Summary
This preliminary report examines the possible disturbances in mineral and trace element metabolism in idiopathic ischaemic necrosis of the femoral head. Bony specimens from 45 femoral heads removed from patients with this condition were compared with 62 osteoarthritic and 10 normal femoral heads. Blood analysis was also carried out in the first two groups of patients, who were having joint replacement operations. The normal specimens were obtained at postmortem. Calcium, Magnesium, Iron, Copper, Manganese and Zinc were analysed in blood and bone by atom absorption spectrophotometry, and Cadmium, Chromium, Nickel and Lead by ICP emission spectroscopy. In ischaemic necrosis Magnesium and Copper are especially decreased, but the toxic trace elements Cadmium, Nickel, Lead and Chromium are found in a significantly higher concentration in the femoral head. It is submitted that these findings indicate the need for further investigation.
Résumé
Ce rapport préliminaire envisage les troubles éventuels du métabolisme des métaux et des oligo-éléments dans la nécrose idiopathique de la tête fémorale. Des prélévements osseux pratiqués sur 45 têtes fémorales réséquées chez des patients atteints de cette affection ont été comparés avec 62 têtes arthrosiques et 10 normales, prélevées sur des cadavres. Des analyses sanguines ont également été effectuées dans les deux premiers groupes de malades, qui ont subi une arthroplastie. On a dosé le calcium, le magnésium, le fer, le cuivre, le manganèse et le zinc par spectrophotométrie, dans le sang et dans l'os, et le cadmium, le chrome, le nickel et le plomb par spectroscopie. Dans la nécrose ischémique les taux de magnésium et de cuivre sont nettement abaissés tandis qu'on note, dans la tête fémorale, une augmentation significative de la concentration des oligo-éléments toxiques, cadmium, nickel, plomb et chrome. Ces constatations semblent justifier des études complémentaires.
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Milachowski, K.A. Investigation of ischaemic necrosis of the femoral head with trace elements. International Orthopaedics 12, 323–330 (1988). https://doi.org/10.1007/BF00317832
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DOI: https://doi.org/10.1007/BF00317832