Author/Editor     Pavlovčič, Vinko; Dolinar, Drago; Arnež, Zoran
Title     Femoral head necrosis treated with vascularized iliac crest graft
Type     članek
Source     Int Orthop
Vol. and No.     Letnik 23, št. 3
Publication year     1999
Volume     str. 150-3
Language     eng
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 tage 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.
Descriptors     FEMUR HEAD NECROSIS
ILIUM
BONE TRANSPLANTATION
ADULT
FOLLOW-UP STUDIES
GRAFT REJECTION
GRAFT SURVIVAL
MIDDLE AGE
RANGE OF MOTION, ARTICULAR
SEVERITY OF ILLNESS INDEX
SURVIVAL ANALYSIS