J Korean Orthop Assoc.  1990 Oct;25(5):1444-1452. 10.4055/jkoa.1990.25.5.1444.

Revitalization of Idiopathic Osteonecrosis of the Femoral Head by Vascular Pedicled Iliac Bone Grafting

• Sohn SW
• Lee HK
• Kang CH
• Song KS
• Kang CS

• KMID: 2443360
• DOI: http://doi.org/10.4055/jkoa.1990.25.5.1444

Abstract

Osteonecrosis of the femoral head seems to be due to circulatory disturbance of the femoral head, usually idiopathic in origin, but also associated with chronic alcoholism, gout, prolonged treatment with corticosteroids, sickle cell disease, Caisson's disease and surface and degenerative changes in the hip joint. Aims of this procedure are to decompress the femoral head hence allowing better circulation, to revitalize the dead head by insertion of vascularized pedicle bone and to give a mechanical support preventing further collapse of the femoral head. Authors reviewed 19 cases of the vessel pedicled iliac bone graft performed for the idiopathic osteonecrosis of femoral head from January, 1984 to April, 1988 with follow-up periods from 23 months to 66 months, average 37.5 months. The purpose of this follow-up note is to report the long term follow-up result and to show the critical points of this technique.

Keyword

Osteonecrosis; Femoral head; Vessel pedicle iliac bong graft

MeSH Terms

Adrenal Cortex Hormones
Alcoholism
Anemia, Sickle Cell
Bone Transplantation*
Follow-Up Studies
Gout
Head*
Hip Joint
Osteonecrosis*
Transplants
Adrenal Cortex Hormones