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Bilateral avascular necrosis of the femoral head due to the use of heroin: A case report
INTRODUCTION: Femoral head avascular necrosis is caused by disruption of the blood supply of the femoral head, which finally results in hip dysfunction. Non traumatic osteonecrosis may related with corticosteroid use, alcohol abuse, SLE, hemoglobinopathies or exposure to cytotoxic agents. But avascu...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4701818/ https://www.ncbi.nlm.nih.gov/pubmed/26595896 http://dx.doi.org/10.1016/j.ijscr.2015.10.042 |
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author | Ozkunt, Okan Sarıyılmaz, Kerim Sungur, Mustafa Ilen, Ferhat Dikici, Fatih |
author_facet | Ozkunt, Okan Sarıyılmaz, Kerim Sungur, Mustafa Ilen, Ferhat Dikici, Fatih |
author_sort | Ozkunt, Okan |
collection | PubMed |
description | INTRODUCTION: Femoral head avascular necrosis is caused by disruption of the blood supply of the femoral head, which finally results in hip dysfunction. Non traumatic osteonecrosis may related with corticosteroid use, alcohol abuse, SLE, hemoglobinopathies or exposure to cytotoxic agents. But avascular necrosis of the femoral head (ANFH) due to heroin use is a rare condition. We report a patient with bilateral ANFH due to heroin use treated by simultaneous bilateral hip arthroplasty. PRESENTATION OF CASE: 37 year-old male patient presented with bilateral hip pain that had been occurring for four years. The patient had no history of smoking, excessive drinking, using corticosteroid and the other drugs or trauma but used heroin for 10 years. In clinic and radiologic examination indicated advanced degenerative changes on both hip due to femoral head avascular necrosis. The patient was treated with simultaneous bilateral total hip arthroplasty. After 6 months postoperatively the active hip range of motion was painless. DISCUSSION: Avascular femoral head necrosis caused by the using of heroin is rare. Ultimately, osteonecrosis of the femoral head occurs through one final common pathway, which is decreased blood flow to the femoral head that leads bone ischemia and death. But it is still unknown that heroin’s systemic effects. Intravenous drug use more as a serious problem for today. There is a need for comprehensive studies to demonstrate effects of heroin on bone and vascularity metabolism. CONCLUSION: Heroin use will be important problem for population. That’s why is crucial to understand the effect of heroin. |
format | Online Article Text |
id | pubmed-4701818 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-47018182016-02-03 Bilateral avascular necrosis of the femoral head due to the use of heroin: A case report Ozkunt, Okan Sarıyılmaz, Kerim Sungur, Mustafa Ilen, Ferhat Dikici, Fatih Int J Surg Case Rep Case Report INTRODUCTION: Femoral head avascular necrosis is caused by disruption of the blood supply of the femoral head, which finally results in hip dysfunction. Non traumatic osteonecrosis may related with corticosteroid use, alcohol abuse, SLE, hemoglobinopathies or exposure to cytotoxic agents. But avascular necrosis of the femoral head (ANFH) due to heroin use is a rare condition. We report a patient with bilateral ANFH due to heroin use treated by simultaneous bilateral hip arthroplasty. PRESENTATION OF CASE: 37 year-old male patient presented with bilateral hip pain that had been occurring for four years. The patient had no history of smoking, excessive drinking, using corticosteroid and the other drugs or trauma but used heroin for 10 years. In clinic and radiologic examination indicated advanced degenerative changes on both hip due to femoral head avascular necrosis. The patient was treated with simultaneous bilateral total hip arthroplasty. After 6 months postoperatively the active hip range of motion was painless. DISCUSSION: Avascular femoral head necrosis caused by the using of heroin is rare. Ultimately, osteonecrosis of the femoral head occurs through one final common pathway, which is decreased blood flow to the femoral head that leads bone ischemia and death. But it is still unknown that heroin’s systemic effects. Intravenous drug use more as a serious problem for today. There is a need for comprehensive studies to demonstrate effects of heroin on bone and vascularity metabolism. CONCLUSION: Heroin use will be important problem for population. That’s why is crucial to understand the effect of heroin. Elsevier 2015-11-11 /pmc/articles/PMC4701818/ /pubmed/26595896 http://dx.doi.org/10.1016/j.ijscr.2015.10.042 Text en © 2015 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Ozkunt, Okan Sarıyılmaz, Kerim Sungur, Mustafa Ilen, Ferhat Dikici, Fatih Bilateral avascular necrosis of the femoral head due to the use of heroin: A case report |
title | Bilateral avascular necrosis of the femoral head due to the use of heroin: A case report |
title_full | Bilateral avascular necrosis of the femoral head due to the use of heroin: A case report |
title_fullStr | Bilateral avascular necrosis of the femoral head due to the use of heroin: A case report |
title_full_unstemmed | Bilateral avascular necrosis of the femoral head due to the use of heroin: A case report |
title_short | Bilateral avascular necrosis of the femoral head due to the use of heroin: A case report |
title_sort | bilateral avascular necrosis of the femoral head due to the use of heroin: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4701818/ https://www.ncbi.nlm.nih.gov/pubmed/26595896 http://dx.doi.org/10.1016/j.ijscr.2015.10.042 |
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