Part I: Pre-Collapse: Treatment of Early Stage Osteonecrosis -- Osteonecrosis and Thrombophilia, Pathophysiology, Diagnosis and Treatment -- Bisphosphonates -- Successful Decompression with Multiple Percutaneous Drilling -- Simultaneous Cell Therapy Preserving Surgery and Contralateral Arthroplasty for Bilateral Hip Osteonecrosis -- Bilateral Osteonecrosis Associated with Corticosteroid Treatment: Stem Cell Therapy versus Core Decompression in the Same Patient -- Minimally Invasive Core Decompression Augmented with Concentrated Autologous Mesenchymal Stem Cells -- Core Decompression and Bone Marrow Stem Cell Injection -- Osteonecrosis of the Femoral Head -- Bilateral Hip Decompression Using X-REAM® and PRO-DENSE® -- Surgical Dislocation and Osteochondral Autograft Transfer System (OATS) as Salvage of Failed Core Decompression Complicated by Femoral Head Penetration -- Part II: Post-Collapse: Head Preserving -- Non-Vascularized Bone Grafting -- Bilateral Non-Vascularized Bone Grafting -- Femoral Head Decompression Using the X-REAM® Followed by Autologous Tibial Cancellous Bone Impaction -- Autologous Osteochondral Transfer for Management of Femoral Head Osteonecrosis -- Long-term Result of Hip Decompression and Vascularized Fibula for Steinberg Stage IV AVN -- Bone Grafting Pedicled with Femoral Quadratus for Alcohol-induced Osteonecrosis of the Femoral Head -- Transtrochanteric Anterior Rotational Osteotomy of the Femoral Head for Treatment of Osteonecrosis Affecting the Hip -- Part III. Post-Collapse: Arthroplasty and Complications -- Systemic Lupus Erythematosus Patient Requiring THA -- Attempted Bone Grafting Converted Intra-operatively to THA -- All Osteonecroses Are Not Predictor of Poor Outcome with Cemented Total Hip Arthroplasty: A 30-year Follow-up Case Presentation with Bilateral Ceramic on Ceramic Bearing Surface -- Complications of Uncemented Total Hip Arthroplasty: Failure -- Complications of Uncemented Total Hip Arthroplasty: Success.
Comprised exclusively of clinical cases involving osteonecrosis of the femoral head (ONFH), this concise, practical casebook will provide orthopedic surgeons with the best real-world strategies to properly diagnose and treat both pre- and post-collapse conditions. Each chapter is a case that opens with a unique clinical presentation, followed by a description of the diagnosis, assessment and management techniques used to treat it, as well as the case outcome and clinical pearls and pitfalls. Part I discusses pre-collapse treatments aimed at the early stages of ONFH, including the use of bisphosphonates, stem cell therapy and minimally invasive core decompression. Chapters presenting post-collapse treatments aimed at preserving the femoral head comprise part II, including non-vascularized bone grafting, osteochondral transfer and transtrochanteric osteotomy. Cases covering post-collapse total hip arthroplasty (THA) and common complications round out the presentation. Pragmatic and reader-friendly, Osteonecrosis of the Femoral Head: A Clinical Casebook will be an excellent resource for orthopedic surgeons, residents and fellows treating hip pain..