Aloenxerto ósseo cortical desmineralizado na cirurgia da osteonecrose asséptica da cabeça femoral
Autor(a) principal: | |
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Data de Publicação: | 2009 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10400.4/909 |
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. |
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Aloenxerto ósseo cortical desmineralizado na cirurgia da osteonecrose asséptica da cabeça femoralDemineralised cortical bone allografting in femoral head necrosisNecrose da Cabeça do FémurWe 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.Sociedade Portuguesa de ReumatologiaRIHUCJudas, FCosta, PGarcia, JSaavedra, MJ2010-12-20T17:08:38Z20092009-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.4/909porActa Reumatol Port. 2009 Apr-Jun;34(2B):419-25info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-07-11T14:22:06Zoai:rihuc.huc.min-saude.pt:10400.4/909Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T18:03:26.773552Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Aloenxerto ósseo cortical desmineralizado na cirurgia da osteonecrose asséptica da cabeça femoral Demineralised cortical bone allografting in femoral head necrosis |
title |
Aloenxerto ósseo cortical desmineralizado na cirurgia da osteonecrose asséptica da cabeça femoral |
spellingShingle |
Aloenxerto ósseo cortical desmineralizado na cirurgia da osteonecrose asséptica da cabeça femoral Judas, F Necrose da Cabeça do Fémur |
title_short |
Aloenxerto ósseo cortical desmineralizado na cirurgia da osteonecrose asséptica da cabeça femoral |
title_full |
Aloenxerto ósseo cortical desmineralizado na cirurgia da osteonecrose asséptica da cabeça femoral |
title_fullStr |
Aloenxerto ósseo cortical desmineralizado na cirurgia da osteonecrose asséptica da cabeça femoral |
title_full_unstemmed |
Aloenxerto ósseo cortical desmineralizado na cirurgia da osteonecrose asséptica da cabeça femoral |
title_sort |
Aloenxerto ósseo cortical desmineralizado na cirurgia da osteonecrose asséptica da cabeça femoral |
author |
Judas, F |
author_facet |
Judas, F Costa, P Garcia, J Saavedra, MJ |
author_role |
author |
author2 |
Costa, P Garcia, J Saavedra, MJ |
author2_role |
author author author |
dc.contributor.none.fl_str_mv |
RIHUC |
dc.contributor.author.fl_str_mv |
Judas, F Costa, P Garcia, J Saavedra, MJ |
dc.subject.por.fl_str_mv |
Necrose da Cabeça do Fémur |
topic |
Necrose da Cabeça do Fémur |
description |
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. |
publishDate |
2009 |
dc.date.none.fl_str_mv |
2009 2009-01-01T00:00:00Z 2010-12-20T17:08:38Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10400.4/909 |
url |
http://hdl.handle.net/10400.4/909 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
Acta Reumatol Port. 2009 Apr-Jun;34(2B):419-25 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Reumatologia |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Reumatologia |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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