Titlebook: Osteonecrosis of the Femoral Head; A Clinical Casebook Rafael J. Sierra Book 2017 Mayo Foundation for Medical Education and Research 2017 B

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978-3-319-50662-3Mayo Foundation for Medical Education and Research 2017

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Successful Decompression with Multiple Percutaneous DrillingA young man presented with Ficat stage II ON and had successful long-term outcomes following decompression using multiple percutaneous drill holes. This technique has been studied in several small studies and been shown to be a viable option in pre-collapse disease.

Instantaneous

SMART

Bilateral Hip Decompression Using X-REAM® and PRO-DENSE®Osteonecrosis of the femoral head is a challenging problem for orthopedic surgeons. The case presented describes a 39-year-old patient with bilateral AVN of his femoral heads and outlines treatment with an expandable reamer device (X-REAM®) supplemented with calcium sulfate/calcium phosphate (PRO-DENSE®) composite graft.

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Bilateral Nonvascularized Bone GraftingWe present the case of a man with bilateral stage III disease who had a bilateral nonvascularized bone grafting performed with each side being done separately. He had good long-term outcomes and no further progression of disease.

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troponins

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