Treatment of post-traumatic avascular necrosis of the femoral head by multiple drilling and muscle-pedicle bone grafting. Preliminary report.
نویسنده
چکیده
Twenty-nine patients with avascular necrosis of the femoral head after injury have been treated by operation. Multiple drilling of the femoral head was performed, necrotic bone removed and a muscle-pedicle bone graft implanted into the head and neck of the femur. In 17 of the patients the necrosis was associated with an un-united femoral neck fracture, in 11 it occurred after the fracture had united, and one case followed reduction of a dislocated hip. The hips became painless soon after operation. The patients were young (average age 35 years), and full weight-bearing was not allowed for several months. The follow-up period ranged from 22 to 64 months. The results were excellent in 20 patients, good in five, fair in three and poor in one.
منابع مشابه
Treatment 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 کاملCheilectomy, Drilling, Curettage and TFL Muscle Pedicle Bone Grafting in Post Traumatic Osteonecrosis of The Femoral Head
Untreated osteonecrosis of the femoral head ultimately leads to collapse and disintegration of hip joint. The predegenerative stages of osteonecrosis especially when seen in young adults, should be treated by a femoral head preservation operation with the objective to delay and possibly to avert the above consequences. Previously head preserving surgeries were not in vogue so total hip replacem...
متن کاملInternal fixation of ununited femoral neck fractures combined with muscle-pedicle bone grafting.
Fifty-six patients with ununited intracapsular fractures of the femoral neck were treated by internal fixation and muscle-pedicle bone grafting. All had some absorption of the femoral neck, and many had avascular necrosis of the femoral head. At operation the sclerosed surfaces of the fractures were freshened, the avascular femoral head was decompressed and the muscle-pedicle graft was fixed wi...
متن کاملSartorius muscle pedicle iliac bone graft for the treatment of avascular necrosis of femur head
Avascular necrosis (AVN) of femoral head needs to be addressed early in the course of the disease, to prevent progression to osteoarthritis. A revascularizing procedure which can help preserve the head should be considered in young adults to alleviate the need for total hip arthroplasty. We included 40 cases (53 hips) of AVN of femoral head operated with Sartorius muscle pedicle iliac bone graf...
متن کاملThe comparison of results for the bone grafting in treatment of scaphoid non:union: with and without avascular necrosis
Abstract Background: The varieties of treatment methods for the scaphoid non:::union::: have always been a discussable issue for orthopaedic surgeons. The current study, considered to be review for treatment results of the patients who sustained the scaphoid non:::union::: with or without avascular necrosis and compared these two groups clinically and radiologically. Methods: The clinical and ...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- The Journal of bone and joint surgery. British volume
دوره 65 3 شماره
صفحات -
تاریخ انتشار 1983