Review of the Pathogenesis, Diagnosis, and Management of Osteoradionecrosis of the Femoral Head

Yang Li; Zhongsheng Zhou; Shenghao Xu; Jinlan Jiang; Jianlin Xiao

doi:10.12659/MSM.940264

13 June 2023 : Review article

Review of the Pathogenesis, Diagnosis, and Management of Osteoradionecrosis of the Femoral Head

Yang Li^12EF, Zhongsheng Zhou^12BC, Shenghao Xu^1B, Jinlan Jiang^2A*, Jianlin Xiao^1AE

DOI: 10.12659/MSM.940264

Med Sci Monit 2023; 29:e940264

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Background Hip Anatomy and Biomechanics Epidemiology Pathogenesis Diagnosis and Differential Diagnosis Treatment Future Directions Conclusions References

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Figure 4 The treatments for osteoradionecrosis (ORN) of the femoral head. Non-surgical management includes restricting weight-bearing during exercise, hyperbaric oxygen therapy (HBOT), drugs, and biophysical therapy, which have limited effectiveness. Surgical treatments are considered for severe cases, and mainly consist of total hip arthroplasty (THA) and Girdlestone resection arthroplasty (GRA). THA has a particularly high failure rate because of the aseptic loosening, persistent pain, and infection. Created with BioRender.com.

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Review of the Pathogenesis, Diagnosis, and Management of Osteoradionecrosis of the Femoral Head

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