FREE VASCULARIZED FIBULAR GRAFT FOR TREATMENT OF PATHOLOGICAL FEMORAL NECK FRACTURE AND OSTEONECROSIS OF THE FEMORAL HEAD: A CASE REPORT WITH A LONG-TERM FOLLOW-UP

被引：7

作者：

Beris, Alexandros E. ^{[1
]}

Lykissas, Marios G. ^{[1
]}

Payatakes, Alexandros ^{[1
]}

Kontogeorgakos, Vasileios A. ^{[1
]}

Mavrodontidis, Alexandros ^{[1
]}

Korompilias, Anastasios V. ^{[1
]}

机构：

[1] Univ Ioannina, Sch Med, Dept Orthopaed Surg, GR-45110 Ioannina, Greece

来源：

MICROSURGERY | 2009年 / 29卷 / 03期

关键词：

BONE-CYST; AVASCULAR NECROSIS; VALGUS OSTEOTOMY; BENIGN LESIONS; PROXIMAL FEMUR; NONUNION; HIP; DEFECTS;

D O I：

10.1002/micr.20598

中图分类号：

R61 [外科手术学];

学科分类号：

100210 [外科学];

摘要：

We present a case of a 34-year-old white female patient who, 13 years ago, sustained a pathological intracapsular femoral neck fracture on a pre-existing aneurysmal bone cyst. Three months later radiographic and magnetic resonance imaging evaluation revealed both femoral neck fracture and stage IV osteonecrosis of the femoral head according to Steinberg classification system. Management was accomplished with combined free vascularized fibular grafting and internal osteosynthesis with a 130 degrees blade plate. Union was achieved in 7 months. Progression of osteonecrosis was arrested. Hip salvage and a satisfactory subjective and clinical outcome were achieved. At the last follow-up, 13 years postoperatively, the patient had satisfactory functional outcome. (C) 2008 Wiley-Liss, Inc. Microsurgery 29:240-243, 2009.

引用

页码：240 / 243

页数：4

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