Traumatic Necrosis of Femoral Head: a Case Report
Journal: Journal of Clinical Medicine Research DOI: 10.32629/jcmr.v7i1.5051
Abstract
Avascular necrosis of the femoral head is a common and challenging orthopedic disease. Clinically, it is divided into traumatic avascular necrosis and non-traumatic avascular necrosis. Traumatic avascular necrosis of the femoral head is often caused by hip trauma, and the risk of necrosis is positively correlated with the severity of the trauma and the delay in treatment. Here, we report the diagnosis and management of a case of complex traumatic avascular necrosis of the femoral head in a 64-year-old male, with the hope that this case can provide a reference for clinicians in dealing with similar severe post-traumatic femoral head necrosis.
Keywords
traumatic necrosis of femoral head; total hip replacement; infection prevention and control
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[4] Nishi M,Atsumi T,Yoshikawa Y,et al.Residual deformity after femoral neck fracture affects the location of osteonecrosis of the femoral head[J].Bone&joint open,2024,5(5):394-400.
[5] Hu Y, Yang Q, Zhang J, et al.Methods to predict osteonecrosis of femoral head after femoral neck fracture: a systematic review of the literature[J].Journal of Orthopaedic Surgery and Research,2023,18(1):377.
[6] Yin Z,Wu L ,Huang J, et al.Immunological mechanisms in steroid-induced osteonecrosis of the femoral head[J].Frontiers in Immunology,2025,13(16):1626617.
[7] Quanjun C,Lam W J,Hoi K K,et al.ARCO Consensus on the Pathogenesis of Non-traumatic Osteonecrosis of the Femoral Head[J].Journal of Korean medical science,2021,36(10):65-65.
[8] Schaffer NE, Luther L, Tatman LM, Mitchell PM. Femoral Head Fractures: Evaluation, Management, and Outcomes[J].Am Acad Orthop Surg,2024,15; 32(20):929-937.
[9] Baig S A,Baig M.Osteonecrosis of the Femoral Head:Etiology,Investigations,and Management[J].Cureus,2018,10:7759.
[10] Liu Tengfei, Jia Tingting, Tian Long. Risk prediction of surgical site infection after total hip replacement and establishment of Nomogram model [J]. China Journal of Bone and Joint, 2025,14(05):426-431.
[11] Zhou Zongke, Weng Xisheng, Qu Tiebing, et al. Expert consensus on perioperative management strategy of accelerated rehabilitation after hip and knee replacement in China [J]. Chinese Journal of Bone and Joint Surgery, 2016,9(1):1-9.
[12] Mahmoud A N,Brule N R,Suk M,et al.Outcomes of Staphylococcal Prosthetic Joint Infection After Hip Hemiarthroplasty: Single Center Retrospective Study[J].Medicina,2025,61(4).
Copyright © 2026 Feng Wang, Yongxu Mu, Jinlei Sun, Haonan Chi
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