[Five-year results following autogenous osteochondral transplantation to the femoral head].
The rationale for autogenous osteochondral grafting into necrotic areas of the femoral head is to provide hyaline cartilage for areas of main articular contact pressure. The aim of this study was to present our results of autogenous osteochondral grafting to the femoral head in the treatment of avascular necrosis. The mean follow-up of the five patients was 57 months following autogenous osteochondral grafting to the femoral head using DBCS (diamond bone-cutting system). The number of transplanted cylinders varied between one and three, and the diameter of the cylindrical transplants between 9 and 13 mm. Results were unsatisfactory in four of five hips and these underwent total hip replacement a mean of 49 months following DBCS of the hip. In our hands, osteochondral grafting to the femoral head using DBCS had proven technically possible in restoring the articular surface of the femoral head; however, this operation was associated with unsatisfactory results in four of five cases.
Rittmeister
Marcus
M
Orthopädische Universitätsklinik, Friedrichsheim, Frankfurt am Main. m.rittmeister@friedrichsheim.de
Hochmuth
K
K
Kriener
S
S
Richolt
J
J
D000328:Adult; D016025:Bone Transplantation / Q000379:methods*; D002358:Cartilage, Articular / Q000637:transplantation*; D005260:Female; D005270:Femur Head / Q000601:surgery*; D005271:Femur Head Necrosis / Q000175:diagnosis* / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*; D020127:Recovery of Function; D024162:Second-Look Surgery; D014182:Transplantation, Autologous; D016896:Treatment Outcome
Orthopade. 1999 Jan;28(1):33-44
10081042
Z Orthop Ihre Grenzgeb. 1972 Dec;110(6):708-13
4264903
J Bone Joint Surg Am. 1949 Jan;31A(1):55-66
18106749
Z Orthop Ihre Grenzgeb. 1972 Dec;110(6):705-8
4264902
Clin Orthop Relat Res. 1978 Jan-Feb;(130):175-85
346277
Clin Orthop Relat Res. 1983 Apr;(174):107-12
6339133
J Bone Joint Surg Br. 1985 Jan;67(1):3-9
3155745
Am J Sports Med. 2001 Mar-Apr;29(2):207-12
11292047
Z Orthop Ihre Grenzgeb. 1997 Mar-Apr;135(2):138-44
9214172
Zentralbl Chir. 2000;125(6):494-9
10919241
Orthopade. 1999 Jan;28(1):19-25
10081040
Int Orthop. 2001;24(6):316-8
11294420
J Bone Joint Surg Br. 1995 Mar;77(2):194-204
7706331
Arch Orthop Trauma Surg. 2001 May;121(5):248-53
11409552
J Bone Joint Surg Am. 1969 Jun;51(4):737-55
5783851
Clin Orthop Relat Res. 1978 Jan-Feb;(130):202-9
346279
J Bone Joint Surg Am. 1958 Dec;40-A(6):1329-46
13610964
J Bone Joint Surg Am. 1977 Mar;59(2):218-22
845208
Z Orthop Ihre Grenzgeb. 1972 Dec;110(6):714-7
4264904
Orthopade. 2001 Jan;30(1):53-8
11227353
Clin Orthop Relat Res. 2000 Apr;(373):153-63
10810473