{"id":1368,"date":"2024-03-05T20:24:45","date_gmt":"2024-03-05T20:24:45","guid":{"rendered":"https:\/\/www.drkahramanozturk.com\/femur-basi-avaskuler-nekrozu-nedir-ve-tedavisi\/"},"modified":"2026-04-09T17:47:38","modified_gmt":"2026-04-09T17:47:38","slug":"femur-basi-avaskuler-nekrozu-nedir-ve-tedavisi","status":"publish","type":"post","link":"https:\/\/www.drkahramanozturk.com\/en\/femur-basi-avaskuler-nekrozu-nedir-ve-tedavisi\/","title":{"rendered":"Femur Ba\u015f\u0131 Avask\u00fcler Nekrozu Nedir ve Tedavisi"},"content":{"rendered":"<p><div  class='flex_column av-rmn05-2bb3a25dbc7695cf2a2090ab7da97e74 av_one_half  avia-builder-el-0  el_before_av_one_half  avia-builder-el-first  first flex_column_div  '     ><section  class='av_textblock_section av-ltetheec-2c8d383044c830c5a62774baa52b7e8d '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><h3>Femur Ba\u015f\u0131 Avask\u00fcler Nekrozu<\/h3>\n<p>Avask\u00fcler nekroz veya Osteonekroz; kemi\u011fi besleyen damarlar\u0131n do\u011frudan veya dolayl\u0131 hasar\u0131 sonucu kemik ve kemik ili\u011fi h\u00fccresel yap\u0131s\u0131n\u0131n \u00f6l\u00fcm\u00fcd\u00fcr. Femur ba\u015f\u0131 avask\u00fcler nekrozu (osteonekrozu), \u00e7o\u011funlukla 20-40 ya\u015f aras\u0131 aktif ve gen\u00e7 eri\u015fkinler yan\u0131nda ileri ya\u015f eri\u015fkinlerde de g\u00f6r\u00fclebilen hastal\u0131kt\u0131r. Erkeklerde 4 kat daha fazla ve %50 hastada her iki kal\u00e7ada g\u00f6r\u00fcl\u00fcr. \u0130lerleyici bir hastal\u0131k olan femur ba\u015f\u0131 osteonekrozunda do\u011fal seyir, femur ba\u015f\u0131nda subkondral kemi\u011fin k\u0131r\u0131lmas\u0131 ve deste\u011fini kaybeden eklem k\u0131k\u0131rda\u011f\u0131n\u0131n \u00e7\u00f6kmesi ile kal\u00e7ada ilerleyici a\u011fr\u0131 ve fonksiyon kayb\u0131na yol a\u00e7an dejeneratif artrozdur (kire\u00e7lenme). (<strong>\u015eekil 1<\/strong>) Tedavide ama\u00e7; osteonekroz geli\u015fiminin durdurulmas\u0131 ve k\u0131k\u0131rdak \u00e7\u00f6kmesinin engellenmesi ile femur ba\u015f\u0131 sferisitesini korumak ve proteze gidi\u015fi \u00f6nlemek veya geciktirmektir. Femur ba\u015f\u0131nda \u00e7\u00f6kme olu\u015fan kal\u00e7ada hem femoral hem de asetabuler tarafta kire\u00e7lenme \u015feklinde de\u011fi\u015fimler meydana gelir ve total kal\u00e7a protezi gereksinimi ka\u00e7\u0131n\u0131lmaz olur. Osteonekroz, kal\u00e7a d\u0131\u015f\u0131nda diz, ayak bile\u011fi ve omuz ekleminde de ayn\u0131 anda g\u00f6r\u00fclebilir. <\/p>\n<\/div><\/section><\/div> <div  class='flex_column av-maq1x-9c336bad08c46c6940118729047129be av_one_half  avia-builder-el-2  el_after_av_one_half  el_before_av_one_half  flex_column_div  '     ><style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-ltetiah9-9b8b5dcebb10439b3a2e830d069c2ae2\">\n.avia-image-container.av-ltetiah9-9b8b5dcebb10439b3a2e830d069c2ae2 img.avia_image{\nbox-shadow:none;\n}\n.avia-image-container.av-ltetiah9-9b8b5dcebb10439b3a2e830d069c2ae2 .av-caption-image-overlay-bg{\nopacity:0.4;\nbackground-color:#000000;\n}\n.avia-image-container.av-ltetiah9-9b8b5dcebb10439b3a2e830d069c2ae2 .av-image-caption-overlay-center{\ncolor:#ffffff;\n}\n<\/style>\n<div  class='avia-image-container av-ltetiah9-9b8b5dcebb10439b3a2e830d069c2ae2 av-styling- av-img-linked avia-align-center  avia-builder-el-3  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https:\/\/www.drkahramanozturk.com\/wp-content\/uploads\/2024\/03\/Sekil-1a-705x472.jpg 705w\" data-sizes=\"(max-width: 1030px) 100vw, 1030px\" class='avia_image '  aria-label='SONY DSC'><div class=\"av-image-caption-overlay\"><div class=\"av-caption-image-overlay-bg\"><\/div><div class=\"av-image-caption-overlay-position\"><div class=\"av-image-caption-overlay-center\"><p> \u015eekil 1a <\/p>\n<\/div><\/div><\/div><img fetchpriority=\"high\" decoding=\"async\" fetchpriority=\"high\" fetchpriority=\"high\" class='wp-image-1232 avia-img-lazy-loading-not-1232 avia_image ' src=\"https:\/\/www.drkahramanozturk.com\/wp-content\/uploads\/2024\/03\/Sekil-1a-scaled.jpg\" alt='' title='SONY DSC'  height=\"1714\" width=\"2560\"  itemprop=\"thumbnailUrl\" srcset=\"https:\/\/www.drkahramanozturk.com\/wp-content\/uploads\/2024\/03\/Sekil-1a-scaled.jpg 2560w, https:\/\/www.drkahramanozturk.com\/wp-content\/uploads\/2024\/03\/Sekil-1a-300x201.jpg 300w, https:\/\/www.drkahramanozturk.com\/wp-content\/uploads\/2024\/03\/Sekil-1a-1030x690.jpg 1030w, https:\/\/www.drkahramanozturk.com\/wp-content\/uploads\/2024\/03\/Sekil-1a-768x514.jpg 768w, https:\/\/www.drkahramanozturk.com\/wp-content\/uploads\/2024\/03\/Sekil-1a-1536x1028.jpg 1536w, https:\/\/www.drkahramanozturk.com\/wp-content\/uploads\/2024\/03\/Sekil-1a-2048x1371.jpg 2048w, https:\/\/www.drkahramanozturk.com\/wp-content\/uploads\/2024\/03\/Sekil-1a-1500x1004.jpg 1500w, https:\/\/www.drkahramanozturk.com\/wp-content\/uploads\/2024\/03\/Sekil-1a-705x472.jpg 705w\" sizes=\"(max-width: 2560px) 100vw, 2560px\" \/><\/a><\/div><\/div><\/div><\/div> <div  class='flex_column av-eored-33eea0491ac5b032d9022bb93cce65c5 av_one_half  avia-builder-el-4  el_after_av_one_half  el_before_av_one_half  first flex_column_div  column-top-margin'     ><style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-ltetn07o-f196e262b4efc44d7ef3de65f7f02444\">\n.avia-image-container.av-ltetn07o-f196e262b4efc44d7ef3de65f7f02444 img.avia_image{\nbox-shadow:none;\n}\n.avia-image-container.av-ltetn07o-f196e262b4efc44d7ef3de65f7f02444 .av-caption-image-overlay-bg{\nopacity:0.4;\nbackground-color:#000000;\n}\n.avia-image-container.av-ltetn07o-f196e262b4efc44d7ef3de65f7f02444 .av-image-caption-overlay-center{\ncolor:#ffffff;\n}\n<\/style>\n<div  class='avia-image-container av-ltetn07o-f196e262b4efc44d7ef3de65f7f02444 av-styling- av-img-linked avia-align-center  avia-builder-el-5  avia-builder-el-no-sibling  noHover av-overlay-hover-deactivate'   itemprop=\"image\" itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/ImageObject\" ><div class=\"avia-image-container-inner\"><div class=\"avia-image-overlay-wrap\"><a href=\"https:\/\/www.drkahramanozturk.com\/wp-content\/uploads\/2024\/03\/Sekil-1b-1012x1030.jpg\" 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class=\"av-image-caption-overlay\"><div class=\"av-caption-image-overlay-bg\"><\/div><div class=\"av-image-caption-overlay-position\"><div class=\"av-image-caption-overlay-center\"><p> \u015eekil 1b <\/p>\n<\/div><\/div><\/div><img fetchpriority=\"high\" decoding=\"async\" fetchpriority=\"high\" fetchpriority=\"high\" class='wp-image-1233 avia-img-lazy-loading-not-1233 avia_image ' src=\"https:\/\/www.drkahramanozturk.com\/wp-content\/uploads\/2024\/03\/Sekil-1b.jpg\" alt='' title='SONY DSC'  height=\"2295\" width=\"2256\"  itemprop=\"thumbnailUrl\" srcset=\"https:\/\/www.drkahramanozturk.com\/wp-content\/uploads\/2024\/03\/Sekil-1b.jpg 2256w, https:\/\/www.drkahramanozturk.com\/wp-content\/uploads\/2024\/03\/Sekil-1b-295x300.jpg 295w, https:\/\/www.drkahramanozturk.com\/wp-content\/uploads\/2024\/03\/Sekil-1b-1012x1030.jpg 1012w, https:\/\/www.drkahramanozturk.com\/wp-content\/uploads\/2024\/03\/Sekil-1b-80x80.jpg 80w, https:\/\/www.drkahramanozturk.com\/wp-content\/uploads\/2024\/03\/Sekil-1b-768x781.jpg 768w, https:\/\/www.drkahramanozturk.com\/wp-content\/uploads\/2024\/03\/Sekil-1b-1510x1536.jpg 1510w, https:\/\/www.drkahramanozturk.com\/wp-content\/uploads\/2024\/03\/Sekil-1b-2013x2048.jpg 2013w, https:\/\/www.drkahramanozturk.com\/wp-content\/uploads\/2024\/03\/Sekil-1b-36x36.jpg 36w, https:\/\/www.drkahramanozturk.com\/wp-content\/uploads\/2024\/03\/Sekil-1b-1475x1500.jpg 1475w, https:\/\/www.drkahramanozturk.com\/wp-content\/uploads\/2024\/03\/Sekil-1b-693x705.jpg 693w\" sizes=\"(max-width: 2256px) 100vw, 2256px\" \/><\/a><\/div><\/div><\/div><\/div> <div  class='flex_column av-8h1dx-b48b1b2c0733be57a1032e792a38f63d av_one_half  avia-builder-el-6  el_after_av_one_half  el_before_av_one_full  flex_column_div  