the femoral head. In the past, THA was thought to have poor survivorship and poor clinical and radiological results in patients with this diagnosis. However, more recent reports have suggested an improvement in the survivorship, radiological results, and outcomes of THAs when performed for this condition. Surgeons have incorporated THA into their practice patterns to the point that an increasing percentage of patients with this particular diagnosis are currently being treated with it. When collapse and/or arthrosis of the necrotic femoral head are present, THA seems to be the most reliable and proven option for its treatment.

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References

Papers of particular interest, published recently, have been highlighted as: • Of importance

  1. Lavernia CJ, Sierra RJ, Grieco FR. Osteonecrosis of the femoral head. J Am Acad Orthop Surg. 1999;7(4):250–61.

    CAS  PubMed  Google Scholar 

  2. Zalavras CG, Lieberman JR. Osteonecrosis of the femoral head: evaluation and treatment. J Am Acad Orthop Surg. 2014;22(7):455–64.

    Article  PubMed  Google Scholar 

  3. Mont MA, Jones LC, Hungerford DS. Nontraumatic osteonecrosis of the femoral head: ten years later. J Bone Joint Surg Am. 2006;88(5):1117–32.

    Article  PubMed  Google Scholar 

  4. Ortiguera CJ, Pulliam IT, Cabanela ME. Total hip arthroplasty for osteonecrosis: matched-pair analysis of 188 hips with long-term follow-up. J Arthroplasty. 1999;14(1):21–8.

    Article  CAS  PubMed  Google Scholar 

  5. Sarmiento A et al. Total hip arthroplasty with cement. A long-term radiographic analysis in patients who are older than fifty and younger than fifty years. J Bone Joint Surg Am. 1990;72(10):1470–6.

    CAS  PubMed  Google Scholar 

  6. Dorr LD, Takei GK, Conaty JP. Total hip arthroplasties in patients less than forty-five years old. J Bone Joint Surg Am. 1983;65(4):474–9.

    CAS  PubMed  Google Scholar 

  7. Stauffer RN. Ten-year follow-up study of total hip replacement. J Bone Joint Surg Am. 1982;64(7):983–90.

    CAS  PubMed  Google Scholar 

  8. Chandler HP et al. Total hip replacement in patients younger than thirty years old. A five-year follow-up study. J Bone Joint Surg Am. 1981;63(9):1426–34.

    CAS  PubMed  Google Scholar 

  9. Kim YH et al. Contemporary total hip arthroplasty with and without cement in patients with osteonecrosis of the femoral head: a concise follow-up, at an average of seventeen years, of a previous report. J Bone Joint Surg Am. 2011;93(19):1806–10.

    Article  PubMed  Google Scholar 

  10. Kim SM et al. Cementless modular total hip arthroplasty in patients younger than fifty with femoral head osteonecrosis: minimum fifteen-year follow-up. J Arthroplasty. 2013;28(3):504–9.

    Article  PubMed  Google Scholar 

  11. Bedard NA et al. Cementless THA for the treatment of osteonecrosis at 10-year follow-up: have we improved compared to cemented THA? J Arthroplasty. 2013;28(7):1192–9. Shows the improvements in revision rates and outcomes of contemporary cementless THAs when compared to the author’s previously reported series of cemented THAs performed for ON.

    Article  PubMed  Google Scholar 

  12. Issa K et al. Excellent results and minimal complications of total hip arthroplasty in sickle cell hemoglobinopathy at mid-term follow-up using cementless prosthetic components. J Arthroplasty. 2013;28(9):1693–8.

    Article  PubMed  Google Scholar 

  13. Kim YH, Park JW, Kim JS. Cementless metaphyseal fitting anatomic total hip arthroplasty with a ceramic-on-ceramic bearing in patients thirty years of age or younger. J Bone Joint Surg Am. 2012;94(17):1570–5.

    Article  PubMed  Google Scholar 

  14. Baek SH, Kim SY. Cementless total hip arthroplasty with alumina bearings in patients younger than fifty with femoral head osteonecrosis. J Bone Joint Surg Am. 2008;90(6):1314–20.

