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. 1999 Sep;23(3):150–153. doi: 10.1007/s002640050334

Femoral head necrosis treated with vascularized iliac crest graft

V Pavlovcic 1, D Dolinar 1, Z Arnež 2
PMCID: PMC3619833  PMID: 10486026

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 Stage 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.

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Footnotes

Accepted: 7 February 1999


Articles from International Orthopaedics are provided here courtesy of Springer-Verlag

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