Management of Avn Hip

download Management of Avn Hip

of 13

Transcript of Management of Avn Hip

  • 8/12/2019 Management of Avn Hip

    1/13

    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 )

  • 8/12/2019 Management of Avn Hip

    2/13

    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

  • 8/12/2019 Management of Avn Hip

    3/13

    MRI:D I B T1 :

    T

    ,

    .

    D T2 :

    R .

    H DD: T . T

    5

    & 6

    . MRI

    ,

    .

    A: S T1 T :

    B , L

    &

    , & .

    .

  • 8/12/2019 Management of Avn Hip

    4/13

    S . :

    T ( 23 )

    (

    ) ( )

    MRI.T :

    (1)

    ;

    (2)

    30 ;

    (3)

    3 70

  • 8/12/2019 Management of Avn Hip

    5/13

    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% )

  • 8/12/2019 Management of Avn Hip

    6/13

    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),

    .

  • 8/12/2019 Management of Avn Hip

    7/13

    P(H):

    P / ,

    3.2

    ( )

    D .

    O 8 . S P : P (50%) 6

    C :

    T ,

    ,

    .

    B , &

  • 8/12/2019 Management of Avn Hip

    8/13

    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

    .

  • 8/12/2019 Management of Avn Hip

    9/13

    R:

    T &

    .

    2. C + (U ):

    P

    , (16 19 ) .

    M .

    H , 13 , . L 10

    10

    T 3 5 0.62 K .

  • 8/12/2019 Management of Avn Hip

    10/13

    ,

    .

    O:R

    . T

    ,

    .

    S :

    (1) ;

    (2) ,

    ;(3) ( 200);

    (4) .

    T R O(S):

    T .

    T

    , .

    M D A , M &

    .

  • 8/12/2019 Management of Avn Hip

    11/13

    R :

    L

    . T :

    (1) ,

    (2) ,

    (3)

    ,

    .

    T (TARA): H

    .

    B , .

    T

    .

    L:

    R TARA

    . H,

    ,

    . T

  • 8/12/2019 Management of Avn Hip

    12/13

    .

    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 ,

    ,

  • 8/12/2019 Management of Avn Hip

    13/13

    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 .