Analysis of 10-year survival after flexion osteotomy for femoral head necrosis

被引:1
|
作者
Reck, F. [1 ]
Thorey, F. [1 ]
V. Lewinski, G. [1 ]
Windhagen, H. [1 ]
机构
[1] Med Hochschule Hannover, Orthopad Klin, D-30625 Hannover, Germany
来源
ZEITSCHRIFT FUR ORTHOPADIE UND UNFALLCHIRURGIE | 2007年 / 145卷 / 04期
关键词
femoral head necrosis; flexion osteotomy; total hip arthroplasty; AVASCULAR NECROSIS; INTERTROCHANTERIC OSTEOTOMY; HIP; OSTEONECROSIS; ARTHROPLASTY; FEMUR;
D O I
10.1055/s-2007-965268
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Aim: We have investigated the value of flexion osteotomy for femoral head necrosis with regard to the survival rate. Method: We examined 40 patients who were treated by flexion osteotomy for femoral head necrosis at the Hannover Medical School in the years 1969 to 1995. The mean follow-up period was 14.1 years. Results: The mean survival time of the flexion osteotomies was 9.6 years. In 23 of the 40 patients, it failed within 10 years after Surgery, which implies a 10-year survival Fate of 42.5 %. For these 23 patients, the implantation of a total hip arthroplasty (THA) became necessary after an average time of 6.6 years. Conclusion: Due to the poorly predictable success of the flexion osteotomy and the comparatively poor patient satisfaction, the indication for flexion osteotomy in such cases should be reconsidered.
引用
收藏
页码:448 / 451
页数:4
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