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Long Term Effects of Radiation-Induced Osteonecrosis of the Pelvis Caused Complete Failure of Total Hip Arthroplasty
Department of Molecular Medicine and Surgery, Section of Orthopaedics, Karolinska Institute and Karolinska University Hospital, Stockholm, Sweden
Department of Molecular Medicine and Surgery, Section of Orthopaedics, Karolinska Institute and Karolinska University Hospital, Stockholm, Sweden
- 1 Department of Molecular Medicine and Surgery, Section of Orthopaedics, Karolinska Institute and Karolinska University Hospital, Stockholm, Sweden
- 2 Department of Molecular Medicine and Surgery, Section of Orthopaedics, Karolinska Institute and Karolinska University Hospital, Stockholm, Sweden
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Abstract
This case report describe severe osteonecrosis of the pelvis more than 30 years after radiation due to ovarian cancer. As orthopedic surgeon it is important to ask about previous radiation to the pelvis in case of total hip arthroplasty and also to perform CT in unclear cases.
KeywordsOsteonecrosisHipRadiation
- R. Rudolph, T. S. Arganese and M. Woodward, “Ultra Structure and Etiology of Chronic Radiotherapy Damage in Human Skin,” Annals of Plastic Surgery, Vol. 9, No. 4, 1982, pp. 282-292. doi:10.1097/00000637-198210000-00003
- L. L. Pu and J. G. Thompson, “Salvage of the Exposed Irradiated Knee Joint with Free Tissue Transfer,” Annals of Plastic Surgery, Vol. 44, No. 3, 2000, pp. 334-339. doi:10.1097/00000637-200044030-00015
- P. Massin and J. Duparc, “Total Hip Replacement in Irra-diated Hips. A Retrospective Study of 71 Cases,” Journal of Bone & Joint Surgery, Vol. 77, No. 6, 1995, pp. 847-852.
- R. J. Goitz, M. M. Tomaino, P. Smith, D. Hannallah and R. Sinha, “Treatment of Radiation-Induced Soft-Tissue Fibrosis and Concomitant Acetabular Osteonecrosis: A Case Report,” The American Journal of Orthopedics, Vol. 36, No. 4, 2007, pp. 56-58.
- J. W. Kwon, S. J. Huh, Y. C. Yoon, S. H. Choi, J. Y. Jung, D. Oh and B. K. Choe, “Pelvic Bone Complications after Radiation Therapy of Uterine Cervical Cancer: Evaluation with MRI,” American Journal of Roentgenology, Vol. 191, No. 4, 2008, pp. 987-994. doi:10.2214/AJR.07.3634
- J. Duparc and P. Massin, “Surgical Treatment of Radiation-Induced Lesions of the Hip in Adults,” Bulletin de l’Academie Nationale de Medecine, Vol. 180, No. 8, 1996, pp. 1815-1836.