Management of Avn Hip
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Transcript of Management of Avn Hip
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D O, F M M C
MANAGEMENT OF AN HIPP : D. T
M: D. T
I:
R MRI S
R :T 69
T
() .
T, ( )
.
, :
( ),
, ,
.
C F (D )
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F & A C
S R
I N
II IIA
P//N
IIB
S C ,
A
III C
I OA
C (K):E
AP & L .
T
L: > 200
M: 160200
S: < 160
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MRI:D I B T1 :
T
,
.
D T2 :
R .
H DD: T . T
5
& 6
. MRI
,
.
A: S T1 T :
B , L
&
, & .
.
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S . :
T ( 23 )
(
) ( )
MRI.T :
(1)
;
(2)
30 ;
(3)
3 70
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3. B :
B 99
T,
AN.
F 23 ( )
.
I ,
, ,
.
S CT(SPECT)
.
U P A N
(S ):
S C
0 N / /MRI
1 N
/MRI
2 C &
3 S ( )
4 F
5 J &
6 A
E 3 :M( 30% )
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I 4
I A < 2
I B 24
I C >4 .
TREATMENTT :
1. C/ 2. C 3. C + 4. O5. J
C:
G 0( )
R : N
D( ):
S:S
( ).
B:B .
A(P ) & A (S) H
C :T ,
& fl .
R
F I IIA ,
.
F F (IIB III),
.
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P(H):
P / ,
3.2
( )
D .
O 8 . S P : P (50%) 6
C :
T ,
,
.
B , &
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C (P):
T 8 10
. T
, , .
P, 36 .
C :
L (R ):
I ,
. C
.
T :
T .
I, . A 2
. T
. T
.
:
1. M (M ):Q
A: O &
B: I &
.
T
.
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R:
T &
.
2. C + (U ):
P
, (16 19 ) .
M .
H , 13 , . L 10
10
T 3 5 0.62 K .
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,
.
O:R
. T
,
.
S :
(1) ;
(2) ,
;(3) ( 200);
(4) .
T R O(S):
T .
T
, .
M D A , M &
.
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R :
L
. T :
(1) ,
(2) ,
(3)
,
.
T (TARA): H
.
B , .
T
.
L:
R TARA
. H,
,
. T
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.
L THR.I:
1.
2. (
>200 >50%).
THR:
I:(1) O &
(2)
.
C:
(1)
(2) P ( ,
).
A , ,
,
,
.
P : AN E ,
, SLE (I AN THR).
G ,
,
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T P
R:1. C : 12: P 358366.2. T J B & J S: OL 77A NO. 3: MARCH 1995: N
T A N F H MARCH 1995: M.A
M & D.S H.
3. T J B & J S 84 5 2002:O :
4. T 6 P: 11981202
F I & IIA
S 1
S 0II
C +/
F IIB & III
S II
S III & I
A: 45: L / THR
F III & I
S III
S & I
THR .