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  1. C100 医学部/医学系研究科
  2. C100b 紀要
  3. Nagoya journal of medical science
  4. 54(1-4)

Progression of Avascular Necrosis of Femoral Head and Choice of Treatment

https://doi.org/10.18999/nagjms.54.1-4.27
https://doi.org/10.18999/nagjms.54.1-4.27
fa9daeff-d409-4218-8d19-dd1d4718970a
名前 / ファイル ライセンス アクション
v54n14p27_39.pdf v54n14p27_39.pdf (1.9 MB)
Item type 紀要論文 / Departmental Bulletin Paper(1)
公開日 2013-02-14
タイトル
タイトル Progression of Avascular Necrosis of Femoral Head and Choice of Treatment
著者 IWATA, HISASHI

× IWATA, HISASHI

WEKO 47287

IWATA, HISASHI

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HASEGAWA, YUKIHARU

× HASEGAWA, YUKIHARU

WEKO 47288

HASEGAWA, YUKIHARU

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MIZUNO, MASANORI

× MIZUNO, MASANORI

WEKO 47289

MIZUNO, MASANORI

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GENDA, EIICHI

× GENDA, EIICHI

WEKO 47290

GENDA, EIICHI

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KATAOKA, YUJI

× KATAOKA, YUJI

WEKO 47291

KATAOKA, YUJI

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KADA, AKIHIDE

× KADA, AKIHIDE

WEKO 47292

KADA, AKIHIDE

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抄録
内容記述 Observations of the disease course mainly by X-ray were made in 52 patients (85 joints) with avascular necrosis of the femoral head to determine the prognosis and to decide on treatment. The progression of the necrotic area is related to the activity of the original disease, to the size of the necrotic area in the early stages of the disease, and to whether or not the patient received steroid treatment. On the basis of the size and location of the necrotic area, the disease process is divided into four stages, I to IV. The affected heads are also classified into six types according to their site and extent, the degree of flatness of their weightbearing surface, and the presence of cystic lesion. Preventive treatment and conservative observation or transtrochanteric anterior rotational osteotomy and vascularized pedicle bone graft are applicable to cases in Stages I and II. Total hip joint arthroplasties and salvage procedures are performed in Stages III and IV. The usefulness of 99mTc bone scintigraphy was unexpectedly disappointing for diagnosis of the stages of the disease. However, MRI was sensitive for the diagnosis in the early stages of the disease.
内容記述タイプ Abstract
出版者
出版者 Nagoya University School of Medicine
言語
言語 eng
資源タイプ
資源 http://purl.org/coar/resource_type/c_6501
タイプ departmental bulletin paper
ID登録
ID登録 10.18999/nagjms.54.1-4.27
ID登録タイプ JaLC
ISSN(print)
収録物識別子タイプ ISSN
収録物識別子 0027-7622
ISSN(Online)
収録物識別子タイプ ISSN
収録物識別子 2186-3326
書誌情報 Nagoya Journal of Medical Science

巻 54, 号 1-4, p. 27-39, 発行日 1992-03
著者版フラグ
値 publisher
URI
識別子 http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/5414/5414.html
識別子タイプ URI
URI
識別子 http://hdl.handle.net/2237/17520
識別子タイプ HDL
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