J Korean Orthop Assoc.  2019 Jun;54(3):281-286. 10.4055/jkoa.2019.54.3.281.

Total Hip Arthroplasty in Patients with Avascular Necrosis of the Entire Femur

  • 1Department of Orthopedic Surgery, National Police Hospital, Seoul, Korea. ish0524@hanmail.net


Avascular necrosis (AVN) is defined as the cellular death of bone and bone marrow components due to the loss of blood supply, and associated with post-traumatic or non-traumatic events. AVN usually involves the epiphysis of a long bone, such as the femoral and humeral heads, which are susceptible to osteonecrosis. Many studies have been conducted but they were restricted to investigations of femoral head avascular necrosis. The presence of osteonecrosis in the proximal femur may impair biological fixation after total hip arthroplasty. We report a 56-year-old male patient with avascular necrosis located not only at the femoral head, but also in the entire femur, including the medullary cavity, who underwent total hip arthroplasty 2 years earlier along with a review of the relevant literature.


entire femur; avascular necrosis; total hip arthroplasty; femoral stem
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