Joint Preserving Non-surgical Treatment of Osteonecrosis of Femoral Head

Young Wook Lim; Yong Sik Kim; Soon Yong Kwon

doi:10.5371/hp.2012.24.4.273

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Lim, Kim, and Kwon: Joint Preserving Non-surgical Treatment of Osteonecrosis of Femoral Head

Review Article

Hip & Pelvis

Hip & Pelvis 2012; 24(4): 273-278.

Published online: 31 December 2012

DOI: https://doi.org/10.5371/hp.2012.24.4.273

Joint Preserving Non-surgical Treatment of Osteonecrosis of Femoral Head

Young Wook Lim, MD, Yong Sik Kim, MD, Soon Yong Kwon, MD, PhD

Department of Orthopaedic Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea.

Address reprint request to Soon Yong Kwon, MD, PhD. Department of Orthropaedic Surgery, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 62 Yeouido-dong, Yeongdeungpo-gu, Seoul 150-173, Korea. TEL: +82-2-3779-1192, FAX: +82-2-783-0252, sykwon@catholic.ac.kr

Received 5 August 2012 Revised 5 December 2012 Accepted 5 December 2012

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A patient and physician initially consider how to preserve a joint, and make a goal to achieve this aim when osteonecrosis is initially diagnosed. On the other hand, it is almost impossible to make a decision with only a therapeutic approach based on the pathology, because osteonecrosis of the femoral head is caused by a range of factors. An objective prognosis has now become possible due to the development of radiologic diagnostic assessment tools, such as CT, bone scans and MRI. Most osteonecrosis patients are in their 20-50's. Therefore, physicians make a primary goal to control pain. The surgical approach, such as total joint replacement, is not the first option for early stage osteonecrosis. In the first stage, osteonecrosis should be treated to prevent secondary degenerative diseases and preserve the hip joint. This paper introduces a non-surgical joint preserving treatment in scientific and clinical aspects for early stage osteonecrosis.

Keywords: Osteonecrosis, Non-surgical treatment

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