Skip to main content
SpringerLink
Log in

Epidemiology of Osteonecrosis of the Femoral Head in South Korea

  • Chapter
  • First Online:
Osteonecrosis

Abstract

Osteonecrosis of the femoral head (ONFH) is known to be related to decreased blood supply [1–3]. This may be primary, or idiopathic, in which no clear etiological factor can be established or secondary to several known causative factors [4, 5]. Underlying causes of ONFH can include alcohol abuse, systemic steroid use, Caisson disease, Gaucher’s disease, and sickle cell anemia [4, 5]. Regardless of etiology, the histological picture includes death of osteocytes and structural changes in the femoral head, leading to osteoarthritis of the hip [6]. However, apart from these few facts, we still do not understand the exact epidemiology, patho-mechanism, or natural history of the disease.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 109.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 139.00
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Jones Jr JP. Fat embolism, intravascular coagulation, and osteonecrosis. Clin Orthop Relat Res. 1993;292:294–308.

    PubMed  Google Scholar 

  2. Matsuo K, Hirohata T, Sugioka Y, Ikeda M, Fukuda A. Influence of alcohol intake, cigarette smoking, and occupational status on idiopathic osteonecrosis of the femoral head. Clin Orthop Relat Res. 1988;234:115–23.

    PubMed  Google Scholar 

  3. Matsui M, Saito S, Ohzono K, Sugano N, Saito M, Takaoka K, et al. Experimental steroid-induced osteonecrosis in adult rabbits with hypersensitivity vasculitis. Clin Orthop Relat Res. 1992;277:61–72.

    PubMed  Google Scholar 

  4. Assouline-Dayan Y, Chang C, Greenspan A, Shoenfeld Y, Gershwin ME. Pathogenesis and natural history of osteonecrosis. Semin Arthritis Rheum. 2002;32(2):94–124.

    Article  PubMed  Google Scholar 

  5. Jones LC, Hungerford DS. The pathogenesis of osteonecrosis. Instr Course Lect. 2007;56:179–96.

    PubMed  Google Scholar 

  6. Bullough PG. The morbid anatomy of subchondral osteonecrosis. In: Urbaniak JR, Jones JP, editors. Osteonecrosis – etiology, diagnosis, and treatment. Rosemont: American Academy of Orthopaedic Surgeons; 1997.

    Google Scholar 

  7. Coventry MB, Beckenbaugh RD, Nolan DR, Ilstrup DM. 2,012 total hip arthroplasties. A study of postoperative course and early complications. J Bone Joint Surg Am. 1974;56(2):273–84.

    CAS  PubMed  Google Scholar 

  8. Mankin HJ. Nontraumatic necrosis of bone (osteonecrosis). N Engl J Med. 1992;326(22):1473–9.

    Article  CAS  PubMed  Google Scholar 

  9. Mont MA, Hungerford DS. Non-traumatic avascular necrosis of the femoral head. J Bone Joint Surg Am. 1995;77(3):459–74.

    CAS  PubMed  Google Scholar 

  10. Akiyama H, Hoshino A, Iida H, Shindo H, Takakura Y, Miura H, et al. A pilot project for the Japan arthroplasty register. J Orthop Sci. 2012;17(4):358–69.

    Article  PubMed  Google Scholar 

  11. Fujita H, Katayama N, Iwase T, Otsuka H. Multi-center study of use of the Exeter stem in Japan: evaluation of 1000 primary THA. J Orthop Sci. 2012;17(4):370–6.

    Article  PubMed  Google Scholar 

  12. Yoo MC, Cho YJ, Ghanem E, Ramteke A, Kim KI. Deep vein thrombosis after total hip arthroplasty in Korean patients and D-dimer as a screening tool. Arch Orthop Trauma Surg. 2009;129(7):887–94.

    Article  PubMed  Google Scholar 

  13. Kang BJ, Lee YK, Kim HJ, Ha YC, Koo KH. Deep venous thrombosis and pulmonary embolism are uncommon in East Asian patients after total hip arthroplasty. Clin Orthop Relat Res. 2011;469(12):3423–8.

