Failure after core decompression in osteonecrosis of the femoral head

被引:69
作者
Yoon, TR [1 ]
Song, EK [1 ]
Rowe, SM [1 ]
Park, CH [1 ]
机构
[1] Chonnam Univ Hosp, Dept Orthopaed Surg, Kwangju 501757, South Korea
关键词
D O I
10.1007/s002640000186
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
In a retrospective study of 39 hips with osteonecrosis of the femoral head treated with core decompression we evaluated the extent of the necrotic area, the Ficat stage and the location of the lesion. The extent of the necrotic lesion was classified into three categories: mild, less than 15%; moderate, 15-30%; and severe, more than 30%. In 14 mild cases core decompression failed in 2, whereas there were 4 failures out of 7 moderate cases and 16 failures out of 19 severe cases. The extent and location of the necrotic portion as well as the Ficat stage can be used as predictors for the result of core decompression in osteonecrosis of the femoral head.
引用
收藏
页码:316 / 318
页数:3
相关论文
共 21 条
[1]
AARON RK, 1989, CLIN ORTHOP RELAT R, P209
[2]
CORE DECOMPRESSION FOR AVASCULAR NECROSIS OF THE FEMORAL-HEAD - CORRELATION BETWEEN LONG-TERM RESULTS AND PREOPERATIVE MR STAGING [J].
BELTRAN, J ;
KNIGHT, CT ;
ZUELZER, WA ;
MORGAN, JP ;
SHWENDEMAN, LJ ;
CHANDNANI, VP ;
MOSURE, JC ;
SHAFFER, PB .
RADIOLOGY, 1990, 175 (02) :533-536
[3]
CORE DECOMPRESSION OF THE FEMORAL-HEAD FOR OSTEONECROSIS [J].
CAMP, JF ;
COLWELL, CW .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1986, 68A (09) :1313-1319
[4]
IDIOPATHIC BONE NECROSIS OF THE FEMORAL-HEAD - EARLY DIAGNOSIS AND TREATMENT [J].
FICAT, RP .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1985, 67 (01) :3-9
[5]
ISCHEMIC NECROSIS OF THE FEMORAL-HEAD - TREATMENT BY CORE DECOMPRESSION [J].
HOPSON, CN ;
SIVERHUS, SW .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1988, 70A (07) :1048-1051
[6]
Hungerford D S, 1988, J Bone Joint Surg Am, V70, P474
[7]
HUNGERFORD DS, 1985, ORTHOP CLIN N AM, V16, P635
[8]
QUANTIFYING THE EXTENT OF OSTEONECROSIS OF THE FEMORAL-HEAD - A NEW METHOD USING MRI [J].
KOO, KH ;
KIM, R .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1995, 77B (06) :875-880
[9]
CORE DECOMPRESSION IN FEMORAL-HEAD OSTEONECROSIS - 18 STAGE-I HIPS FOLLOWED UP FOR 1-5 YEARS [J].
KRISTENSEN, KD ;
PEDERSEN, NW ;
KIOER, T ;
STARKLINT, H .
ACTA ORTHOPAEDICA SCANDINAVICA, 1991, 62 (02) :113-114
[10]
EARLY-STAGE AVASCULAR NECROSIS OF THE FEMORAL-HEAD - MR IMAGING FOR PROGNOSIS IN 31 CASES WITH AT LEAST 2 YEARS OF FOLLOW-UP [J].
LAFFORGUE, P ;
DAHAN, E ;
CHAGNAUD, C ;
SCHIANO, A ;
KASBARIAN, M ;
ACQUAVIVA, PC .
RADIOLOGY, 1993, 187 (01) :199-204