Radiation Induced AVN of Hip Joint Following Pelvic Irradiation for Endometrial Carcinoma

Nagi, O. N.; Chaudhary, Deepinder; Kumar, Pawan; Rana, Nipun; Ojha, Mukund Madhav; Mehrotra, Ravi

doi:10.5958/0976-5506.2018.00453.9

Cited by 2 publications

(2 citation statements)

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“…With today's advanced RT procedures and infrastructure, it is possible to reduce post-irradiation osseous damage to the hip joint by giving high doses to a compact volume and using protective shields that seal the head. When inguinal lymph nodes need to be irradiated, the femoral head is inevitably exposed to radiation doses that above the threshold, resulting in osteonecrosis [13]. Even though the frequency of post-irradiation AVN of the hip has significantly decreased in recent years, our patient still developed bilateral AVN requiring total hip arthroplasty.…”

Section: Discussionmentioning

confidence: 85%

Bilateral avascular necrosis of femoral heads after pelvic irradiation: A case report and systematic review

Ergen,

Demir,

Dikmen

et al. 2023

Open J Clin Med Case Rep

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The development of radiation induced changes in bone is related to multiple factors such as total dose, per fraction dose, irradiated volume, bone structure and localization, patient age, and chemo-radiotherapy. It is known that chang-es in bone occur after 30-40 Gy. There are very few publications on this subject in the literature, mostly case reports. Therefore, there is no definite consensus about the pathogenesis, diagnosis, and treatment. In this report, a case of avascular necrosis of bilateral femoral heads after pelvic radiotherapy will be presented and the relevant literature will be reviewed.

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Section: Discussionmentioning

confidence: 85%

Bilateral avascular necrosis of femoral heads after pelvic irradiation: A case report and systematic review

Ergen,

Demir,

Dikmen

et al. 2023

Open J Clin Med Case Rep

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“…The reference lists of the retrieved papers are also searched to identify further research. The literature on hip ORN thus far mainly consists of case series and case reports (18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35). We review case reports published between 1980 and 2020.…”

Section: Resultsmentioning

confidence: 99%

Osteoradionecrosis of the Hip, a Troublesome Complication of Radiation Therapy: Case Series and Systematic Review

Tang

Shen

et al. 2022

Front. Med.

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BackgroundOsteoradionecrosis of the hip is a serious complication of radiotherapy that is easily overlooked by physicians and patients in the early stages. There are relatively few reports on this subject, so there is no clear scientific consensus for the pathogenesis, early diagnosis, and clinical treatment of hip osteoradionecrosis. In this paper, we report two cases of hip osteoradionecrosis and systematically review the related literature.Case PresentationWe report two cases of hip osteoradionecrosis. One patient successfully underwent total hip arthroplasty in our hospital and recovered well postoperatively. Another patient although we offered a variety of surgical options for this patient, the patient was worried that the bone loss would lead to poor prosthesis fixation, resulting in prosthesis loosening and infection, and therefore ultimately refused surgical treatment.ConclusionWith the development of radiological techniques, the incidence of hip osteoradionecrosis is decreasing year by year, but early diagnosis and rational treatment remain challenging. The effects of non-surgical treatment are limited. Early prevention, early detection, and early intervention are crucial to delay or prevent the emergence of more serious complications.

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Radiation Induced AVN of Hip Joint Following Pelvic Irradiation for Endometrial Carcinoma

Cited by 2 publications

References 0 publications

Bilateral avascular necrosis of femoral heads after pelvic irradiation: A case report and systematic review

Bilateral avascular necrosis of femoral heads after pelvic irradiation: A case report and systematic review

Osteoradionecrosis of the Hip, a Troublesome Complication of Radiation Therapy: Case Series and Systematic Review

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