2013, Number 2
<< Back Next >>
Invest Medicoquir 2013; 5 (2)
Cervical cephalic decompression in osteonecrosis of the femoral head post cardiac transplant. A case report
Ceballos MA, Hernández PJC, Abreu CA, Obregón SAG, Vila GJM
Language: Spanish
References: 22
Page: 289-299
PDF size: 357.46 Kb.
ABSTRACT
Cardiac transplantation is the treatment of choice for end stages of heart diseases. Allowing the incidence of orthopedic complications such as osteonecrosis of the femoral head (2 to 3 %) due to the administration of inmunosuppresive agents, specially steroids it´s dosages and time of use. We report the case of a 76 year old man with a survival time of 25 years post cardiac transplant, who suffer osteonecrosis of femoral head 12 years ago when was treated by drill perforations (diameter 9 mm) of the spongiosa of cervical and subchondral necrotic bone “Bone Decompression” Already evaluation with pain-function-image Harris Hip Score, show satisfactory results, 87/100 points, avoiding progression of the disease and arthroplasty procedure.
REFERENCES
Barnard CN. The operation. A human cardiac transplant: An interin report of successful operation performed at Groote Schuur Hospital, Cape Town. S Afr Med J 1967;41;1271-4
Danzing LA, Coutis R.D, Resnick D. Avascular necrosis of the femoral head following cardiac transplantation; report of a case. Clin Orthop Relat Res 1976;117:217-20.
Lieberman JR, Roth KM, Elsissy P, Darey FJ, Kobashigawa JA, Symptomatic osteonecrosis of the hip and knee after cardiac transplantation. J Arthroplasty 2008;23(1):90-6.
Fisher DE, Bukel WH, Holley KE, Ellefson RD. Corticosteroid-induced aseptic necrosis. Experimental study. Clin Orthop Relat Res 1972;84:200-6.
Miyanishi K, Yamamoto T, Isusa T, Yamashits A. Effect of cyclosporine A on the development of osteonecrosis in rabbits. Acta Orthopaedica 2006;88(5):813-19.
Sakai T, Sugano N, Kokado Y, Takahara Sh. Tacrolimus may be associated with lower osteonecrosis rates after renal transplantation. Clin Orthop Relat Res 2003;415:163-70.
Bradbury G, Benjamin J, Thompson J, Klees E. Copeland J: Avascular necrosis of bone after cardiac transplantation. Prevalence and relationship to administration and dosage of steroids. J Bone Joint Surg 1994;76-A;1385-88.
Ficat RP, Arlet J. Ischemia and necrosis of bone. Baltimore Maryland, William and Wilkins; 1980. p. 171-182.
ARCO (Association Research Circulation Osseus) committee on terminology and classification. ARCO-News 1993;5:78-82.
Burton DS, Mochizuki RM, Halpern AA.Total hip arthroplasty in the cardiac transplant patient. Clin Orthop Relat Res 1978;130:186-90.
Camps JF. Colwell CW Jr. Core decompression of the femoral head for osteonecrosis. J Bone Joint Surg 1986;68-A:1313-19.
Urbaniak JR, Harvey EJ. Revascularization of the femoral head in osteonecrosis. J Am Acad Orthop Surg 1998;6:44-54.
Ceballos Mesa A, Balmaseda Manet R, Pedroso Canto M, Puente Rodríguez R. Descompresión cervico cefálica en la necrosis aséptica de la cabeza femoral. Rev Cuba Reumatol 2003;5(3.4):7-14.
World Medical Association. Declaration of Helsinky, Etical principles for medical research involving human subjets. JAMA 2000;284:3043-5.
Harris WH. Traumatic arthritis of the hip after dislocation and acetabular fractures, treatment by mold artroplasty. An end result study using a new method of results evaluation. J Bone Joint Surg 1969;51-A:137-55. Felson DT, Arderson JJ. A cross-study evaluation of association between steroid dose and bolus steroid and avascular necrosis of bone. Lancet 1987;18:902-5.
Landmann J, Renner N, Gachter A, Thiel G, Harder F. Cyclosporin A and osteonecrosis of the femoral head. J Bone Joint Surg 1987;69-A:1226-8.
Pirsch JD, Miller J, Decehoi MH, Vincent F, Fila R. A comparison of tacrolimus (FK506) and cyclosporin for inmunosuppression after cadaveric renal transplant. Transplantation 1997;63:977-83.
Burton DS, Mochizuki RM, Halpern AA. Total hip arthroplasty in the cardiac transplant patient. Clin Orthop Relat Res 1978;139:186-90.
Isono SS, Woolson T, Schurman DD. Total joint arthroplasty of steroid-induced osteonecrosis in cardiac transplant patients. Clin Orthop Relat Res 1987;217;201-8.
Hyung-Won K, Taek-Rim Y, Yong-Jin Ch. Total hip arthroplasty for necrosis of the femoral head following cardiac transplantation. A case report. J Korean Hip Soc 2010;22(2):166-70.
Mont MA; Ragland PS, Etiene G. Core decompression of the femoral head for osteonecrosis using percutaneous multiple small diameter drilling. Clin Orthop Relat Res 2004;429:131-38.
Si Y, Chagguing Zh, Dongxo J, Shengboa Ch. Treatment of osteonecrosis of the femoral head in lymphoma. International Orthopaedic (SICOT) 2011;35:1125-35.