Osteonecrosis

Osteonecrosis is bone death caused by poor blood supply to the area. It is most common in the hip and shoulder, but can affect other large joints such as knee, elbow, wrist and ankle (PubMed Health).

This book is a comprehensive guide to osteonecrosis, explaining the etiopathology of the disease and covering numerous diseases and disorders associated with it, with emphasis on femoral head necrosis, the most commonly affected area.

Classification and staging are discussed at length with reference to treatment planning and correlation to prognosis. Diagnostic tools including X-Ray, CT scan, MRI and bone scan are also described in detail.

Nearly 400 illustrations, clinical pictures and radiographic images are included to enhance learning.

Key points

• Comprehensive guide to diagnosis and treatment of osteonecrosis
• Emphasis on femoral head necrosis
• Discusses numerous surgical techniques for treatment
• Includes nearly 400 illustrations, clinical pictures and radiographic images

1. Introduction
2. Osteonecrosis of the Femoral Head: An Introduction
3. Mechanism of Disease and Pathophysiology of Osteonecrosis
4. Coagulopathies and Associated Conditions Causing Osteonecrosis
5. Classification: Staging of Osteonecrosis
6. Early Diagnosis
7. Imaging Modalities
8. Bone Marrow Edema Syndrome and Osteonecrosis
9. Pregnancy and Osteonecrosis
10. Transient Osteoporosis and Osteonecrosis
11. Treatment: Conservative and Surgical
12. Role of Core Decompression and Bone Grafting
13. Core Decompression and Free Fibular Grafting
14. Core Decompression and TFL Muscle Pedicle Grafting
15. Treatment by Core Decompression and Vascular Pedicle Grafting
16. Place of Osteotomy in Osteonecrosis
17. Osteonecrosis and Joint Replacement Arthroplasty
18. Osteonecrosis of the Humeral Head
19. Osteonecrosis of Vertebral End Plates
20. Osteonecrosis of the Knee
21. Sickle Cell Disease and Osteonecrosis of the Femoral Head
22. Osteonecrosis of Talus
23. Hand-Foot Syndrome

Sudhir Babhulkar MS (Orth) D (Orth) PhD (Orth) DSc (Orth) FAMS
Professor Emeritus, Indira Gandhi Medical College and Mayo General Hospital, Nagpur; Director, Sushrut Hospital, Research Centre and Postgraduate Institute of Orthopedics, Nagpur, Maharashtra, India