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Waewsawangwong W, Ruchiwit P, Huddleston JI, et al. Hip arthroplasty for treatment of advanced osteonecrosis: comprehensive review of implant options, outcomes and complications. Orthop Res Rev. 2016;8:13-29doi: 10.2147/ORR.S35547.
Waewsawangwong, W., Ruchiwit, P., Huddleston, J. I., & Goodman, S. B. (2016). Hip arthroplasty for treatment of advanced osteonecrosis: comprehensive review of implant options, outcomes and complications. Orthopedic research and reviews, 813-29. https://doi.org/10.2147/ORR.S35547
Waewsawangwong, Warit, et al. "Hip arthroplasty for treatment of advanced osteonecrosis: comprehensive review of implant options, outcomes and complications." Orthopedic research and reviews vol. 8 (2016): 13-29. doi: https://doi.org/10.2147/ORR.S35547
Waewsawangwong W, Ruchiwit P, Huddleston JI, Goodman SB. Hip arthroplasty for treatment of advanced osteonecrosis: comprehensive review of implant options, outcomes and complications. Orthop Res Rev. 2016 Jun 28;8:13-29. doi: 10.2147/ORR.S35547. eCollection 2016. PMID: 30774467; PMCID: PMC6209358.
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Orthop Res Rev. 2016 Jun 28;8:13-29. doi: 10.2147/ORR.S35547. eCollection 2016.

Hip arthroplasty for treatment of advanced osteonecrosis: comprehensive review of implant options, outcomes and complications.

Orthopedic research and reviews

Warit Waewsawangwong, Pirapat Ruchiwit, James I Huddleston, Stuart B Goodman

Affiliations

  1. Department of Orthopedic Surgery, Stanford University, Stanford, CA, USA, [email protected].

PMID: 30774467 PMCID: PMC6209358 DOI: 10.2147/ORR.S35547

Abstract

Surgical treatment for late stage (post-collapse) osteonecrosis of the femoral head is controversial. In these situations, the outcome of joint preservation procedures is poor. There are several arthroplasty options for late-stage disease. The clinical outcomes of hemiarthroplasty and hemiresurfacing are unpredictable because of progressive acetabular cartilage degeneration. Total hip resurfacing may be associated with further vascular insult to the femoral head and early failure of the implant. Total hip replacement with metal-on-conventional polyethylene bearing surfaces has been the gold standard, but implant survivorship is limited in young active patients due to wear and osteolysis. Newer alternative bearing surfaces may have improved wear characteristics, but their durability must be confirmed in longer-term studies.

Keywords: advanced osteonecrosis; complications; hip arthroplasty; implant options; outcomes

Conflict of interest statement

Disclosure The authors report no conflicts of interest in this work.

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