Osteonecrosis

KOLOA, Hawaii — In this video from Orthopedics Today Hawaii, Rafael J. Sierra, MD, discusses the importance of joint preservation for osteonecrosis of the femoral head.

Adults with osteoporosis have a higher risk for developing osteonecrosis of the jaw with denosumab therapy compared with bisphosphonates, according to study findings published in the Journal of Bone and Mineral Research.

Patients with cancer who received zoledronic acid for metastatic bone disease appeared at higher risk for osteonecrosis of the jaw if they had more frequent exposure to the agent, poor oral health or currently smoked, study results showed.

Prednisone in doses of 20 to 39 mg for more than 1 month, or 40 mg daily for just 1 month, remains the most important corticosteroid predictor of osteonecrosis in patients with systemic lupus erythematosus, according to data.

For patients with osteonecrosis, primary total hip arthroplasty with highly cross-linked polyethylene liner has shown excellent implant survivorship and functional effects, according to study results.

Use of highly crosslinked polyethylene liners during total hip arthroplasty may provide promising rates of implant survivorship and wear among young patients with osteonecrosis of the femoral head, according to published results.

EFORT Open Reviews is the new open access journal from EFORT and Bone & Joint Publishing. All articles are free to read online with no subscription required.