NATURAL-HISTORY OF NONTRAUMATIC AVASCULAR NECROSIS OF THE FEMORAL-HEAD

被引:285
作者
OHZONO, K
SAITO, M
TAKAOKA, K
ONO, K
SAITO, S
NISHINA, T
KADOWAKI, T
机构
[1] SUMITOMO HOSP, DEPT ORTHOPAED SURG, KITA KU, OSAKA 553, JAPAN
[2] OSAKA KOSEINENKIN HOSP, DEPT ORTHOPAED SURG, FUKUSHIMA KU, OSAKA 553, JAPAN
来源
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME | 1991年 / 73卷 / 01期
关键词
D O I
10.1302/0301-620X.73B1.1991778
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
We studied the natural history of nontraumatic avascular necrosis of the femoral head (ANFH) in 115 hips in 87 patients, 69 steroid-induced, 21 related to misuse of alcohol and 25 idiopathic. The average length of follow-up was over five years. Collapse occurred most often when the focus of bone necrosis occupied the weight-bearing surface of the femoral head. Flatness of the head due to subchondral fracture was an early manifestation of collapse. Classification into six types based upon the radiographic findings provided an accurate prognosis for individual cases of ANFH which is useful in planning treatment and in assessing its outcome.
引用
收藏
页码:68 / 72
页数:5
相关论文
共 16 条
[1]
COSTE F., 1965, PRESSE MED, V73, P263
[2]
Ficat RP, 1980, ISCHEMIA NECROSIS BO, P171
[3]
FICAT RP, 1980, ISCHEMIA NECROSIS BO, P75
[4]
HASEGAWA I, 1984, RINSHO SEIKEI GEKA, V19, P991
[5]
INOUE A, 1981, RINSHO SEIKEI GEKA, V16, P1040
[6]
KATOU F, 1981, HIP JOINT, V7, P161
[7]
LEQUESNE M, 1973, REV CHIR ORTHOP, V59, P43
[8]
Merle D'Aubigne R, 1965, J Bone Joint Surg Br, V47, P612
[9]
ONO K, 1986, ANN REPORT JAPANESE, P331
[10]
IDIOPATHIC AVASCULAR NECROSIS OF THE HEAD OF THE FEMUR - A STUDY OF 52 CASES [J].
PATTERSON, RJ ;
BICKEL, WH ;
DAHLIN, DC .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1964, 46 (02) :267-&