Issue: 2017, Vol. 22, No. 4

Korytkin A. A., Tenilin N. A., Gerasimov S. A., Zykin A. A., Zakharova D. V., Kovaldov K. A., Novikova Ya. S.

Surgical treatment for whirlbone avascular necrosis

Keywords

whirlbone avascular necrosis, thombocyte-enriched plasma, endoprosthetics, forage, bone plastics, treatment

Abstarct

The analysis of national and foreign medical reports which are dedicated to the problems of surgical treatment for patients with whirlbone avascular necrosis is presented. Basic variants of the operative treatment for whirlbone avascular necrosis (core-decompression, osteotomy of proximal zone of femoral bone and pelvis bones, superficial endoprosthetics, arthrodesis, total endoprosthetics etc.) are thoroughly considered; key positive sides (cheapness and simplicity in fulfillment, low invasiveness, quick arrest of pain syndrome, high efficacy at early stages, fast rehabilitation) are marked; negative sides of their usage (unforeseen results, necessity for permanent change of implant components the whole life long, technical complicacy in implantation, complicacy in full qualitative treatment of necrosis focus, visual monitoring absence etc.) are noted.

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