March 20, 1981

Ischemia and Necroses of Bone

Author Affiliations

Arizona Health Sciences Center Tucson


by R. Paul Ficat and Jacques Arlet (David S. Hungerford, ed and adapter), 196 pp, with illus, $32.95, Baltimore, Williams & Wilkins Co, 1980.

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

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


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