Femoral head necrosis treated with vascularized iliac crest graft.
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.
Pavlovcic
V
V
Department of Orthopaedic Surgery, University Medical Centre, 1525 Ljubljana, Slovenia.
Dolinar
D
D
Arnez
Z
Z
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