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Sartorius muscle pedicle iliac bone graft for the treatment of avascular necrosis of femur head

Avascular necrosis (AVN) of femoral head needs to be addressed early in the course of the disease, to prevent progression to osteoarthritis. A revascularizing procedure which can help preserve the head should be considered in young adults to alleviate the need for total hip arthroplasty. We included...

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Autores principales: Vaishya, Raju, Agarwal, Amit Kumar, Gupta, Nishint, Vijay, Vipul
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5005060/
https://www.ncbi.nlm.nih.gov/pubmed/27583161
http://dx.doi.org/10.1093/jhps/hnw012
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author Vaishya, Raju
Agarwal, Amit Kumar
Gupta, Nishint
Vijay, Vipul
author_facet Vaishya, Raju
Agarwal, Amit Kumar
Gupta, Nishint
Vijay, Vipul
author_sort Vaishya, Raju
collection PubMed
description Avascular necrosis (AVN) of femoral head needs to be addressed early in the course of the disease, to prevent progression to osteoarthritis. A revascularizing procedure which can help preserve the head should be considered in young adults to alleviate the need for total hip arthroplasty. We included 40 cases (53 hips) of AVN of femoral head operated with Sartorius muscle pedicle iliac bone grafting, done by the senior author. Early post-operative rehabilitation was done. The weight bearing was delayed for 6 weeks. All the patients were followed clinically and radiologically at regular intervals. The operated femoral heads, were grouped according to Ficat’s staging: 24 in stage IIA (45.3%), 22 in stage IIB (41.5%) and 07 in stage III (13.2%). The average duration of surgery was 85 min (range: 55–130 min). The total duration of follow-up was average 4.2 years (range: 2.2–15 years).The Harris hip score was excellent (>90) in 18 hips (33.96%), good (80–89) in 24 hips (45.28%), fair (70–79) in 9 hips (17%) and poor (<70) in 2 hips (3.7%). AVN of the femoral head is a painful and disabling condition in young adults. Sartorius muscle pedicle bone graft technique allows adequate decompression, re vascularization and osteogenesis of the femur head in Ficat’s stage IIa, IIb and III, in young adults. This is an effective and easy technique to adopt with excellent to good results in 80% cases and is associated with only minimal complications.
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spelling pubmed-50050602016-08-31 Sartorius muscle pedicle iliac bone graft for the treatment of avascular necrosis of femur head Vaishya, Raju Agarwal, Amit Kumar Gupta, Nishint Vijay, Vipul J Hip Preserv Surg Research Articles Avascular necrosis (AVN) of femoral head needs to be addressed early in the course of the disease, to prevent progression to osteoarthritis. A revascularizing procedure which can help preserve the head should be considered in young adults to alleviate the need for total hip arthroplasty. We included 40 cases (53 hips) of AVN of femoral head operated with Sartorius muscle pedicle iliac bone grafting, done by the senior author. Early post-operative rehabilitation was done. The weight bearing was delayed for 6 weeks. All the patients were followed clinically and radiologically at regular intervals. The operated femoral heads, were grouped according to Ficat’s staging: 24 in stage IIA (45.3%), 22 in stage IIB (41.5%) and 07 in stage III (13.2%). The average duration of surgery was 85 min (range: 55–130 min). The total duration of follow-up was average 4.2 years (range: 2.2–15 years).The Harris hip score was excellent (>90) in 18 hips (33.96%), good (80–89) in 24 hips (45.28%), fair (70–79) in 9 hips (17%) and poor (<70) in 2 hips (3.7%). AVN of the femoral head is a painful and disabling condition in young adults. Sartorius muscle pedicle bone graft technique allows adequate decompression, re vascularization and osteogenesis of the femur head in Ficat’s stage IIa, IIb and III, in young adults. This is an effective and easy technique to adopt with excellent to good results in 80% cases and is associated with only minimal complications. Oxford University Press 2016-04-25 /pmc/articles/PMC5005060/ /pubmed/27583161 http://dx.doi.org/10.1093/jhps/hnw012 Text en © The Author 2016. Published by Oxford University Press. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Research Articles
Vaishya, Raju
Agarwal, Amit Kumar
Gupta, Nishint
Vijay, Vipul
Sartorius muscle pedicle iliac bone graft for the treatment of avascular necrosis of femur head
title Sartorius muscle pedicle iliac bone graft for the treatment of avascular necrosis of femur head
title_full Sartorius muscle pedicle iliac bone graft for the treatment of avascular necrosis of femur head
title_fullStr Sartorius muscle pedicle iliac bone graft for the treatment of avascular necrosis of femur head
title_full_unstemmed Sartorius muscle pedicle iliac bone graft for the treatment of avascular necrosis of femur head
title_short Sartorius muscle pedicle iliac bone graft for the treatment of avascular necrosis of femur head
title_sort sartorius muscle pedicle iliac bone graft for the treatment of avascular necrosis of femur head
topic Research Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5005060/
https://www.ncbi.nlm.nih.gov/pubmed/27583161
http://dx.doi.org/10.1093/jhps/hnw012
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