**Osteonecrosis and Hip Development Disorder**

Ismet Gavrankapetanović, Amel Hadžimehmedagić,

Adnan Papović and Mehmed Jamakosmanović

Additional information is available at the end of the chapter

http://dx.doi.org/10.5772/intechopen.68161

#### **Abstract**

Although succinct, the aim of this book is to highlight some recent or little discussed topics of the subject, hardly present in other works. In this sense, the reader will find very interesting chapters, written by several specialists who deal in research and clinical practice with

Department of Orthopedic Surgery, State University of Campinas, Campinas, Brazil

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the set of problems called osteonecrosis.

Alessandro Rozim Zorzi\* and João Batista de Miranda

\*Address all correspondence to: alessandrozorzi@uol.com.br

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**Author details**

8 Osteonecrosis

**References**

Blood vessel branching of the proximal femur by its scheme differs from all other major joints. This scheme changes during the individual's development, dynamically depending on age. Namely, the caliber, blood flow rate, and dominance of certain arteries from the entire network of blood vessels that participate in the vascular supply of the hip are not equally expressed in all stages of development. In each successive stage, blood supply is dominated by a different artery that, after a certain period of time, shifts its major role to another artery. Anastomoses between individual arteries are not constant in all stages of development, and they represent a great importance for compensatory mechanisms. The disturbance of local arterial blood vessels, at a time when they dominate the blood supply and affect the quality of hip development and maturation, leads to reduced perfusion, and consequently, to the lack of development, ossification, and possible osteonecrosis.

**Keywords:** osteonecrosis, hip developmental disorder, bone, hip vascular supply