column-top-margin'     ><section  class='av_textblock_section av-ltetm98j-44ac338f3271b5cd6735f7536aadf631 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><h3>Femur Ba\u015f\u0131 Avask\u00fcler Nekrozu Nedenleri<\/h3>\n<p>Patogenezde p\u0131ht\u0131la\u015fma bozukluklar\u0131, ya\u011f embolisi ile birlikte hiperlipidemi, damar anomalileri, <strong>kemik ili\u011fi bas\u0131nc\u0131n\u0131n y\u00fckselmesi<\/strong> rol oynar. P\u0131ht\u0131la\u015fma bozukluklar\u0131, sebebi a\u00e7\u0131klanamayan bir\u00e7ok idiyopatik kal\u00e7a osteonekroz vakas\u0131nda rol oynar. Bir\u00e7ok etyolojik sebep yan\u0131nda idyopatik olarak da olu\u015fabilece\u011fi bildirilen bir hastal\u0131kt\u0131r. Femur ba\u015f\u0131 osteonekrozu sebebi olarak \u00fclkemizde ve d\u00fcnya da en s\u0131k kortizon kullan\u0131m\u0131 \u00f6ne \u00e7\u0131kmaktad\u0131r. Ayr\u0131ca alkolizm, otoimm\u00fcn hastal\u0131klar, <strong>kal\u00e7a k\u0131r\u0131k\/\u00e7\u0131k\u0131klar\u0131 sonras\u0131, hamilelik, kan hastal\u0131klar\u0131 (hemoglebin C ve S eksikli\u011fi gibi), kemoterapi, a\u015f\u0131r\u0131 p\u0131ht\u0131 olu\u015fumu (hiperkoagulabilite), sigara kullan\u0131m\u0131, dalg\u0131\u00e7larda vurgun (Caisson) hastal\u0131\u011f\u0131 da osteonekroz i\u00e7in etiyolojik sebepler<\/strong> aras\u0131ndad\u0131r. Olgular\u0131n <em>%10-20<\/em>&#8216;sinde etyolojik bir neden bulunamaz. <\/p>\n<\/div><\/section><\/div> <div  class='flex_column av-17g9y5-c9a47179f2d0af3b0de0b4d9f37370c1 av_one_full  avia-builder-el-8  el_after_av_one_half  el_before_av_one_half  first flex_column_div  column-top-margin'     ><section  class='av_textblock_section av-lteumot7-b24e0aa6c786e2b648d6f7d9350a3d8d '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><h3>Femur Ba\u015f\u0131 Avask\u00fcler Nekrozu Tan\u0131s\u0131<\/h3>\n<div id=\"attachment_886\" style=\"width: 310px\" class=\"wp-caption alignleft\"><a href=\"https:\/\/www.drkahramanozturk.com\/wp-content\/uploads\/2024\/03\/Sekil-2.jpg\"><img decoding=\"async\" aria-describedby=\"caption-attachment-886\" class=\"wp-image-886 size-medium\" src=\"https:\/\/www.drkahramanozturk.com\/wp-content\/uploads\/2024\/03\/Sekil-2-300x200.jpg\" alt=\"\" width=\"300\" height=\"200\" srcset=\"https:\/\/www.drkahramanozturk.com\/wp-content\/uploads\/2024\/03\/Sekil-2-300x200.jpg 300w, https:\/\/www.drkahramanozturk.com\/wp-content\/uploads\/2024\/03\/Sekil-2-768x513.jpg 768w, https:\/\/www.drkahramanozturk.com\/wp-content\/uploads\/2024\/03\/Sekil-2-705x471.jpg 705w, https:\/\/www.drkahramanozturk.com\/wp-content\/uploads\/2024\/03\/Sekil-2.jpg 829w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/a><p id=\"caption-attachment-886\" class=\"wp-caption-text\">\u015eekil 2<\/p><\/div>\n<p><a href=\"https:\/\/www.drkahramanozturk.com\/femur-basi-avaskuler-nekrozu-nedir-ve-tedavisi\/\">Femur ba\u015f\u0131 avask\u00fcler nekrozu<\/a> kal\u00e7ada ani ba\u015flang\u0131c\u0131 olan kas\u0131k \u00f6n\u00fc a\u011fr\u0131s\u0131 ile ba\u015flar ve a\u011fr\u0131 \u015fiddetlenerek artar. \u00d6nce i\u00e7 rotasyon hareketi k\u0131s\u0131tlan\u0131r. Hastal\u0131k ilerledik\u00e7e a\u011fr\u0131 giderek artar ve hareket k\u0131s\u0131tl\u0131l\u0131\u011f\u0131 yan\u0131nda, femur ba\u015f\u0131 k\u0131k\u0131rda\u011f\u0131nda k\u0131r\u0131lma olunca tak\u0131lma gibi mekanik yak\u0131nmalar ortaya \u00e7\u0131kar. Son evrede femur ba\u015f\u0131nda \u00e7\u00f6kme sonras\u0131 kal\u00e7a ekleminde artroz bulgular\u0131 ortaya \u00e7\u0131kar. Tan\u0131 ve tedavide iki y\u00f6nl\u00fc direkt grafiler ve manyetik rezonans g\u00f6r\u00fcnt\u00fcleme (MRG) kullan\u0131l\u0131r. Radyografide 2-3 ay sonra femur ba\u015f\u0131nda dansite art\u0131\u015f\u0131 g\u00f6r\u00fcl\u00fcr. Erken d\u00f6nemde daha sonra skleroz ve kistik de\u011fi\u015fiklikler tespit edilir. Ge\u00e7 d\u00f6nemde femur ba\u015f\u0131n\u0131n yuvarlakl\u0131\u011f\u0131 kaybolur, eklem bo\u015flu\u011funda daralma ve daha ileri d\u00f6nemde ba\u015fta \u00e7\u00f6kme meydana gelir. MRG&#8217;de, ba\u015flang\u0131\u00e7ta kemik ili\u011fi \u00f6demi g\u00f6r\u00fcl\u00fcr. Proksimal femurda ya\u011f i\u00e7eri\u011finin artmas\u0131 ve femur ba\u015f\u0131nda hilal bulgusunun olmas\u0131 ilerleyici fakt\u00f6rlerdir.