PMID: 9177798Jan 1, 1997Paper

Vascularized pedicle bone-grafting for nontraumatic avascular necrosis of the femoral head. A 5- to 11-year follow-up

Archives of Orthopaedic and Trauma Surgery
Y HasegawaS Iwasada

Abstract

We investigated the results of 31 hips in 26 patients with nontraumatic (n = 20) and steroid-induced (n = 6) avascular necrosis of the femoral head (ANFH) treated with vascularized iliac pedicle bone graft (PBG). The average age at operation was 38.3 years. Three were women and 23 men. The average follow-up was 8.0 years. The Harris hip score prior to operation and at latest follow-up improved from 62 to 83; one hip collapsed and was revised with a bipolar endoprosthesis. At the final follow-up, 19 hips (63%) were clinically rated as good to excellent, 4 fair, and 7 poor. At the final follow-up, 15 of 27 hips (56%) of stage II before operation showed progressive collapse after bone grafting. In steroid-induced ANFH, in three women, 2 of 4 hips showed poor results. These results are only slightly better than those of core decompression and no better than those obtained after decompression and simple nonvascularized grafts to provide support for the subchondral bone. We concluded that vascularized PBG is sometimes indicated for ANFH in an early stage before collapse of the femoral head.

References

May 5, 1978·Proceedings of the Royal Society of London. Series B, Containing Papers of a Biological Character·D E BrooksT Mann
May 1, 1979·The Journal of Bone and Joint Surgery. British Volume·A Inoue, K Ono
Sep 1, 1992·The Journal of Bone and Joint Surgery. British Volume·N SuganoS Saito
Jan 1, 1991·The Journal of Bone and Joint Surgery. British Volume·K OhzonoT Kadowaki
Mar 1, 1991·The Journal of Bone and Joint Surgery. British Volume·D P Baksi
Dec 1, 1990·Acta Orthopaedica Scandinavica·G S Lausten, B Mathiesen
Jan 1, 1990·Archives of Orthopaedic and Trauma Surgery·K A SolonenT Paavilainen
Jul 1, 1990·Radiology·B J ManasterD A Bell
Jan 1, 1985·The Journal of Bone and Joint Surgery. British Volume·R P Ficat
Nov 1, 1988·The Journal of Bone and Joint Surgery. British Volume·G MaistrelliR Bombelli
Jul 1, 1986·AJR. American Journal of Roentgenology·M D MitchellL Axel
Feb 1, 1994·The Journal of Bone and Joint Surgery. American Volume·K ShimizuT Suguro
Jul 1, 1993·The Journal of Bone and Joint Surgery. British Volume·M T Dean, M E Cabanela
Aug 1, 1993·The Journal of Bone and Joint Surgery. American Volume·M A Scher, I Jakim

❮ Previous
Next ❯

Citations

Dec 7, 2007·Archives of Orthopaedic and Trauma Surgery·Ching-Jen WangJih-Yang Ko
Jun 27, 2009·Archives of Orthopaedic and Trauma Surgery·Shan-Ling HsuKuender D Yang
Aug 5, 2004·Der Schmerz·M JägerR Krauspe
Jan 22, 2009·The Tohoku Journal of Experimental Medicine·Reiko Takano-MurakamiNaoto Endo
Aug 11, 2007·The Journal of Arthroplasty·Zoe H DailianaJames R Urbaniak
Jun 13, 2015·Current Reviews in Musculoskeletal Medicine·Patrick D MillikanSamuel S Wellman
Jul 6, 2005·Theoretical Biology & Medical Modelling·Jacob BejarJochanan H Boss
Feb 21, 2002·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Takashi NishiiHideki Yoshikawa
Oct 25, 2016·International Journal of Surgery·Ching-Jen WangYa-Ju Yang
Jul 19, 2014·Modern Rheumatology·Kazuma IkeuchiNaoki Ishiguro
Nov 10, 2009·Clinical Orthopaedics and Related Research·Dewei ZhaoFengde Tian
May 3, 2006·The Journal of Bone and Joint Surgery. American Volume·Michael A MontDavid S Hungerford
Oct 3, 2009·The Journal of Bone and Joint Surgery. American Volume·Chun-Chieh ChenMel S Lee
Mar 12, 1999·The Journal of Bone and Joint Surgery. American Volume·K J BozicT S Thornhill
Nov 15, 2008·The Journal of Bone and Joint Surgery. American Volume·David R MarkerMichael A Mont
May 12, 2001·Clinical Orthopaedics and Related Research·A EisenschenkU Weber
Oct 29, 2017·Scientific Reports·B SalmonJ A Helms
Jan 6, 2006·Clinical Orthopaedics and Related Research·Dewei ZhaoXu Cui
May 11, 2016·Technology and Health Care : Official Journal of the European Society for Engineering and Medicine·YuPeng LiuZ G Li
Jun 13, 2001·Clinical Orthopaedics and Related Research·J LudwigH Hotzinger
Nov 3, 2006·The Journal of Bone and Joint Surgery. American Volume·Michael A MontMarvin E Steinberg
Apr 1, 2021·Morphologie : Bulletin De L'Association Des Anatomistes·D HutenJ C Lambotte
Feb 16, 2005·Revue de chirurgie orthopédique et réparatrice de l'appareil moteur·D Le NenC Lefèvre

❮ Previous
Next ❯

Related Concepts

Related Feeds

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.