{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T05:49:17Z","timestamp":1790660957198,"version":"4.1.0"},"reference-count":0,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"6","license":[{"start":{"date-parts":[[1996,11,1]],"date-time":"1996-11-01T00:00:00Z","timestamp":846806400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery. British volume"],"published-print":{"date-parts":[[1996,11]]},"abstract":"<jats:p> After an allogenic bone-marrow transplant, a vascular necrosis of the femoral head may affect young adults, producing destructive lesions which require hip replacement. We have reviewed 27 consecutive such total hip arthroplasties (THA) at a minimal follow-up of two years. Of these, 20 were primary operations for Ficat (1985) stage-III and stage-IV lesions, and seven were revisions after the failure of previous surgery. The median age at operation was 30 years (17.5 to 44). The prostheses had a cemented, collared titanium-alloy stem, an alumina-alumina joint, and a press-fit socket. Seven had a titanium-alloy metal back and 20 had all-alumina cups of which six had to be cemented. <\/jats:p><jats:p> At an average follow-up of five years, no patient had been lost to follow-up. One had died from septicaemia after two years and another with chronic graft-versus-host disease developed a deep infection 2.5 years postoperatively and had a successful revision. There were no revisions for aseptic loosening. The clinical results on the Merle d\u2019Aubign\u00e9 and Postel (1954) scale were very good or excellent in 23 hips (88%), good in one and fair in two. Ten hips showed incomplete acetabular radiolucencies less than 1 mm thick, but there were no radiolucent lines around the stems. <\/jats:p><jats:p> We conclude that for these difficult patients THA with ceramic joints and careful technique provides the best short- and medium-term option after the failure of medical treatment. <\/jats:p>","DOI":"10.1302\/0301-620x.78b6.0780878","type":"journal-article","created":{"date-parts":[[2018,2,21]],"date-time":"2018-02-21T11:54:29Z","timestamp":1519214069000},"page":"878-883","source":"Crossref","is-referenced-by-count":16,"title":["AVASCULAR NECROSIS OF THE FEMORAL HEAD AFTER ALLOGENIC BONE-MARROW TRANSPLANTATION"],"prefix":"10.1302","volume":"78-B","author":[{"given":"P.","family":"Bizot","sequence":"first","affiliation":[{"name":"Department of Traumatology and Orthopaedic Surgery, H\u00f4pital Laribois\u00eeere, 2 Rue Ambroise Par\u00e9, 75475 Paris Cedex 10, France."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Witvoet","sequence":"additional","affiliation":[{"name":"Department of Traumatology and Orthopaedic Surgery, H\u00f4pital Laribois\u00eeere, 2 Rue Ambroise Par\u00e9, 75475 Paris Cedex 10, France."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"Sedel","sequence":"additional","affiliation":[{"name":"Department of Traumatology and Orthopaedic Surgery, H\u00f4pital Laribois\u00eeere, 2 Rue Ambroise Par\u00e9, 75475 Paris Cedex 10, France."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"42","container-title":["The Journal of Bone and Joint Surgery. British volume"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.78B6.0780878","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.78B6.0780878","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,16]],"date-time":"2021-08-16T19:10:47Z","timestamp":1629141047000},"score":1,"resource":{"primary":{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/10.1302\/0301-620X.78B6.0780878"}},"subtitle":["A RETROSPECTIVE STUDY OF 27 CONSECUTIVE THAS WITH A MINIMAL TWO-YEAR FOLLOW-UP"],"short-title":[],"issued":{"date-parts":[[1996,11]]},"references-count":0,"aliases":["10.1302\/0301-620x78b6.1278"],"journal-issue":{"issue":"6","published-print":{"date-parts":[[1996,11]]}},"alternative-id":["10.1302\/0301-620X.78B6.0780878"],"URL":"https:\/\/doi.org\/10.1302\/0301-620x.78b6.0780878","relation":{},"ISSN":["0301-620X","2044-5377"],"issn-type":[{"value":"0301-620X","type":"print"},{"value":"2044-5377","type":"electronic"}],"subject":[],"published":{"date-parts":[[1996,11]]}}}