Cell technologies in the treatment of femoral head osteonecrosis

Author:

Murzich A. E.1,Eismont O. L.1,Isaykina J. I.2,Bukach D. V.1,Sirotkin R. S.1

Affiliation:

1. Republican Scientific-Practical Centre of Traumatology and Orthopedics, Minsk

2. Republican Research Center for Pediatric Oncology, Hematology and Immunology, Borovliany, Minsk Region

Abstract

The review of the literature data and our results of surgical treatment of femoral head osteonecrosis in adult patients with the minimally invasive technologies are presented in this article. Using clinical scales, X-rays, MRI, the hip joint condition of 46 patients who underwent “core” decompression in combination with bone plastic (group A, 31 patients) and bone marrow mononuclear cells (group B, 15 patients) were evaluated. The percentage of osteonecrosis progression during the observation period up to 3 years in group A was higher than in group B, where the bone marrow concentrate was used (38.7 and 26.7 %, respectively). The methods of treatment used for femoral head osteonecrosis are not traumatic, have no complications and allow delaying hip replacement. The use of autologous bone marrow cells, in addition to decompression of the necrosis focus, creates the prerequisites for a better outcome of bone regeneration of the necrotic area. 

Publisher

Publishing House Belorusskaya Nauka

Subject

General Medicine

Reference39 articles.

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