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European Journal of Orthopaedic Surgery & Traumatology
Published in: European Journal of Orthopaedic Surgery & Traumatology 8/2013

01-12-2013 | Original Article

Therapeutic effect of minimally invasive decompression combined with impaction bone grafting on osteonecrosis of the femoral head

Authors: Hong-Jun Zhang, You-Wen Liu, Zhi-Qian Du, Huili Guo, Ke-Jie Fan, Guo-Hui Liang, Xing-Cai Liu

Published in: European Journal of Orthopaedic Surgery & Traumatology | Issue 8/2013

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Abstract

The aim of this study was to observe the therapeutic effect of minimally invasive decompression combined with impaction bone grafting on osteonecrosis of the femoral head. A total of 67 patients underwent minimally invasive lightbulb decompression combined with impaction bone grafting. The therapeutic effect was evaluated according to Harris scores, and fluoroscopic and magnetic resolution imaging results at different time points. The Harris score was significantly increased after operation. The fineness rate was 85.4 %. Postoperative disease progression was found in nine patients with the progression rate of 14.63 %. The average necrotic area percentage was noticeably reduced 6 months, 1 year, and 2 years after operation. The one-year postoperative percentage showed a significant difference compared with the preoperative one. Minimally invasive lightbulb decompression combined with impaction bone grafting can achieve a satisfactory curative effect on ONFH. This method has the advantages of small trauma, thorough decompression, and good bone implantation.
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Metadata
Title
Therapeutic effect of minimally invasive decompression combined with impaction bone grafting on osteonecrosis of the femoral head
Authors
Hong-Jun Zhang
You-Wen Liu
Zhi-Qian Du
Huili Guo
Ke-Jie Fan
Guo-Hui Liang
Xing-Cai Liu
Publication date
01-12-2013
Publisher
Springer Paris
Published in
European Journal of Orthopaedic Surgery & Traumatology / Issue 8/2013
Print ISSN: 1633-8065
Electronic ISSN: 1432-1068
DOI
https://doi.org/10.1007/s00590-012-1141-6

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