Preparation of the Femoral Head Prior to Milling

Vascularized Iliac Bone Graft with Rotational Osteotomy of the Femoral Head for Extensively Large Collapsed Lesions of Necrosis of the Femoral Head

Journal of Reconstructive Microsurgery ◽

10.1055/s-0034-1373940 ◽

2014 ◽

Vol 30 (S 01) ◽

Author(s):

Yoshihide Nakamura ◽

Satoshi Toh ◽

Yasuyuki Ishibashi

Keyword(s):

Femoral Head ◽

Bone Graft ◽

Iliac Bone ◽

Rotational Osteotomy ◽

Iliac Bone Graft

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Vascularized Iliac Bone Graft with Rotational Osteotomy of the Femoral Head for Extensively Large Collapsed Lesions of Necrosis of the Femoral Head

Journal of Reconstructive Microsurgery ◽

10.1055/s-0034-1373920 ◽

2014 ◽

Vol 30 (S 01) ◽

Author(s):

Yoshihide Nakamura ◽

Satoshi Toh ◽

Yasuyuki Ishibashi

Keyword(s):

Femoral Head ◽

Bone Graft ◽

Iliac Bone ◽

Rotational Osteotomy ◽

Iliac Bone Graft

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Drilling and plombage (core decompression) of a femoral head avascular necrosis

Osteologie/Osteology ◽

10.1055/s-0037-1619921 ◽

2010 ◽

Vol 19 (01) ◽

pp. 36-39 ◽

Cited By ~ 1

Author(s):

P. Chládek ◽

V. Havlas ◽

T. Trc

Keyword(s):

Surgical Treatment ◽

Femoral Head ◽

Core Decompression ◽

Effective Treatment Option ◽

Simple Method ◽

X Ray ◽

Large Femoral Head ◽

Press Fit ◽

Round Shape ◽

Late Stages

SummaryThe treatment of femoral head necrosis of adults is still rather problematic. Conservative treatment has been reported relatively unsuccessful and surgical treatment does not show convincing results either. The most effective seems to be a surgical treatment in early stages of the disease, however, the diagnosis still remains relatively complicated. For the late stages (2B and above) the most effective treatment option is represented by core decompression and vascular grafting. However, drilling and plombage (especially when using press-fit technique) seems to be successful, although not excellent. The authors describe their own method of drilling and plombage of the necrotic zone of the femoral head in 41 patients with X-ray detected necrotic changes of the femoral head. The pain measured by VAS was seen to decrease after surgery in all patients significantly. The Jacobs score was also observed to have increased (from fair to good outcome). We have not observed any large femoral head collapse after surgery, moreover, in some cases an improvement of the round shape of the femoral head was seen. It is important to mention that in all cases femoral heads with existing necrotic changes (flattening or collapse) were treated. Although the clinical improvement after surgery was not significantly high, the method we describe is a safe and simple method of diminishing pain in attempt to prepare the femoral head for further treatment in a future, without significant restriction of the indication due to necrosis (osteochondroplasty, resurfacing, THR).

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Holding Power of Orthopaedic Screws in Bovine Femoral Heads

Veterinary and Comparative Orthopaedics and Traumatology ◽

10.1055/s-0038-1633115 ◽

1993 ◽

Vol 06 (03) ◽

pp. 160-162 ◽

Cited By ~ 2

Author(s):

M. J. Ulm ◽

D. G. Wilson

Keyword(s):

Femoral Head ◽

Cannulated Screws ◽

Cancellous Screw ◽

Holding Power ◽

Cortical Screw ◽

Femoral Heads ◽

Cancellous Screws ◽

Physeal Fractures

SummaryFemoral capital physeal fractures have been successfully repaired using 7.0 mm cannulated screws. The holding power of 7.0 mm cannulated screws was compared to the holding power of 5.5 mm cortical screws and 6.5 mm cancellous screws using paired bovine femoral heads. The 7.0 mm cannulated screw’s holding power was superior to the 6.5 mm cancellous screw and similar to that of the 5.5 mm cortical screw.When placed in the bovine femoral head, 7.0 mm cannulated screws have holding power greater than 6.5 mm cancellous screws and similar to 5.5 mm cortical screws.

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