(<strong>\u015eekil 2<\/strong>)<\/p>\n<h3>Femur Ba\u015f\u0131 Avask\u00fcler Nekrozunun Evreleri<\/h3>\n<p>Takip ve tedavi planlamas\u0131nda radyolojik g\u00f6r\u00fcnt\u00fcye g\u00f6re yap\u0131lan Ficat-Arlet Evrelemesi kullan\u0131l\u0131r. <strong>Evre 1:\u00a0<\/strong> Direkt grafiler normaldir, MRG&#8217;de kemik ili\u011fi \u00f6demi-avask\u00fcler nekroz bulgular\u0131 vard\u0131r <strong>Evre 2:\u00a0<\/strong> Direkt grafide kist\/skleroz vard\u0131r <strong>Evre 3:\u00a0<\/strong> Femur ba\u015f\u0131nda nekrotik alanda hilal i\u015fareti (Crescent sign) olarak g\u00f6r\u00fclen subkondral k\u0131r\u0131k olu\u015fur. <strong>Evre 4:<\/strong>\u00a0 Femur ba\u015f\u0131nda \u00e7\u00f6kme ve kal\u00e7a ekleminde artroz vard\u0131r.<\/p>\n<h3>Femur Ba\u015f\u0131 Avask\u00fcler Nekrozunda Do\u011fal Seyir<\/h3>\n<p>Femur ba\u015f\u0131 osteonekrozu ilerleme g\u00f6steren bir problemdir. Tedavi edilmeyen<strong> femur ba\u015f\u0131<\/strong> osteonekrozunun kal\u00e7a eklemi osteoartrozu ile sonu\u00e7lanan bir s\u00fcreci vard\u0131r. Her iki kal\u00e7a tutulumu sonu\u00e7lar\u0131 olumsuz etkilemektedir. Tan\u0131 konduktan sonra kal\u00e7a osteonekrozlu hastalar\u0131n %38-100&#8217;\u00fcnde lezyonda ilerleme saptanm\u0131\u015ft\u0131r. Bir kal\u00e7a i\u00e7in tan\u0131 konuldu\u011fu s\u0131rada di\u011fer kal\u00e7ada bulgu vermeyen osteonekroz olan hastalar\u0131n %59&#8217;unda hastal\u0131\u011f\u0131n ilerledi\u011fi ve femur ba\u015f\u0131nda \u00e7\u00f6kme meydana geldi\u011fi saptanm\u0131\u015ft\u0131r. <\/p>\n<\/div><\/section><\/div> <div  class='flex_column av-12lt31-addf72957c8ec4bc8daa413f414a5ab8 av_one_half  avia-builder-el-10  el_after_av_one_full  el_before_av_one_half  first flex_column_div  column-top-margin'     ><section  class='av_textblock_section av-ltev9r2q-285a39303dd6e5af4fa55606f552836c '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><h3>Tedavi<\/h3>\n<p>Her vakada etyolojik farkl\u0131l\u0131k ve hastal\u0131k evresinin farkl\u0131l\u0131\u011f\u0131 nedeniyle, t\u00fcm hastalar i\u00e7in alt\u0131n standart olan bir tedavi y\u00f6ntemi yoktur Femur ba\u015f\u0131nda \u00e7\u00f6kme meydana gelmeden erken evrede g\u00f6zlem ve y\u00fck verme k\u0131s\u0131tlamas\u0131, kor dekompresyon, damarl\u0131 veya damars\u0131z otolog kemik greftleri kullan\u0131lmaktad\u0131r.<\/p>\n<ul>\n<li><strong>Konservatif y\u00f6ntemler<\/strong>\n<ul>\n<li>Y\u00fck verme k\u0131s\u0131tlamas\u0131 ve g\u00f6zlem, kalsiyum ve D vitamini, asetil salisilik asit 100 mg<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>Erken evre olgularda bile ba\u015far\u0131 oran\u0131 %10-20 aras\u0131ndad\u0131r.<\/p>\n<ul>\n<li>\u0130la\u00e7 ve femur ba\u015f\u0131nda \u00f6demi azaltan modaliteler.<\/li>\n<\/ul>\n<\/div><\/section><\/div> <div  class='flex_column av-ziv99-7751ee5480a36e636f776262cef5967d av_one_half  avia-builder-el-12  el_after_av_one_half  el_before_av_one_full  flex_column_div  column-top-margin'     ><section  class='av_textblock_section av-ltevanoa-ae38700e292c63f4dba0cf65d968fe22 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><h3>Cerrahi y\u00f6ntemler<\/h3>\n<p>Kal\u00e7a eklemi koruyucu cerrahilerde ama\u00e7, femur ba\u015f\u0131nda \u00e7\u00f6kme olmadan \u00f6nce hastal\u0131\u011f\u0131n ilerlemesini durdurmak veya femur ba\u015f\u0131nda \u00e7\u00f6kme olmas\u0131n\u0131 \u00f6nlemek ya da geciktirmektir. Femur ba\u015f\u0131nda tutulan alan\u0131n b\u00fcy\u00fckl\u00fc\u011f\u00fc %30\u2019dan fazla ve eklemin y\u00fck ta\u015f\u0131yan k\u0131sm\u0131 tutulmu\u015fsa tedavide ba\u015far\u0131 oran\u0131 azalmaktad\u0131r. Femur ba\u015f\u0131nda tutulan alan ne kadar k\u00fc\u00e7\u00fck ve hastal\u0131k ne kadar erken evredeyse eklem koruyucu cerrahinin sonu\u00e7lar\u0131 o kadar iyidir. <strong>Cerrahi tedavi ile<\/strong>; nekrotik kemik femur ba\u015f\u0131ndan uzakla\u015ft\u0131r\u0131l\u0131r, yerine damarl\u0131 veya damars\u0131z kemik koyularak femur ba\u015f\u0131na tekrar canl\u0131l\u0131k kazand\u0131r\u0131lmas\u0131 ama\u00e7lan\u0131r.