LONG-TERM RESULTS OF CORE DECOMPRESSION FOR ISCHEMIC NECROSIS OF THE FEMORAL-HEAD
LONG-TERM RESULTS OF CORE DECOMPRESSION FOR ISCHEMIC NECROSIS OF THE FEMORAL-HEAD
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DOI：
10.1302/0301-620x.77b1.7822394
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发表时间：
1995-01-01
影响因子：
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通讯作者：
HUNGERFORD, DS
中科院分区：
文献类型：
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作者：
FAIRBANK, AC;BHATIA, D;HUNGERFORD, DS
对90例128个股骨头缺血性坏死患者采用髓芯减压术治疗，其5、10、15年生存率分别为：I期100%、96%、90%，II期85%、74%、66%，III期58%、35%、23%，平均随访11年(4.5~19年)，55个髋关节失败(43%)。88%的I期，72%的II期和25%的III期髋关节不需要进一步手术；但尽管临床结果总体上令人满意，56%的髋关节至少在一次Ficat分期后放射学进展，核心手术的并发症包括4例骨折，均源于术后跌倒，以及1例因技术错误而导致的头部穿孔。我们得出结论：对于年轻的缺血性坏死患者，核心减压术推迟了全髋关节置换的需要。
We have studied the long-term results of core decompression as the sole treatment for Ficat stages I, II and III ischaemic necrosis of 128 femoral heads in 90 patients, The 5-, 10- and 15-year survival rates for the three stages were respectively: stage I 100%, 96% and 90%; stage II 85%, 74% and 66%; and stage III 58%, 35% and 23%, At a mean follow-up of 11 years (4.5 to 19), 55 hips had failed (43%). No further surgery had been needed for 88% of stage-I, 72% of stage-II and 25% of stage-III hips; but despite the generally satisfactory clinical results, 56% of the hips had progressed radiographically by at least one Ficat stage, Complications of the core procedure included four fractures, all from postoperative falls, and one head perforation due to technical error.We conclude that core decompression delays the need for total hip replacement in young patients with ischaemic necrosis.