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28 patients were subjected to follow-up examination after having suffered for more than 10 years from idiopathic necrosis of head of femur. The high incidence of the bilateral affection of the hip joint as well as the occurrence of multiple osteonecroses are correlated with distrubances of lipid metabolism. Under conservative treatment the disease takes a progressive course, which, however, can remain subclinical for a long time. Good postoperative results can only be expected from intertrochanteric corrective osteotomy which often leads to a regeneration of the head of femur. Caution is recommended before confirming the indication for athrodesis or total endoprothesis because of the risk of disturbances of consolidation or loosening of the implant.
F U Niethard, and
W Puhl
November 1979,
Klinische Monatsblatter fur Augenheilkunde,
F U Niethard, and
W Puhl
June 1974,
Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca,
F U Niethard, and
W Puhl
May 1978,
Nihon rinsho. Japanese journal of clinical medicine,
F U Niethard, and
W Puhl
May 1977,
Ryumachi. [Rheumatism],
F U Niethard, and
W Puhl
October 1981,
Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca,
F U Niethard, and
W Puhl
October 1980,
Zeitschrift fur Orthopadie und ihre Grenzgebiete,
F U Niethard, and
W Puhl
January 1988,
Zeitschrift fur Orthopadie und ihre Grenzgebiete,
F U Niethard, and
W Puhl
November 1972,
Munchener medizinische Wochenschrift (1950),
F U Niethard, and
W Puhl
May 1960,
Revue du rhumatisme et des maladies osteo-articulaires,
