AVN(osteonecrosis)의 MRI stage 및 치료

소개글

정형외과 중요 질환 중 하나인 AVN의 치료입니다.

Campbell 11판을 참고로 하였습니다.

목차

Modified Ficat Stage
ARCO Classification(Association Research Classification Osseous)
Stage by MRI finding
Therapeutic Strategy
Core Decompression
Bone grafting
Vascularized Fibular Grafting
Osteotomies of proximal femur
Transtrochanteric Rotational Osteotomy
Multipotential stem cells transplantation
Cementation of femoral head
Resurfacing Hemiarthroplasty
Bipolar hip arthroplasty
Total hip replacement arthroplasty
Summary

본문내용

Core Decompression

-Theoretical advantage
Reducing intraosseous pressure by Venous congestion
Increase Vascularity
Slowing the progression of disease

-Indication
Stage I or IIA
Small central lesion
young, non-obese patient
No steroid medication

-After treatment
Partial weight bearing
Crutch ambulation more than 6 wks

Bone grafting

Structural bone grafting techniques
Cortical bone
Cancellous bone
Vascularized bone graft
Debridement of necrotic bone

Core decompression and
cortical press-fit structural
bone graft for Stage I or II

참고 자료

Campbell`s Operative orthopaedics 11판