Papachristos, IV, Rankine, J and Giannoudis, PV orcid.org/0000-0002-5205-7696 (2019) Hip arthrodiastasis combined with core decompression and diamond concept for postcollapse femoral head avascular necrosis. BMJ Case Reports, 12 (8). e231081.
Abstract
In postcollapse hip avascular necrosis (AVN), the femoral head cannot be salvaged, necessitating total hip replacement. We report a case of a 39-year-old woman who developed idiopathic femoral head AVN with marked symptoms and radiological evidence of articular surface collapse. We treated her with core decompression combined with the ’diamond concept’ (implantation of bone marrow concentrate, a growth factor and bone graft substitute) and distracted the hip joint with external fixator. Four years postoperatively the articular surface has been restored and the patient reports excellent quality of life. Hip arthrodiastasis with core decompression and ’diamond concept’ regeneration could be considered a treatment option in advanced AVN of the femoral head.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds) > Institute of Rheumatology & Musculoskeletal Medicine (LIRMM) (Leeds) > Orthopaedics (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 14 Feb 2020 10:49 |
Last Modified: | 14 Feb 2020 10:49 |
Status: | Published |
Publisher: | BMJ Publishing Group |
Identification Number: | 10.1136/bcr-2019-231081 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:156961 |