The use of non-vascularized bone grafts to treat osteonecrosis of the femoral head: indications, techniques, and outcomes

被引:41
作者
Sultan, Assem A. [1 ]
Khlopas, Anton [1 ]
Surace, Peter [1 ]
Samuel, Linsen T. [1 ]
Faour, Mhamd [1 ]
Sodhi, Nipun [2 ]
Krebs, Viktor E. [1 ]
Stearns, Kim L. [1 ]
Molloy, Robert M. [1 ]
Mont, Michael A. [1 ,2 ]
机构
[1] Cleveland Clin, Dept Orthopaed Surg, Cleveland, OH 44106 USA
[2] Lenox Hill Hosp, Dept Orthopaed Surg, New York, NY 10021 USA
关键词
Hip oseonecrosis; Femoral head; Non-vascularized; Bone graft; Treatment; Systematic review; TOTAL HIP-ARTHROPLASTY; CORE DECOMPRESSION; AVASCULAR NECROSIS; YOUNG-PATIENTS;
D O I
10.1007/s00264-018-4056-y
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
Osteonecrosis of the femoral head (ONFH) is a multi-factorial disease with relatively unknown aetiology and unclear pathogenetic mechanism. Left untreated, the natural history of the disease is progressive collapse of the femoral head and destruction of the joint with substantial pain and disability. The disease primarily affects younger individuals, in whom many surgeons willtypically prefer to delay performing total hip arthroplasty (THA). Therefore, increasing attention has been given to a wide variety of femoral head-preserving procedures. The use of non-vascularized bone grafting (NVBG) to treat ONFH has mainly been advocated for pre-collapse and select, early post-collapse lesions. Currently, multiple studies reported on various non-vascularized bone grafting techniques of treating ONFH. Clinical outcomes have varied widely, with success rates reported between 55 and 87% in the short- to mid-term, with long-term results lacking. Due to the current paucity of studies, in this review we aimed to discuss (1) indications, (2) techniques, and (3) outcomes of non-vascularized bone grafting used to treat osteonecrosis of the femoral head.
引用
收藏
页码:1315 / 1320
页数:6
相关论文
共 36 条
[1]  
Banal J, 2017, INT J ORTHOP SCI, V3, P149, DOI [10.22271/ortho.2017.v3.i1c.24, DOI 10.22271/0RTH0.2017.V3.I1C.24, DOI 10.22271/ORTHO.2017.V3.I1C.24]
[2]   NON-TRAUMATIC NECROSIS OF FEMORAL HEAD .2. EXPERIENCES IN TREATMENT [J].
BOETTCHER, WG ;
BONFIGLIO, M ;
SMITH, K .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1970, A 52 (02) :322-+
[3]   TREATMENT BY BONE-GRAFTING OF ASEPTIC NECROSIS OF THE FEMORAL HEAD AND NON-UNION OF THE FEMORAL NECK (PHEMISTER TECHNIQUE) [J].
BONFIGLIO, M ;
BARDENSTEIN, MB .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1958, 40 (06) :1329-1346
[4]   Local Cancellous Bone Grafting for Osteonecrosis of the Femoral Head [J].
Chang, Yuhan ;
Hu, Chi-Chien ;
Chen, Dave W. ;
Ueng, Steve W. N. ;
Shih, Chun-Hsiung ;
Lee, Mel S. .
SURGICAL INNOVATION, 2009, 16 (01) :63-67
[5]   An evidence-based guide to the treatment of osteonecrosis of the femoral head [J].
Chughtai, M. ;
Piuzzi, N. S. ;
Khlopas, A. ;
Jones, L. C. ;
Goodman, S. B. ;
Mont, M. A. .
BONE & JOINT JOURNAL, 2017, 99B (10) :1267-1279
[6]   Clinical and radiological outcomes of treatment of avascular necrosis of the femoral head using autologous osteochondral transfer (mosaicplasty). Preliminary report [J].
Gagala, Jacek ;
Tarczynska, Marta ;
Gaweda, Krzysztof .
INTERNATIONAL ORTHOPAEDICS, 2013, 37 (07) :1239-1244
[7]  
Ganz R, 1983, Hip, P296
[8]   Prophylactic decompression and bone grafting for small asymptomatic osteonecrotic lesions of the femoral head [J].
Hsu, Jason E. ;
Wihbey, Tristan ;
Shah, Roshan P. ;
Garino, Jonathan P. ;
Lee, Gwo-Chin .
HIP INTERNATIONAL, 2011, 21 (06) :672-677
[9]   Bilateral core decompression for osteonecrosis of the femoral head [J].
Israelite, C ;
Nelson, CL ;
Ziarani, CF ;
Abboud, JA ;
Landa, J ;
Steinberg, ME .
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2005, (441) :285-290
[10]  
Issa K, 2014, J BONE JOINT SURG AM, V96A, P1349, DOI [10.2106/JBJS.M.00888, 10.2106/JBJS.M.00899]