PMID: 9061170Jan 1, 1997

Early detection of avascular necrosis of the femoral head following renal transplantation

Archives of Orthopaedic and Trauma Surgery
B FinkW Rüther

Abstract

This prospective study included 43 patients undergoing renal transplantations. Magnetic resonance imaging (MRI) and X-rays of the hip joints were produced 3 and 12 months after transplantation. In 6 hip joints of 4 patients (9.3%), we discovered femoral head necroses just 3 months after transplantation. Three of the hip joints affected were symptomatic and 3 painless. The MR images taken 12 months after transplantation revealed no additional femoral head necrosis. A core decompression was performed on 3 joints. In contrast to those with core decompression, the femoral heads without core decompression showed a progression of the necrosis in 2 of 3 cases. All 4 patients with femoral head necroses were younger than 50 years and exhibited a premature conversion of the haematopoietic marrow to fatty marrow in the area of the proximal femoral metaphysis. A similar premature conversion to fatty marrow was seen in 6 of the 22 (27.2%) patients younger than 50 years and without femoral head necroses. The doses in long-term steroid medication and the steroid doses during the rejection periods of the patients with femoral head necroses were not significantly higher than those for the patients with premature conversion to fatty marrow. The ...Continue Reading

References

May 1, 1989·The Journal of Bone and Joint Surgery. British Volume·P J RadfordN Rushton
Jul 1, 1986·AJR. American Journal of Roentgenology·M D MitchellL Axel
Apr 1, 1980·Transplantation·M G McGeownC M Hill
May 1, 1993·The Journal of Bone and Joint Surgery. British Volume·M J Fordyce, L Solomon

Citations

Nov 13, 2002·Kidney International·Kevin C AbbottLawrence Y Agodoa
Mar 27, 2004·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Hiroshi HoriuchiKunio Takaoka
Nov 13, 2003·Clinical Orthopaedics and Related Research·Takashi SakaiHideki Yoshikawa
Apr 22, 2008·Drug Safety : an International Journal of Medical Toxicology and Drug Experience·Katharine ShimEric Winquist
May 3, 2006·The Journal of Bone and Joint Surgery. American Volume·Michael A MontD S Hungerford
Oct 3, 2002·World Journal of Surgery·Rocco BellantoneMarco Raffaelli
Dec 14, 2004·The Journal of Bone and Joint Surgery. American Volume·Edward Y ChengKhaled J Saleh

Related Concepts

Needle Biopsy Procedure
Aseptic Necrosis of Femur Head
Magnetization Transfer Contrast Imaging
Kidney Transplantation
Age Distribution

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