Non-union of femoral neck fractures with osteonecrosis of the femoral head: treatment with combined free vascularized fibular grafting and subtrochanteric valgus osteotomy

被引:102
作者
Beris, AE
Payatakes, AH
Kostopoulos, VK
Korompilias, AV
Mavrodontidis, AN
Vekris, MD
Kontogeorgakos, VA
Soucacos, PN
机构
[1] Univ Ioannina, Sch Med, GR-45110 Ioannina, Greece
[2] Univ Hosp Ioannina, Dept Orthopaed Surg, Ioannina 45110, Greece
[3] NNA Naval Hosp Athens, Dept Orthopaed Surg, Athens 11521, Greece
[4] Univ Athens, Sch Med, Dept Orthopaed Surg, GR-11527 Athens, Greece
关键词
D O I
10.1016/j.ocl.2004.02.008
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
Femoral neck fractures, frequently complicated by non-union and femoral head osteonecrosis, present a difficult clinical situation, especially when young patients are concerned. Existing treatment options are valgus osteotomy to address the biomechanical factors or bone grafting to address the biologic factor. The authors describe the operative technique and results of combined subtrochanteric valgus osteotomy and free vascularized fibular grafting in management of five young patients with both non-union and avascular necrosis.
引用
收藏
页码:335 / +
页数:10
相关论文
共 40 条
[1]
[Anonymous], 1935, Der, Schenkelhalsbruch, ein mechanisches problem. Grundlagen des Heilungsvorganges, Prognose und Kausale Therapie
[2]
BACHILLER FG, 2002, CLIN ORTHOP RELAT R, V399, P87
[3]
INTERNAL-FIXATION OF UNUNITED FEMORAL-NECK FRACTURES COMBINED WITH MUSCLE-PEDICLE BONE-GRAFTING [J].
BAKSI, DP .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1986, 68 (02) :239-245
[4]
BALLMER FT, 1990, ORTHOP CLIN N AM, V21, P759
[5]
BALLMER FT, 1992, UNFALLCHIRURG, V95, P511
[6]
IMPROVED CEMENTING TECHNIQUES AND FEMORAL COMPONENT LOOSENING IN YOUNG-PATIENTS WITH HIP-ARTHROPLASTY - A 12-YEAR RADIOGRAPHIC REVIEW [J].
BARRACK, RL ;
MULROY, RD ;
HARRIS, WH .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1992, 74 (03) :385-389
[8]
BONNAIRE F, 1995, UNFALLCHIRURG, V98, P259
[9]
BRAUN W, 1991, UNFALLCHIRURG, V94, P325
[10]
TRANSCERVICAL FEMORAL FRACTURE - A REVIEW OF 195 PATIENTS TREATED BY SLIDING NAIL-PLATE FIXATION [J].
BROWN, JT ;
ABRAMI, G .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1964, 46 (04) :648-663