Asymptomatic osteonecrosis - Should it be treated?
Asymptomatic osteonecrosis - Should it be treated?
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DOI：
10.1097/01.blo.0000150275.98701.4e
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发表时间：
2004-12-01
影响因子：
4.2
通讯作者：
Jones, LC
中科院分区：
文献类型：
--
作者：
Hungerford, DS;Jones, LC
目前，关于塌陷前骨坏死的治疗，特别是无症状骨坏死的治疗尚无共识。每年大约有10，000到20，000例新的骨坏死病例，没有一个外科医生或中心具有能够解决有关这种疾病的最重要问题的经验。文献有力地证明了骨坏死的症状会进展。虽然文献也支持无症状性骨坏死进展为有症状性骨坏死直至塌陷，但这种支持不太令人信服。进展与病变大小成正比，小病变（
Currently, there is no consensus regarding the treatment of precollapse osteonecrosis, particularly for asymptomatic osteonecrosis. With approximately 10,000 to 20,000 new cases of osteonecrosis a year, no single surgeon or center has the kind of experience that is able to address the most important questions concerning this disease. The literature strongly documents that symptoms of osteonecrosis will progress. Although the literature also supports the progression of asymptomatic osteonecrosis to symptomatic osteonecrosis on to collapse, that support is less convincing. Progression is proportional to lesion size, with small lesions (