[Vascular pedicled iliac bone graft in therapy of femur head necrosis in the adult. Clinical and angiographic results].
23 hip joints with hip head necrosis in 22 patients were provided with a pedicle bone-graft perfused by the art. circumflexa ilium profunda. I two cases it was necessary to remove the bone-graft contralaterally because bone had already been removed from the side with the necrosis at an earlier date. In these cases the arterio-venous bundle of vessels of the autologous heterotope transplant was connected through microanastomosis with the arteria and vena circumflexa femoris lateralis. In addition to the usual clinical follow-up the method of superselective angiography was also applied to make possible direct perfusion control of the implanted bone-graft in the operated patients. In 18 of the 23 pedicle autologous heterotope transplants unimpeded perfusion could be shown. By introducing regional stress angiography in 7 cases it became possible to make further well-founded statements about the physiotherapeutical follow-up treatment. Electronic subtraction provides a more accurate assessment of even the minutest arteries possible.
Schwetlick
G
G
Oskar-Helene-Heim, Orthopädische Klinik und Poliklinik, Freien Universität Berlin.
Rettig
H
H
Klingmüller
V
V
D000328:Adult; D000792:Angiography; D016025:Bone Transplantation; D005270:Femur Head / Q000098:blood supply; D005271:Femur Head Necrosis / Q000000981:diagnostic imaging / Q000601:surgery*; D005500:Follow-Up Studies; D006085:Graft Survival; D006801:Humans; D008297:Male; D008866:Microsurgery / Q000379:methods*; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging*
Der gefässgestielte Beckenspan zur Therapie der Hüftkopfnekrose des Erwachsenen. Klinische und angiographische Ergebnisse.