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March 20, 1981

Ischemia and Necroses of Bone

Author Affiliations

Arizona Health Sciences Center Tucson

JAMA. 1981;245(11):1169. doi:10.1001/jama.1981.03310360055030

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This unusual monograph merits attention because it deals with a biologic rather than a mechanical approach to an orthopedic problem. It is a refreshing exposition of anatomic, physiological, and pathological factors associated with the pathogenesis, diagnosis, and treatment of the common syndrome of necrosis of the femoral head.

The monograph begins with a careful description of normal bone circulation. This is followed by a technical section describing methods for carrying out the recommended hemodynamic and histopathologic procedures. The remainder of the book is a synthesis of the authors' experience in the application of these procedures to a large number of patients with necrosis of the femoral head.

The chapter on the syndrome of bone ischemia is outstanding. There is a good discussion of the wide variety of conditions with which bone necrosis can be associated. The drawings, charts, radiographs, and photomicrographs are all clear and well chosen. The bibliography is