<\/p>\n<ul>\n<li>Kal\u00e7a eklemini koruyucu i\u015flemler\n<ul>\n<li>Kor dekompresyon<\/li>\n<li>Damarl\u0131\/damars\u0131z kemik greftleri<\/li>\n<\/ul>\n<\/li>\n<li>Kal\u00e7a protez cerrahisi<\/li>\n<\/ul>\n<\/div><\/section><\/div> <div  class='flex_column av-q9rqt-335657ae430159c015719cfcee0c3406 av_one_full  avia-builder-el-14  el_after_av_one_half  el_before_av_one_full  first flex_column_div  column-top-margin'     ><p> <div  class='hr av-jxret-69caec2d63a29bbc23fabd17364eb761 hr-default  avia-builder-el-15  el_before_av_buttonrow  avia-builder-el-first '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div> <div  class='avia-buttonrow-wrap av-ltew332b-a295c57396e154a1a092c9f1e7d8aa29 avia-buttonrow-center  avia-builder-el-16  el_after_av_hr  avia-builder-el-last '> \n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-ltew0chr-9c08c0d44652bafd5f359d0b6786c15e\">\n#top #wrap_all .avia-button.av-ltew0chr-9c08c0d44652bafd5f359d0b6786c15e{\nmargin-bottom:5px;\nmargin-right:3px;\nmargin-left:3px;\n}\n#top #wrap_all .avia-button.av-ltew0chr-9c08c0d44652bafd5f359d0b6786c15e:hover{\ncolor:black;\ntransition:all 0.4s ease-in-out;\n}\n#top #wrap_all .avia-button.av-ltew0chr-9c08c0d44652bafd5f359d0b6786c15e:hover .avia-svg-icon svg:first-child{\nfill:black;\nstroke:black;\n}\n<\/style>\n<a href='https:\/\/www.drkahramanozturk.com\/iletisim\/'  class='avia-button av-ltew0chr-9c08c0d44652bafd5f359d0b6786c15e avia-icon_select-yes-left-icon avia-size-small avia-color-theme-color-highlight avia-font-color-theme-color-highlight'   aria-label=\"T\u0131bbi G\u00f6r\u00fc\u015f ve \u0130leti\u015fim\"><span class='avia_button_icon avia_button_icon_left avia-iconfont avia-font-entypo-fontello' data-av_icon='\ue805' data-av_iconfont='entypo-fontello' ><\/span><span class='avia_iconbox_title' >T\u0131bbi G\u00f6r\u00fc\u015f ve \u0130leti\u015fim<\/span><span class='avia_button_background avia-button avia-color-theme-color-highlight' ><\/span><\/a> \n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-ltew2sza-5306ba4e793a94f06c3e7d177a9809ca\">\n#top #wrap_all .avia-button.av-ltew2sza-5306ba4e793a94f06c3e7d177a9809ca{\nmargin-bottom:5px;\nmargin-right:3px;\nmargin-left:3px;\n}\n#top #wrap_all .avia-button.av-ltew2sza-5306ba4e793a94f06c3e7d177a9809ca:hover{\ncolor:black;\ntransition:all 0.4s ease-in-out;\n}\n#top #wrap_all .avia-button.av-ltew2sza-5306ba4e793a94f06c3e7d177a9809ca:hover .avia-svg-icon svg:first-child{\nfill:black;\nstroke:black;\n}\n<\/style>\n<a href='tel:+905057513798'  class='avia-button av-ltew2sza-5306ba4e793a94f06c3e7d177a9809ca avia-icon_select-yes-left-icon avia-size-small avia-color-theme-color-highlight avia-font-color-theme-color-highlight'  target=\"_blank\"  rel=\"noopener noreferrer\"  aria-label=\"Telefon\"><span class='avia_button_icon avia_button_icon_left avia-iconfont avia-font-entypo-fontello' data-av_icon='\ue854' data-av_iconfont='entypo-fontello' ><\/span><span class='avia_iconbox_title' >Telefon<\/span><span class='avia_button_background avia-button avia-color-theme-color-highlight' ><\/span><\/a> <\/div> <\/p><\/div><div  class='flex_column av-dxa79-89fac03378362c00dff2b85c560acb85 av_one_full  avia-builder-el-17  el_after_av_one_full  el_before_av_one_full  first flex_column_div  column-top-margin'     ><section  class='av_textblock_section av-lteve3f6-e412cb1694e099d80f9251e91a7a008a '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><h3><strong>Konservatif tedavi <\/strong><\/h3>\n<p>Bifosfonat Osteoklast aktivitesini s\u0131n\u0131rlayarak etki eden bifosfonatlar femur ba\u015f\u0131nda \u00e7\u00f6kme riskini azaltabilir. Hilal bulgusunun olmad\u0131\u011f\u0131 erken evrede uygulanabilir. \u00e7ene osteonekrozu gibi potansiyel ciddi yan etkiler g\u00f6r\u00fclebilir. Hiperbarik Oksijen Tedavisi Kemik ili\u011fi \u00f6demi veya Ficat Evre 1-2 gibi erken d\u00f6nemde kal\u00e7alarda a\u011fr\u0131 ve \u00f6demi azalt\u0131p \u00e7\u00f6kmeyi \u00f6nledi\u011fi bildirilmi\u015ftir. Destekleyici tedavi olarak da kullan\u0131lmaktad\u0131r. <strong>Cerrahi tedavi<\/strong> <strong>Kor dekompresyon<\/strong> Erken olan Evre 1 ve 2A lezyonlarda en s\u0131k uygulanan y\u00f6ntemdir. Dekompresyona b\u00fcy\u00fcme fakt\u00f6rleri, k\u00f6k h\u00fccre veya kansell\u00f6z kemik greftlemesi de eklenebilir. Kor dekompresyon ile ba\u015far\u0131 oran\u0131 Evre 1 lezyonlarda %70 iken Evre 3 lezyonlarda %50&#8217;ye kadar d\u00fc\u015fmektedir. Hastalar\u0131n en az %40\u2019\u0131na 2 y\u0131l sonunda total kal\u00e7a protezi yap\u0131lmas\u0131 gerekmektedir. (<strong>\u015eekil 3<\/strong>)<\/p>\n<h3>Damars\u0131z kemik greftlemesi<\/h3>\n<p>Damars\u0131z kemik grefti femur ba\u015f\u0131 eklem k\u0131k\u0131rda\u011f\u0131n\u0131n nispeten hasar g\u00f6rmedi\u011fi \u00e7\u00f6kme \u00f6ncesi ve \u00e7\u00f6kme sonras\u0131 erken d\u00f6nemde uygulanabilir. Kor dekompresyon sonras\u0131 damars\u0131z fibula grefti rijid bir destek olarak <a href=\"https:\/\/www.drkahramanozturk.com\/femur-basi-avaskuler-nekrozu-nedir-ve-tedavisi\/\">femur ba\u015f\u0131<\/a>na yerle\u015ftirilir veya femur ba\u015f\u0131 ya da boynundan a\u00e7\u0131lan pencereden nekrotik kemik bo\u015falt\u0131lan alana kansell\u00f6z kemik grefti yerle\u015ftirilir. Ba\u015far\u0131 oran\u0131 damarl\u0131 kemik greftine g\u00f6re \u00f6nemli oranda d\u00fc\u015f\u00fck bir tedavi y\u00f6ntemidir.<\/p>\n<h3>Damarl\u0131 kemik greftlemesi<\/h3>\n<p>Serbest damarl\u0131 fibula grefti, femur ba\u015f\u0131 subkondral alanda provokasyonla yeni kemik olu\u015fumunu ve k\u0131k\u0131rdak beslenmesini sa\u011flayabilen biyolojik bir rekonstr\u00fcksiyondur. Serbest vask\u00fclarize fibula grefti (SDFG), semptomatik olup \u00e7\u00f6kme geli\u015fmemi\u015f Evre1-3 femur ba\u015f\u0131 osteonekrozu olan 50 ya\u015f alt\u0131 hastalarda uygulanmaktad\u0131r.<sup>\u00a0 <\/sup>Femur ba\u015f\u0131n\u0131n dekompresyonu ile nekrotik kemik dokusu \u00e7\u0131kar\u0131ld\u0131ktan sonra defekt, osteoind\u00fcktif s\u00fcngerimsi greft ve canl\u0131 bir kortikal destek ile doldurulur. Fibula femur ba\u015f\u0131 alt\u0131na sa\u011flam kortikal bir kemik deste\u011fi sa\u011flar. (<strong>\u015eekil 4<\/strong>) 50 ya\u015f\u0131n alt\u0131ndaki hastalarda femur ba\u015f\u0131nda \u00e7\u00f6kme meydana gelmeden vask\u00fclarize fibula greftleme ile y\u00fczde seksen ila doksan bir (%80-91) iyi sonu\u00e7 elde edildi\u011fini bildirilmektedir.<\/p>\n<h3>Total kal\u00e7a protezi<\/h3>\n<p>Total kal\u00e7a artroplastilerinin %5 ila %12\u2019si femur ba\u015f\u0131nda \u00e7\u00f6kme olan osteonekrozlu olgulard\u0131r. 50 ya\u015f\u0131n \u00fczerindeki hastalar i\u00e7in <a href=\"https:\/\/www.drkahramanozturk.com\/femur-basi-avaskuler-nekrozu-nedir-ve-tedavisi\/\">total kal\u00e7a artroplastisi<\/a> tercih edilmektedir. (<strong>\u015eekil 5<\/strong>) <\/p>\n<\/div><\/section><\/div> <div  class='flex_column av-9x0j1-3ad7c702f95a4005f82652fde2e2f522 av_one_full  avia-builder-el-19  el_after_av_one_full  avia-builder-el-last  first flex_column_div  column-top-margin'     ><p> \n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-ltevuy9j-e9ea0701aa6878ba94099499acc84e44\">\n#top .av-special-heading.av-ltevuy9j-e9ea0701aa6878ba94099499acc84e44{\npadding-bottom:10px;\ncolor:#dd3535;\n}\nbody .av-special-heading.av-ltevuy9j-e9ea0701aa6878ba94099499acc84e44 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-ltevuy9j-e9ea0701aa6878ba94099499acc84e44 .special-heading-inner-border{\nborder-color:#dd3535;\n}\n.av-special-heading.av-ltevuy9j-e9ea0701aa6878ba94099499acc84e44 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-ltevuy9j-e9ea0701aa6878ba94099499acc84e44 av-special-heading-h4 custom-color-heading blockquote modern-quote modern-centered  avia-builder-el-20  el_before_av_slideshow  avia-builder-el-first '><h4 class='av-special-heading-tag '  itemprop=\"headline\"  >\u015eekil 3 &#8211; 4 &#8211; 5 i\u00e7in Kayan Resimleri Kullanabilirsiniz<\/h4><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div> <div  class='avia-slideshow av-ltevoq5c-c7f4b10518a72602c647e29d2b862fcc avia-slideshow-magazine av_slideshow avia-slide-slider  avia-builder-el-21  el_after_av_heading  avia-builder-el-last  av-slideshow-ui av-control-default av-slideshow-manual av-loop-once av-loop-manual-endless av-default-height-applied avia-slideshow-1' data-slideshow-options=\"{&quot;animation&quot;:&quot;slide&quot;,&quot;autoplay&quot;:false,&quot;loop_autoplay&quot;:&quot;once&quot;,&quot;interval&quot;:5,&quot;loop_manual&quot;:&quot;manual-endless&quot;,&quot;autoplay_stopper&quot;:false,&quot;noNavigation&quot;:false,&quot;bg_slider&quot;:false,&quot;keep_padding&quot;:false,&quot;hoverpause&quot;:false,&quot;show_slide_delay&quot;:0}\"  itemprop=\"image\" itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/ImageObject\" ><ul class='avia-slideshow-inner ' style='padding-bottom: 52.816901408451%;'><li  class='avia-slideshow-slide av-ltevoq5c-c7f4b10518a72602c647e29d2b862fcc__0  slide-1 slide-odd'><div data-rel='slideshow-1' class='avia-slide-wrap '   ><div class='av-slideshow-caption av-ltevoq5c-c7f4b10518a72602c647e29d2b862fcc__0 avia-caption'><div class=\"avia-inner-caption\"><div class='avia-caption-content '  itemprop=\"description\" ><p>\u015eekil 3a<\/p>\n<\/div><\/div><\/div><img fetchpriority=\"high\" decoding=\"async\" fetchpriority=\"high\" fetchpriority=\"high\" class=\"wp-image-1235 avia-img-lazy-loading-not-1235\"  src=\"https:\/\/www.drkahramanozturk.com\/wp-content\/uploads\/2024\/03\/Sekil-3a-710x375.jpg\" width=\"710\" height=\"375\" title='SONY DSC' alt=''  itemprop=\"thumbnailUrl\"   \/><\/div><\/li><li  class='avia-slideshow-slide av-ltevoq5c-c7f4b10518a72602c647e29d2b862fcc__1  slide-2 slide-even'><div data-rel='slideshow-1' class='avia-slide-wrap '   ><div class='av-slideshow-caption av-ltevoq5c-c7f4b10518a72602c647e29d2b862fcc__1 avia-caption'><div class=\"avia-inner-caption\"><div class='avia-caption-content '  itemprop=\"description\" ><p>\u015eekil 3b<\/p>\n<\/div><\/div><\/div><img fetchpriority=\"high\" decoding=\"async\" fetchpriority=\"high\" fetchpriority=\"high\" class=\"wp-image-1236 avia-img-lazy-loading-not-1236\"  src=\"https:\/\/www.drkahramanozturk.com\/wp-content\/uploads\/2024\/03\/Sekil-3b-710x375.jpg\" width=\"710\" height=\"375\" title='\u015eekil 3b' alt=''  itemprop=\"thumbnailUrl\"   \/><\/div><\/li><li  class='avia-slideshow-slide av-ltevoq5c-c7f4b10518a72602c647e29d2b862fcc__2  slide-3 slide-odd'><div data-rel='slideshow-1' class='avia-slide-wrap '   ><div class='av-slideshow-caption av-ltevoq5c-c7f4b10518a72602c647e29d2b862fcc__2 avia-caption'><div class=\"avia-inner-caption\"><div class='avia-caption-content '  itemprop=\"description\" ><p>\u015eekil 3c<\/p>\n<\/div><\/div><\/div><img fetchpriority=\"high\" decoding=\"async\" fetchpriority=\"high\" fetchpriority=\"high\" class=\"wp-image-1237 avia-img-lazy-loading-not-1237\"  src=\"https:\/\/www.drkahramanozturk.com\/wp-content\/uploads\/2024\/03\/Sekil-3c-710x375.jpg\" width=\"710\" height=\"375\" title='\u015eekil 3c' alt=''  itemprop=\"thumbnailUrl\"   \/><\/div><\/li><li  class='avia-slideshow-slide av-ltevoq5c-c7f4b10518a72602c647e29d2b862fcc__3  slide-4 slide-even'><div data-rel='slideshow-1' class='avia-slide-wrap '   ><div class='av-slideshow-caption av-ltevoq5c-c7f4b10518a72602c647e29d2b862fcc__3 