A combined operation of transtrochanteric osteotomy and vascularized iliac bone graft for advanced osteonecrosis of the femoral head

被引：0
|
作者：
Nakamura, Y [1 ]
Kumazawa, Y [1 ]
Mitsui, H [1 ]
Toh, S [1 ]
Katano, H [1 ]
机构：
[1] Hirosaki Univ, Sch Med, Dept Orthopaed Surg, Hirosaki, Aomori 036, Japan
来源：
PROCEEDINGS OF THE II CONGRESS OF THE WORLD SOCIETY FOR RECONSTRUCTIVE MICROSURGERY | 2003年
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中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Since 1984, we have performed a combined operation of transtrochanteric rotational ostcotomy and vascularizcd iliac bone grafting for advanced osteonecrosis of the femoral head with an extensive necrotic lesion involving more than 2/3 of the femoral head in lateral x-ray. The criteria for this procedure were an age of less than forty-five years, Ficat stage-III and stage-IV osteonecrosis of the femoral head. At a mean of eighty-one months after operation, eight patients had clinically satisfactory results and ten hips were protected from further collapse of the femoral head. This procedure was successful in restoring congruity of the femoral head and we recommend this for advanced and extensive osteonecrosis of the femoral head.
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页码：241 / 244
页数：4
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