CORE DECOMPRESSION OF THE DISTAL FEMUR FOR AVASCULAR NECROSIS OF THE KNEE

CORE DECOMPRESSION OF THE DISTAL FEMUR FOR AVASCULAR NECROSIS OF THE KNEE
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DOI:
10.1302/0301-620x.71b4.2768301
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发表时间:
1989-08-01
影响因子:
--
通讯作者:
HUNGERFORD, DS
HUNGERFORD, DS
中科院分区:
其他
文献类型:
--
作者:
JACOBS, MA;LOEB, PE;HUNGERFORD, DS

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从1974年至1981年,我们施行了28例经病理证实的股骨远端缺血性坏死的髓芯减压术。在平均54个月(范围20至140个月)的随访中,使用Ficat分期,所有7例I期和II期病例均获得良好结果。21例III期患者中,II期患者效果良好,4例效果差,6例需行全膝关节置换术。没有明显的骨科并发症。这个过程是值得的,并且将通过新的成像方法更加准确。
From 1974 to 1981, we performed 28 core decompressions of the distal femur for pathologically confirmed avascular necrosis. At a mean follow-up of 54 months (range 20 to 140 months) and using the Ficat stages, all seven cases in stage I and stage II had good results. Of 21 cases in stage III, II cases had good results, four had poor results, and six needed total knee replacement. There were no significant orthopaedic complications. The procedure is worthwhile and will be more accurate with new methods of imaging.