更新大腿骨头骨髓缩的情况
Young-Seung Ko1, Joo Hyung Ha2, Jung-Wee Park1
1Department of Orthopaedic Surgery, Seoul National University Bundang Hospital, Seongnam, Korea.
Hip & pelvis
|September 20, 2023
概括
股骨头骨死 (ONFH) 是由于血液供应受损而导致的部骨死亡,越来越多地影响年轻人. 本综述涵盖了它的原因,进展,以及ARCO诊断和治疗的分类系统.
科学领域:
- 整形外科 整形外科 整形外科
- 血管生物学 血管生物学
- 骨疾病 骨疾病
背景情况:
- 股骨头骨死 (ONFH) 涉及由于血液供应受损的骨死亡.
- 它主要影响年轻和中年成年人,推动了关节整形手术的需求.
- 增加的发病率与在白血病,移植和骨髓性疾病中使用葡萄糖皮质类药物相关.
研究的目的:
- 提供对ONFH.H的全面审查.
- 详细介绍当前有关病因学,病变发生,自然史,分期和治疗的知识.
- 描述协会研究循环骨 (ARCO) 标准和分期系统.
主要方法:
- 关于大腿骨头骨 necrosis 的文献评论.
- 包括协会研究循环骨 (ARCO) 标准和分期系统.
- 计算机断层扫描 (CT) 的描述,用于早期的ONFH分类.
主要成果:
- 由于血管干扰,ONFH的特征是股骨头的死骨病变.
- 该审查综合了关于ONFH病因,病原,自然史和治疗选择的信息.
- 介绍了2019年ARCO分期和2021年基于ARCO CT的早期ONFH分类.
结论:
- 在年轻人群体中,ONFH是关节置换的重要原因.
- 了解ONFH病原体和使用标准化分期 (ARCO) 对于有效的管理至关重要.
- 先进的分类方法,包括CT,有助于早期发现ONFH和治疗计划.
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