Аваскулярный некроз головки бедренной кости — излечение возможно!

Abstract

INTRODUCTION: Avascular necrosis of the femoral head (ANFH) is a severe type of pathology among degenerative and dystrophic diseases of the hip joint (DDHD) characterized by fast progression. It affects mainly males of the work-able age (20 to 50 years old) and accounts for up to 4.7% of DDHD cases. In short time, it leads to loss of the normal joint anatomy and disability. The article shows the results of long-term follow up of a patient diagnosed with the initial pre-radiological stage of ANFH who was underwent bilateral (33 years and 38 years) revascularization surgery of the femoral head and neck using the inferior epigastric artery along with a concomitant veins and muscular distal cuff. The positive result of the surgical intervention was confirmed clinically (an intact range of motion in the affected joints as well as the absence of pain), and due to Computer Tomography (visualization of artificial intraosseous canals done surgically as well as the preserved shape of the femoral head). CONCLUSION: Taking into account the widely used non-invasive current diagnostic methods like Thermal Imaging, Magnetic Resonance Imaging and Computer Tomography, revealing the pre-radiological stage avascular necrosis of the femoral head now is not a difficult task. The proposed surgical procedure with transposition of the vascular complex into the femoral neck and head helps to maintain the viability of the bone and avoid joint replacement.