Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
4094307 | Seminars in Arthroplasty | 2007 | 8 Pages |
Abstract
We reviewed the available literature and describe our own experience with management of femoral head osteonecrosis in patients with pediatric hematologic malignancies. Osteonecrosis has become a major complication lowering quality of life among survivors of pediatric leukemia and lymphoma. Periodic imaging during anticancer therapy allows for early detection of osteonecrosis. Most patients with greater than 30% femoral head involvement will require arthroplasty. More studies are desperately needed to find interventions for early stage osteonecrosis that would preserve the integrity of the articular surface. Bone-conserving surgeries are preferred in young patients in anticipation of multiple revisions needed during their expected lifespan.
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Authors
Michael D. MD, Evguenia J. MD,