Less invasive treatment for aseptic femoral head necrosis with Ficat II and III A patterns using core decompression and fibula strut graft
CA Shu-Feng, LIU Chang-Li, TANG Yong, CHEN Yan-Chao
Chinese Journal of Clinical Anatomy ›› 2013, Vol. 31 ›› Issue (2) : 217-219.
Less invasive treatment for aseptic femoral head necrosis with Ficat II and III A patterns using core decompression and fibula strut graft
Objective To investigate the clinical value of core decompression and non-vascular fibula strut graft for treatment of aseptic femoral head necrosis. Methods Core decompression, debridement and fibula strut graft were performed for treatment of 46 patients with Ficat II and III A-pattern aseptic femoral head necrosis. Results During two to five years of following-up, the Harris scale was used the assess the therapeutic efficacy and good and excellent rate was determined as being 83%. The average score by Harris scale was raised to 85 points postoperatively from 61 points preoperatively. Conclusion Using core decompression and fibula strut graft for treatment of aseptic femoral head necrosis could be valuable in delaying the hip joint replacement.
Femoral head necrosis / Core decompression / Fibula strut graft
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