    Article  PubMed  Google Scholar 

  15. Min BW et al. Highly cross-linked polyethylene in total hip arthroplasty for osteonecrosis of the femoral head: a minimum 5-year follow-up study. J Arthroplasty. 2013;28(3):526–30.

    Article  PubMed  Google Scholar 

  16. Han SI et al. Long-term durability of the CLS femoral prosthesis in patients with osteonecrosis of the femoral head. J Arthroplasty. 2013;28(5):828–31.

    Article  PubMed  Google Scholar 

  17. Woo MS, Kang JS, Moon KH. Outcome of total hip arthroplasty for avascular necrosis of the femoral head in systemic lupus erythematosus. J Arthroplasty. 2014;29(12):2267–70.

    Article  PubMed  Google Scholar 

  18. Schneider W, Knahr K. Total hip replacement in younger patients: survival rate after avascular necrosis of the femoral head. Acta Orthop Scand. 2004;75(2):142–6.

    Article  PubMed  Google Scholar 

  19. Hernigou P et al. Total THA in adult osteonecrosis related to sickle cell disease. Clin Orthop Relat Res. 2008;466(2):300–8.

    Article  PubMed Central  PubMed  Google Scholar 

  20. Mont MA et al. Uncemented total hip arthroplasty in young adults with osteonecrosis of the femoral head: a comparative study. J Bone Joint Surg Am. 2006;88 Suppl 3:104–9.

    Article  PubMed  Google Scholar 

  21. Seyler TM et al. Use of an alumina-on-alumina bearing system in total hip arthroplasty for osteonecrosis of the hip. J Bone Joint Surg Am. 2006;88 Suppl 3:116–25.

    Article  PubMed  Google Scholar 

  22. Johnson AJ et al. Treatment of femoral head osteonecrosis in the United States: 16-year analysis of the nationwide inpatient sample. Clin Orthop Relat Res. 2014;472(2):617–23. Shows an increase in the utilization of THA for the treatment of femoral head osteonecrosis.

    Article  PubMed Central  PubMed  Google Scholar 

  23. Stavrakis AI, SooHoo NF, Lieberman JR. A comparison of the incidence of complications following total hip arthroplasty in patients with or without osteonecrosis. J Arthroplasty. 2015;30(1):114–7. Shows that currently, ON is not associated with an overall increase in revision surgery.

    Article  CAS  PubMed  Google Scholar 

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Compliance with Ethics Guidelines

Conflict of Interest

Jesus M. Villa declares no conflict of interest. Carlos J. Lavernia reports personal fees from Stryker, personal fees from Wright Medical Technology, Inc., grants and personal fees from MAKO Surgical, personal fees from Johnson and Johnson, personal fees from Symmetry Medical, personal fees from Zimmer, outside the submitted work. Dr. Lavernia is a board member of the American Association of Hip and Knee Surgeons and the Florida Orthopaedic Society and is an editorial board member of the Journal of Arthroplasty.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

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Authors and Affiliations

  1. The Center for Advanced Orthopedics at Larkin Hospital, 7000 SW 62nd Ave, Suite 600 South, Miami, FL, 33143, USA

    Carlos J. Lavernia & Jesus M. Villa

  2. Arthritis Surgery Research Foundation, 7000 SW 62nd Ave, Suite 601 South, Miami, FL, 33143, USA

    Jesus M. Villa

Authors
  1. Carlos J. Lavernia
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  2. Jesus M. Villa
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Corresponding author

Correspondence to Carlos J. Lavernia.

Additional information

This article is part of the Topical Collection on Modern Surgical Treatment of Hip Avascular Necrosis

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Lavernia, C.J., Villa, J.M. Total hip arthroplasty in the treatment of osteonecrosis of the femoral head: then and now. Curr Rev Musculoskelet Med 8, 260–264 (2015). https://doi.org/10.1007/s12178-015-9290-y

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  • DOI: https://doi.org/10.1007/s12178-015-9290-y

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