avia-caption'><div class=\"avia-inner-caption\"><div class='avia-caption-content '  itemprop=\"description\" ><p>\u015eekil 4a<\/p>\n<\/div><\/div><\/div><img fetchpriority=\"high\" decoding=\"async\" fetchpriority=\"high\" fetchpriority=\"high\" class=\"wp-image-1238 avia-img-lazy-loading-not-1238\"  src=\"https:\/\/www.drkahramanozturk.com\/wp-content\/uploads\/2024\/03\/Sekil-4a-710x375.jpg\" width=\"710\" height=\"375\" title='\u015eekil 4a' alt=''  itemprop=\"thumbnailUrl\"   \/><\/div><\/li><li  class='avia-slideshow-slide av-ltevoq5c-c7f4b10518a72602c647e29d2b862fcc__4  slide-5 slide-odd'><div data-rel='slideshow-1' class='avia-slide-wrap '   ><div class='av-slideshow-caption av-ltevoq5c-c7f4b10518a72602c647e29d2b862fcc__4 avia-caption'><div class=\"avia-inner-caption\"><div class='avia-caption-content '  itemprop=\"description\" ><p>\u015eekil 4b<\/p>\n<\/div><\/div><\/div><img fetchpriority=\"high\" decoding=\"async\" fetchpriority=\"high\" fetchpriority=\"high\" class=\"wp-image-1239 avia-img-lazy-loading-not-1239\"  src=\"https:\/\/www.drkahramanozturk.com\/wp-content\/uploads\/2024\/03\/Sekil-4b-710x375.jpg\" width=\"710\" height=\"375\" title='\u015eekil 4b' alt=''  itemprop=\"thumbnailUrl\"   \/><\/div><\/li><li  class='avia-slideshow-slide av-ltevoq5c-c7f4b10518a72602c647e29d2b862fcc__5  slide-6 slide-even'><div data-rel='slideshow-1' class='avia-slide-wrap '   ><div class='av-slideshow-caption av-ltevoq5c-c7f4b10518a72602c647e29d2b862fcc__5 avia-caption'><div class=\"avia-inner-caption\"><div class='avia-caption-content '  itemprop=\"description\" ><p>\u015eekil 4c<\/p>\n<\/div><\/div><\/div><img fetchpriority=\"high\" decoding=\"async\" fetchpriority=\"high\" fetchpriority=\"high\" class=\"wp-image-1240 avia-img-lazy-loading-not-1240\"  src=\"https:\/\/www.drkahramanozturk.com\/wp-content\/uploads\/2024\/03\/Sekil-4c-710x375.jpg\" width=\"710\" height=\"375\" title='\u015eekil 4c' alt=''  itemprop=\"thumbnailUrl\"   \/><\/div><\/li><li  class='avia-slideshow-slide av-ltevoq5c-c7f4b10518a72602c647e29d2b862fcc__6  slide-7 slide-odd'><div data-rel='slideshow-1' class='avia-slide-wrap '   ><div class='av-slideshow-caption av-ltevoq5c-c7f4b10518a72602c647e29d2b862fcc__6 avia-caption'><div class=\"avia-inner-caption\"><div class='avia-caption-content '  itemprop=\"description\" ><p>\u015eekil 5a<\/p>\n<\/div><\/div><\/div><img fetchpriority=\"high\" decoding=\"async\" fetchpriority=\"high\" fetchpriority=\"high\" class=\"wp-image-1241 avia-img-lazy-loading-not-1241\"  src=\"https:\/\/www.drkahramanozturk.com\/wp-content\/uploads\/2024\/03\/Sekil-5a-710x375.jpg\" width=\"710\" height=\"375\" title='\u015eekil 5a' alt=''  itemprop=\"thumbnailUrl\"   \/><\/div><\/li><li  class='avia-slideshow-slide av-ltevoq5c-c7f4b10518a72602c647e29d2b862fcc__7  slide-8 slide-even'><div data-rel='slideshow-1' class='avia-slide-wrap '   ><div class='av-slideshow-caption av-ltevoq5c-c7f4b10518a72602c647e29d2b862fcc__7 avia-caption'><div class=\"avia-inner-caption\"><div class='avia-caption-content '  itemprop=\"description\" ><p>\u015eekil 5b<\/p>\n<\/div><\/div><\/div><img fetchpriority=\"high\" decoding=\"async\" fetchpriority=\"high\" fetchpriority=\"high\" class=\"wp-image-1242 avia-img-lazy-loading-not-1242\"  src=\"https:\/\/www.drkahramanozturk.com\/wp-content\/uploads\/2024\/03\/sekil-5b-710x375.png\" width=\"710\" height=\"375\" title='\u015fekil 5b' alt=''  itemprop=\"thumbnailUrl\"   \/><\/div><\/li><li  class='avia-slideshow-slide av-ltevoq5c-c7f4b10518a72602c647e29d2b862fcc__8  slide-9 slide-odd'><div data-rel='slideshow-1' class='avia-slide-wrap '   ><div class='av-slideshow-caption av-ltevoq5c-c7f4b10518a72602c647e29d2b862fcc__8 avia-caption'><div class=\"avia-inner-caption\"><div class='avia-caption-content '  itemprop=\"description\" ><p>\u015eekil 5c<\/p>\n<\/div><\/div><\/div><img fetchpriority=\"high\" decoding=\"async\" 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