Intertrochanteric osteotomy for osteonecrosis of the femoral head.
We studied 32 hips (in 27 patients) treated by intertrochanteric osteotomy for osteonecrosis of the femoral head. Average follow-up was 17 (range 9-26) years. There were 22 men and 5 women with an average age of 39 (range 25-55) years. Eleven hips were classified as Ficat stage II, 19 as stage III and two as early stage IV. Nine hips showed collapse of the femoral head within 3 years after operation and in six hips collapse occurred after 3-8 years. In 13 hips slow progression with incipient signs of arthrosis was noted 8 years after surgery. Four hips with a moderate degree of necrosis at the time of surgery showed no radiological progression 9-26 years after operation. We recommend intertrochanteric osteotomy for patients with Ficat stage II and early stage III, provided that they still have a good range of motion in the hip.
Department of Orthopaedic Surgery, University Medical Centre, Zaloska 9, 1000 Ljubljana, Slovenia. vinko.pavlovcic@kclj.si
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D000328:Adult; D018450:Disease Progression; D005260:Female; D005271:Femur Head Necrosis / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010027:Osteotomy / Q000379:methods*; D011859:Radiography