Techniques in Orthopaedics最新文献

筛选
英文 中文
Endoscopic Sequential Decompression of Avascular Necrosis of the Femoral Head of Nontraumatic Origin: Description of a Surgical Technique 非创伤性股骨头血管性坏死的内窥镜顺序减压术:手术技术描述
Techniques in Orthopaedics Pub Date : 2023-06-29 DOI: 10.1097/BTO.0000000000000640
Bernardo Aguilera-Bohórquez, Cristina Sigüenza, Jochen Gerstner-Saucedo, Álvaro Carvajal
{"title":"Endoscopic Sequential Decompression of Avascular Necrosis of the Femoral Head of Nontraumatic Origin: Description of a Surgical Technique","authors":"Bernardo Aguilera-Bohórquez, Cristina Sigüenza, Jochen Gerstner-Saucedo, Álvaro Carvajal","doi":"10.1097/BTO.0000000000000640","DOIUrl":"https://doi.org/10.1097/BTO.0000000000000640","url":null,"abstract":"Introduction: Treatment options for nontraumatic avascular necrosis of the femoral head (NAVNT) aim to reduce intraosseous pressure and restore vascular flow to prevent the collapse of the femoral head. The objective of this study was to describe a modification of the standard central decompression technique, called sequential decompression, in patients with NAVNT. Materials and Methods: Sequential decompression consists of 4 stages: (1) negative pressure release with capsulotomy, (2) bone decompression by removing the cortical from the anterior superior part of the femoral head-neck junction, (3) intramedullary decompression and stimulation of osteogenesis through tunnels from the anterolateral aspect of the femoral neck, and (4) stimulation of angiogenesis with the application of platelet-rich plasma in the subchondral plate. Results: Five cases (4 men and 1 woman, age: 28.8±16.4 y) were treated with the sequential decompression technique. A decrease in pain and an improvement in function were observed in all cases. Conclusion: We believe that the approach offered by sequential decompression impacts the different pathophysiological pathways of NAVNT, which helps control intraosseous pressure, removal of necrotic tissue, stimulation of angiogenesis, and bone regeneration. Level of Evidence: Level V, expert opinion.","PeriodicalId":507621,"journal":{"name":"Techniques in Orthopaedics","volume":"110 1","pages":"181 - 185"},"PeriodicalIF":0.0,"publicationDate":"2023-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139367872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信