[Superselective intra-arterial DSA in femur head necrosis and femoral neck fractures].
The prospective study includes 25 patients without pathology of the femoral head for the evaluation of the normal femoral head perfusion. In addition 34 patients with femoral head necrosis underwent i.a. DSA preoperatively before pedicled pelvic bone grafting. 15 patients after pelvic bone graft operation and 7 patients with medial femoral head fracture were also examined via superselective DSA. In cases with femoral head necrosis a rarefaction or interruption of the rami nutricii proximales, or an occlusion of the medial circumflex femoral artery were observed. Patients with medial femoral neck fracture showed an interruption of the rami nutricii proximales of the femoral head. Postoperative DSA--after pedicled pelvic bone graft--revealed a regular arterial graft perfusion in 82%.
Langer
R
R
Strahlenklinik und Poliklinik, Universitätsklinikum Rudolf Virchow, Charlottenburg.
Scholz
A
A
Langer
M
M
Astinet
F
F
Schwetlick
G
G
Ferstl
F
F
Felix
R
R
D000328:Adult; D015901:Angiography, Digital Subtraction / Q000379:methods*; D005260:Female; D005263:Femoral Artery / Q000000981:diagnostic imaging; D005265:Femoral Neck Fractures / Q000000981:diagnostic imaging* / Q000601:surgery; D005270:Femur Head / Q000098:blood supply / Q000000981:diagnostic imaging; D005271:Femur Head Necrosis / Q000000981:diagnostic imaging* / Q000601:surgery; D005272:Femur Neck / Q000098:blood supply / Q000000981:diagnostic imaging; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging; D008297:Male; D008875:Middle Aged; D010384:Pelvic Bones / Q000637:transplantation; D011184:Postoperative Period; D011446:Prospective Studies
Superselektive intraarterielle DSA bei Hüftkopfnekrose und Schenkelhalsfraktur.