    Article  PubMed Central  PubMed  Google Scholar 

  14. Hirota Y, Hotokebuchi T, Sugioka Y. Idiopathic osteonecrosis of the femoral head; nationwide epidemiologic studies in Japan. In: Urbaniak JR, Jones Jr JP, editors. Osteonecrosis-etiology, diagnosis and treatment. Rosemont: American Academy of Orthopaedic Surgeons; 1997. p. 51–8.

    Google Scholar 

  15. Kang JS, Park S, Song JH, Jung YY, Cho MR, Rhyu KH. Prevalence of osteonecrosis of the femoral head: a nationwide epidemiologic analysis in Korea. J Arthroplasty. 2009;24(8):1178–83.

    Article  PubMed  Google Scholar 

  16. Fukushima W, Fujioka M, Kubo T, Tamakoshi A, Nagai M, Hirota Y. Nationwide epidemiologic survey of idiopathic osteonecrosis of the femoral head. Clin Orthop Relat Res. 2010;468(10):2715–24.

    Article  PubMed Central  PubMed  Google Scholar 

  17. Lee JY, Kim CY. 2006 National Health Insurance statistical yearbook. Beneficiaries of health insurance. Seoul: National Health Insurance Corporation, Health Insurance Review and Assessment Service; 2007. p. 5–35.

    Google Scholar 

  18. Cochran WG. Sampling techniques. 2nd ed. New York: Wiley; 1963.

    Google Scholar 

  19. Jacobs B. Epidemiology of traumatic and nontraumatic osteonecrosis. Clin Orthop Relat Res. 1978;130:51–67. Epub 1978/01/01.

    PubMed  Google Scholar 

  20. Patterson RJ, Bickel WH, Dahlin DC. Idiopathic avascular necrosis of the head of the femur. A study of fifty-two cases. J Bone Joint Surg Am. 1964;46:267–82.

    CAS  PubMed  Google Scholar 

  21. Boettcher WG, Bonfiglio M, Hamilton HH, Sheets RF, Smith K. Non-traumatic necrosis of the femoral head. I. Relation of altered hemostasis to etiology. J Bone Joint Surg Am. 1970;52(2):312–21.

    CAS  PubMed  Google Scholar 

  22. Yoo MC, Kim BK, Kim KT, Kin KH. An epidemiologic study of osteonecrosis in femoral head. J Korean Orthop Assoc. 1986;21(5):781–90.

    Google Scholar 

  23. Chang JD, Lee SH, Oh SY, Wi YH, Lee JS. The risk factors associated with alcohol-induced osteonecrosis of the femoral head. J Korean Orthop Assoc. 2004;39(6):692–9.

    Google Scholar 

  24. Hirota Y, Hirohata T, Fukuda K, Mori M, Yanagawa H, Ohno Y, et al. Association of alcohol intake, cigarette smoking, and occupational status with the risk of idiopathic osteonecrosis of the femoral head. Am J Epidemiol. 1993;137(5):530–8.

    CAS  PubMed  Google Scholar 

  25. Merle D’Aubigne R, Postel M, Mazabraud A, Massias P, Gueguen J, France P. Idiopathic necrosis of the femoral head in adults. J Bone Joint Surg Br. 1965;47(4):612–33.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Orthopaedic Surgery, Inha University Hospital, Incheon, Korea

    Joon Soon Kang

  2. Department of Orthopaedic Surgery, Kyung Hee University Hospital at Gangdong, Seoul, Korea

    Kee Hyung Rhyu

Authors
  1. Joon Soon Kang
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Kee Hyung Rhyu
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Joon Soon Kang .

Editor information

Editors and Affiliations

  1. Department of Orthopaedic Surgery, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Kyonggi-do, Korea, Republic of (South Korea)

    Kyung-Hoi Koo

  2. Rubin Institute for Advanced Orthopedics, Center for Joint Preservation and Replacement, Sinai Hospital of Baltimore, Baltimore, Maryland, USA

    Michael A. Mont

  3. Department of Orthopaedic Surgery, Department of Orthopaedic Surgery, Center for Metabolism and Obesity Research, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA

    Lynne C. Jones

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Kang, J.S., Rhyu, K.H. (2014). Epidemiology of Osteonecrosis of the Femoral Head in South Korea. In: Koo, KH., Mont, M., Jones, L. (eds) Osteonecrosis. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-35767-1_7

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-35767-1_7

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-35766-4

  • Online ISBN: 978-3-642-35767-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation