Limited femoral endoprosthesis for avascular necrosis of the femoral head.
The options for treatment of the young patient with late-stage avascular necrosis of the femoral head are limited. The authors performed a conservative type of femoral hemiarthroplasty on a select group of patients. They chose for the series only patients with Ficat stage III and IV avascular necrosis, particularly those who had an intact acetabulum and femoral-head involvement only. Of 19 procedures followed for an average of 36 months, there were 84% good and excellent results. The authors feel that this operative procedure may have a role in the treatment of this specific group of young patients.
Krackow
K A
KA
Department of Orthopaedic Surgery, Johns Hopkins University, Baltimore, Maryland.
Mont
M A
MA
Maar
D C
DC
D000328:Adult; D000367:Age Factors; D000368:Aged; D005260:Female; D005271:Femur Head Necrosis / Q000000981:diagnostic imaging / Q000601:surgery*; D005500:Follow-Up Studies; D006622:Hip Prosthesis / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D016896:Treatment Outcome