Osteonecrosis of femoral head: Treatment by core decompression and vascular pedicle grafting
نویسندگان
چکیده
منابع مشابه
Osteonecrosis Femoral Head Treatment by Core Decompression and ILIAC CREST-TFL Muscle Pedicle Grafting
Osteonecrosis of femoral head is a painful disabling condition seen in association with many disorders like corticosteroids consumption, alcohol abuse, haemoglobinopathy (sickle cell disease, coagulopathies), certain renal, hepatic and skin disorders commonly affecting young patients ranging from 20-40 years.1-3 It is now recognized as a major musculo-skeletal problem mostly affecting the young...
متن کاملTreatment of Osteonecrosis of the Femoral Head by Core Decompression , Bone Grafting , and Electrical Stimulation
Core decompression is one of the more popular procedures for the treatment of early stages of avascular necrosis (AVN) of the femoral head. However, the controversy regarding its safety and effectiveness continues. In an attempt to clarify the situation, we are reporting on a large series of cases performed by a single surgeon with long-term follow-up. This is a prospective study in which resul...
متن کاملTreatment of osteonecrosis of the femoral head by drilling and muscle-pedicle bone grafting.
Sixty-one patients with 68 osteonecrotic femoral heads, at different stages of development, were treated surgically; their average age was 36 years. Necrosis followed a fracture in 43 hips and traumatic dislocation in three. It was idiopathic in 14, cortisone-induced in seven and associated with gout in one. The operation of multiple drilling, curettage of the necrotic bone and muscle pedicle b...
متن کاملCore decompression with bone grafting for osteonecrosis of the femoral head.
Although core decompression is one of the more popular procedures for treating avascular necrosis, considerable controversy exists concerning its safety and effectiveness. The current authors review the results of a prospective study of 406 hips in 285 patients treated by one surgeon with core decompression and bone grafting. Patients were followed up for 2 to 14 years. The outcome was determin...
متن کاملCore decompression for early atraumatic osteonecrosis of the femoral head.
We performed 41 core decompressions in 32 patients for stage I or stage II osteonecrosis of the femoral head. The intra-osseous pressure at the intertrochanteric level was raised in 28 (68%) and there was histological confirmation of necrosis in 36 hips (88%). After a follow-up of 10 to 84 months (mean 31) nine of the 12 stage I hips (75%) showed significant clinical or radiological deteriorati...
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ژورنال
عنوان ژورنال: Indian Journal of Orthopaedics
سال: 2009
ISSN: 0019-5413
DOI: 10.4103/0019-5413.45320