Vascularized iliac bone grafting for avascular necrosis of the femoral head / 中华外科杂志
Chinese Journal of Surgery
; (12): 125-129, 2003.
Article
em Zh
| WPRIM
| ID: wpr-257712
Biblioteca responsável:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To evaluate the indications for vascularized iliac bone grafting in the treatment of osteonecrosis of the femoral head and operative results.</p><p><b>METHODS</b>From October 1993 to August 2000, Twenty-six hips of 18 patients with osteonecrosis of the femoral head underwent vascularized iliac bone grafting. Clinical evaluation was made according to Harris Hip Score and ARCO staging system.</p><p><b>RESULTS</b>Twenty-three hips of 16 patients were followed up for 31.5 months (6 - 74 months) on average. The mean Harris hip score was 76 patients (mean 61.7). Thirteen hips (medial 8 hips, central 3 hips, lateral 2 hips) were graded > 80 points by Harris hip score were. The incidence of radiographic collapse 20% was (medial), 40% (central) and 75% (lateral) respectively.</p><p><b>CONCLUSIONS</b>Vascularized iliac bone grafting is effective for the treatment of osteonecrosis of the femoral head in short and middle term. We recommend this procedure for the patients with ONFH in ARCO stage I, stage IIA, IIB medial and central, and stage IIC medial.</p>
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Índice:
WPRIM
Assunto principal:
Cirurgia Geral
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Transplante
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Transplante Autólogo
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Estudos Retrospectivos
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Seguimentos
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Descompressão Cirúrgica
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Cabeça do Fêmur
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Necrose da Cabeça do Fêmur
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Ílio
Tipo de estudo:
Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Adult
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Aged
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Female
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Humans
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Male
Idioma:
Zh
Revista:
Chinese Journal of Surgery
Ano de publicação:
2003
Tipo de documento:
Article