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Updating Osteonecrosis of the Femoral Head

Osteonecrosis of the femoral head (ONFH), a condition characterized by the presence of a necrotic bone lesion in the femoral head, is caused by a disruption in the blood supply. Its occurrence is more common in young and middle-aged adults and it is the main reason for performance of total hip arthr...

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Autores principales: Ko, Young-Seung, Ha, Joo Hyung, Park, Jung-Wee, Lee, Young-Kyun, Kim, Tae-Young, Koo, Kyung-Hoi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Hip Society 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10505838/
https://www.ncbi.nlm.nih.gov/pubmed/37727298
http://dx.doi.org/10.5371/hp.2023.35.3.147
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author Ko, Young-Seung
Ha, Joo Hyung
Park, Jung-Wee
Lee, Young-Kyun
Kim, Tae-Young
Koo, Kyung-Hoi
author_facet Ko, Young-Seung
Ha, Joo Hyung
Park, Jung-Wee
Lee, Young-Kyun
Kim, Tae-Young
Koo, Kyung-Hoi
author_sort Ko, Young-Seung
collection PubMed
description Osteonecrosis of the femoral head (ONFH), a condition characterized by the presence of a necrotic bone lesion in the femoral head, is caused by a disruption in the blood supply. Its occurrence is more common in young and middle-aged adults and it is the main reason for performance of total hip arthroplasty in this age group. Its incidence is increasing along with increased use of glucocorticoids for management of adjuvant therapy for treatment of leukemia as well as organ transplantation and other myelogenous diseases. Current information on etiology and pathogenesis, as well as natural history, stage system, and treatments is provided in this review. A description of the Association Research Circulation Osseous (ARCO) criteria for classification of glucocorticoids- and alcohol-associated ONFH, 2019 ARCO staging system, and 2021 ARCO classification using computed tomography for the early stages of ONFH is also provided.
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spelling pubmed-105058382023-09-19 Updating Osteonecrosis of the Femoral Head Ko, Young-Seung Ha, Joo Hyung Park, Jung-Wee Lee, Young-Kyun Kim, Tae-Young Koo, Kyung-Hoi Hip Pelvis Review Article Osteonecrosis of the femoral head (ONFH), a condition characterized by the presence of a necrotic bone lesion in the femoral head, is caused by a disruption in the blood supply. Its occurrence is more common in young and middle-aged adults and it is the main reason for performance of total hip arthroplasty in this age group. Its incidence is increasing along with increased use of glucocorticoids for management of adjuvant therapy for treatment of leukemia as well as organ transplantation and other myelogenous diseases. Current information on etiology and pathogenesis, as well as natural history, stage system, and treatments is provided in this review. A description of the Association Research Circulation Osseous (ARCO) criteria for classification of glucocorticoids- and alcohol-associated ONFH, 2019 ARCO staging system, and 2021 ARCO classification using computed tomography for the early stages of ONFH is also provided. Korean Hip Society 2023-09 2023-09-06 /pmc/articles/PMC10505838/ /pubmed/37727298 http://dx.doi.org/10.5371/hp.2023.35.3.147 Text en Copyright © 2023 by Korean Hip Society https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0 (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Ko, Young-Seung
Ha, Joo Hyung
Park, Jung-Wee
Lee, Young-Kyun
Kim, Tae-Young
Koo, Kyung-Hoi
Updating Osteonecrosis of the Femoral Head
title Updating Osteonecrosis of the Femoral Head
title_full Updating Osteonecrosis of the Femoral Head
title_fullStr Updating Osteonecrosis of the Femoral Head
title_full_unstemmed Updating Osteonecrosis of the Femoral Head
title_short Updating Osteonecrosis of the Femoral Head
title_sort updating osteonecrosis of the femoral head
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10505838/
https://www.ncbi.nlm.nih.gov/pubmed/37727298
http://dx.doi.org/10.5371/hp.2023.35.3.147
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