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Treatment of Osteonecrosis of the Femoral Head with Implantation of Autologous Bone-Marrow Cells by Valérie Gangji, and Jean-Philippe Hauzeur JBJS Essent.

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Presentation on theme: "Treatment of Osteonecrosis of the Femoral Head with Implantation of Autologous Bone-Marrow Cells by Valérie Gangji, and Jean-Philippe Hauzeur JBJS Essent."— Presentation transcript:

1 Treatment of Osteonecrosis of the Femoral Head with Implantation of Autologous Bone-Marrow Cells by Valérie Gangji, and Jean-Philippe Hauzeur JBJS Essent Surg Tech Volume os-87(1 suppl 1):106-112 March 1, 2005 ©2005 by The Journal of Bone and Joint Surgery, Inc.

2 The needles for the bone-marrow aspiration are introduced deep into both iliac crests, and the bone marrow is aspirated with 10-mL syringes. Valérie Gangji, and Jean-Philippe Hauzeur J Bone Joint Surg Am 2005;os-87:106-112 ©2005 by The Journal of Bone and Joint Surgery, Inc.

3 After the bone-marrow aspiration, the contents of each syringe are transferred into the bone- marrow-collection kit. Valérie Gangji, and Jean-Philippe Hauzeur J Bone Joint Surg Am 2005;os-87:106-112 ©2005 by The Journal of Bone and Joint Surgery, Inc.

4 A c-arm fluoroscope is positioned over the hip region like an arch. Valérie Gangji, and Jean-Philippe Hauzeur J Bone Joint Surg Am 2005;os-87:106-112 ©2005 by The Journal of Bone and Joint Surgery, Inc.

5 A 5-mm incision is made laterally through the skin and the fascia at the level of, or just distal to, the greater trochanter. Valérie Gangji, and Jean-Philippe Hauzeur J Bone Joint Surg Am 2005;os-87:106-112 ©2005 by The Journal of Bone and Joint Surgery, Inc.

6 The trephine (with an outer diameter of 5 mm and an inner diameter of 3 mm) used for the core decompression. Valérie Gangji, and Jean-Philippe Hauzeur J Bone Joint Surg Am 2005;os-87:106-112 ©2005 by The Journal of Bone and Joint Surgery, Inc.

7 The direction of the trephine must be adjusted in both the anteroposterior and the lateral plane so that it is pointing toward the osteone-crotic zone. Valérie Gangji, and Jean-Philippe Hauzeur J Bone Joint Surg Am 2005;os-87:106-112 ©2005 by The Journal of Bone and Joint Surgery, Inc.

8 The tip of the trephine is placed at a distance of 2 to 3 mm from the articular cartilage. Valérie Gangji, and Jean-Philippe Hauzeur J Bone Joint Surg Am 2005;os-87:106-112 ©2005 by The Journal of Bone and Joint Surgery, Inc.

9 The 50 mL of mononuclear cells is injected through the trephine that was placed into the necrotic lesion. Valérie Gangji, and Jean-Philippe Hauzeur J Bone Joint Surg Am 2005;os-87:106-112 ©2005 by The Journal of Bone and Joint Surgery, Inc.

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