Resurfacing of the femoral head with fresh osteochondral allografts. Long-term results.
Twenty-five fresh osteochondral allografts were transplanted in 21 patients. All except one were for avascular necrosis with segmental collapse of the femoral head. One transplant was in a hip with a Pipkin II fracture-dislocation. Most of the failures were in hips of patients receiving systemic steroid therapy. There was an 80% rate of success in non-steroid-treated patients. The allograft resurfacing procedure seems to be a successful intermediate alternative operation in young patients with avascular necrosis and segmental collapse of the head of the femur.
D000293:Adolescent; D000328:Adult; D016025:Bone Transplantation; D002358:Cartilage, Articular / Q000637:transplantation*; D005260:Female; D005271:Femur Head Necrosis / Q000601:surgery*; D006617:Hip Dislocation / Q000150:complications / Q000601:surgery; D006620:Hip Fractures / Q000150:complications / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D014184:Transplantation, Homologous