Utilize este identificador para referenciar este registo: http://hdl.handle.net/10400.4/909
Título: Aloenxerto ósseo cortical desmineralizado na cirurgia da osteonecrose asséptica da cabeça femoral
Outros títulos: Demineralised cortical bone allografting in femoral head necrosis
Autor: Judas, F
Costa, P
Garcia, J
Saavedra, MJ
Palavras-chave: Necrose da Cabeça do Fémur
Data: 2009
Editora: Sociedade Portuguesa de Reumatologia
Citação: Acta Reumatol Port. 2009 Apr-Jun;34(2B):419-25
Resumo: We report the clinical and biological results of the surgical treatment of a femoral head osteonecrosis, Ficat classification stage III, in a 53 year old patient. The procedure included core decompression followed by insertion of a superficial demineralised and processed fibular bone allograft. A cemented total hip arthroplasty was performed at nine years follow-up. The histomorphological study of the excised femoral head showed the incorporation of the bone allograft. Although core decompression of the femoral head has been used in precollapse lesions, Ficat stage I and II, its combination with fibular allografting allowed the postponement of total hip prosthesis implantation for nine years. In this clinical case, the implantation of a total hip arthroplasty, as a primary surgical treatment, would also have been an alternative procedure, if it had only been considered the patient;s age and osteonecrosis extension.
Peer review: yes
URI: http://hdl.handle.net/10400.4/909
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