Subchondral Insufficiency Fracture of the Femoral Head Treated with Core Decompression and Bone Void Filler Support | ||
| The Archives of Bone and Joint Surgery | ||
| مقاله 13، دوره 4، شماره 3، مهر 2016، صفحه 264-268 اصل مقاله (687.16 K) | ||
| نوع مقاله: CASE REPORT | ||
| شناسه دیجیتال (DOI): 10.22038/abjs.2016.6302 | ||
| نویسندگان | ||
| Hiren Patel؛ Atul Kamath* | ||
| Perelman School of Medicine at the University of Pennsylvania, Philadelphia, USA | ||
| چکیده | ||
| Subchondral insufficiency fracture of the femoral head (SIFFH) is characterized by acute onset hip pain without overt trauma. It appears as a low intensity band with bone marrow edema on T1-weighted MRI. The most common course of treatment is protected weight bearing for a period of several weeks. Total hip arthroplasty (THA) has been commonly used if the patient does not respond to the initial protected weight bearing treatment. We present a case of a 48-year-old male with SIFFH who was treated with core hip decompression and bone void filler as a hip-preserving alternative to THA. The patient has an excellent clinical and radiographic result at final follow up. Core hip decompression with bone void filler is a less invasive alternative to THA, and may be a preferred initial treatment strategy for SIFFH in the young and active patient who has failed conservative measures. | ||
| کلیدواژهها | ||
| FEMORAL HEAD INSUFFICIENCY FRACTURE TREATED WITH BONE VOID SUPPORT | ||
| مراجع | ||
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