title: Femoral head necrosis treated with vascularized iliac crest graft.
abstract: We reviewed 24 hips with avascular necrosis of the femoral head in 24 patients treated with vascularized iliac bone grafts 12 years after operation. In 7 patients the necrosis was classified as Ficat Stage II and in 17 patients as Stage III. Eight patients showed poor results. In 6 hips with fair results, moderate progression of the necrosis was noted at 3 to 8 years postoperatively. In 5 hips showing good results, slow progression with incipient signs of arthrosis were noted 8 years after surgery. In the remaining 5 patients with excellent results, no evidence of progression was noted 9 to 14 years postoperatively. The method described is recommended for treatment in the Ficat Stage II and early Stage III, when necrosis does not yet involve the complete femoral head.
authors.affiliation: Department of Orthopaedic Surgery, University Medical Centre, 1525 Ljubljana, Slovenia.
authors.forename: V
authors.initials: V
authors.lastname: Pavlovcic
authors.forename: D
authors.initials: D
authors.lastname: Dolinar
authors.forename: Z
authors.initials: Z
authors.lastname: Arnez
mesh_terms: D000328:Adult; D016025:Bone Transplantation / Q000379:methods; D005260:Female; D005271:Femur Head Necrosis / Q000000981:diagnostic imaging / Q000601:surgery*; D005500:Follow-Up Studies; D006084:Graft Rejection; D006085:Graft Survival; D006801:Humans; D007085:Ilium / Q000098:blood supply / Q000637:transplantation*; D008297:Male; D008875:Middle Aged; D011859:Radiography; D016059:Range of Motion, Articular; D012720:Severity of Illness Index; D016019:Survival Analysis