Biomaterial Database

[Surgical treatment of avascular necrosis of the femoral head]. 1995

F Li, and S Xu, and S Shi

Orthopeadic Department, General Hospital of Beijing, Beijing Unit of People's Liberation Army.

71 patients (83 hips) with avascular necrosis of the femoral head were followed up. The patients had bilateral necrosis (12), and unilateral (59). Their ages ranged from 19 to 71 years. Ficat classification showed stage I for 1 hip, stage II 19 hips, stage III 35 hips, and stage IV hips. According to the severity, the range of motion, the age, and the X-ray appearances, 6 kinds of procedures were used including decompression with bone grafting (32 hips), surface arthroplasty with cartilage (4), surface arthroplasty with fascia (4), replacement of femoral head (7), THA (20), and obturator neuroetomy (16). The follow-up period ranged from 2 years and 3 months to 10 years and 5 months. Postoperative improvement included pain (39.7%), range of motion (21.7%), and walking (33.7%). Among the procedures, decompression with bone grafting showed best results. Treatment revealed better results in stage I, II than in stage III, IV. We emphysize the early diagnosis and management, and choice of procedure should base on the clinical classification.

UI	MeSH Term	Description	Entries
D008297	Male		Males
D008875	Middle Aged	An adult aged 45 - 64 years.	Middle Age
D005260	Female		Females
D005270	Femur Head	The hemispheric articular surface at the upper extremity of the thigh bone. (Stedman, 26th ed)	Femoral Head,Femoral Heads,Femur Heads,Head, Femoral,Head, Femur
D005271	Femur Head Necrosis	Aseptic or avascular necrosis of the femoral head. The major types are idiopathic (primary), as a complication of fractures or dislocations, and LEGG-CALVE-PERTHES DISEASE.	Aseptic Necrosis of Femur Head,Avascular Necrosis of Femur Head,Necrosis, Aseptic, of Femur Head,Necrosis, Avascular, of Femur Head,Avascular Necrosis Of Femoral Head, Primary,Femoral Head, Avascular Necrosis Of,Ischemic Necrosis Of Femoral Head,Femur Head Necroses,Head Necrosis, Femur,Necrosis, Femur Head
D005500	Follow-Up Studies	Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.	Followup Studies,Follow Up Studies,Follow-Up Study,Followup Study,Studies, Follow-Up,Studies, Followup,Study, Follow-Up,Study, Followup
D006621	Hip Joint	The joint that is formed by the articulation of the head of FEMUR and the ACETABULUM of the PELVIS.	Acetabulofemoral Joint,Acetabulofemoral Joints,Hip Joints,Joint, Acetabulofemoral,Joint, Hip,Joints, Acetabulofemoral,Joints, Hip
D006622	Hip Prosthesis	Replacement for a hip joint.	Femoral Head Prosthesis,Femoral Head Prostheses,Hip Prostheses,Prostheses, Femoral Head,Prostheses, Hip,Prosthesis, Femoral Head,Prosthesis, Hip
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328	Adult	A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available.	Adults