A summary of hip-preservation surgery based on peri-collapse stage of osteonecrosis of femoral head_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

LIU Yuhao ^1,2 , ZHOU Chi ^2,3,4 , CHEN Leilei ^2,3,4 , SUN Youqiang ^1,2 ,  HE Wei ^2,3,4

1. First Clinical Medical College, Guangzhou University of Chinese Medicine, Guangzhou Guangdong, 510405, P.R.China;
2. The Lab of Orthopaedics and Traumatology, Chinese Medicine of Lingnan Medical Research Center, Guangzhou University of Chinese Medicine, Guangzhou Guangdong, 510405, P.R.China;
3. Department of Joint Orthopaedics, the First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou Guangdong, 510405, P.R.China;
4. National Chinese Medicine Key Specialist of Hip Disease, the First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou Guangdong, 510405, P.R.China;

Corresponding?author：

HE Wei, Email: hw13802516062@126.com

Keywords：

Osteonecrosis of the femoral head; Peri-collapse stage; Hip-preservation surgery

DOI：

10.7507/1002-1892.201611084

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Objective To summarize surgical procedures of hip-preservation based on peri-collapse stage of osteonecrosis of the femoral head (ONFH). Methods The basic points of peri-collapse stage theory was expounded. The related literature on surgical procedures was summarized and analyzed based on the theory. Results Surgical procedures of hip-preservation tend to emphasize on mechanical repair, giving consideration to biological repair. It is consistent with the essence of peri-collapse stage theory, which attaches great importance to biomechanical stability. Conclusion Peri-collapse stage theory has a guiding significance to the choice of surgical timing and approach, and it is one of the important theoretical basis for hip-preservation treatment.

Citation： LIU Yuhao, ZHOU Chi, CHEN Leilei, SUN Youqiang, HE Wei. A summary of hip-preservation surgery based on peri-collapse stage of osteonecrosis of femoral head. Chinese Journal of Reparative and Reconstructive Surgery, 2017, 31(8): 1010-1015. doi: 10.7507/1002-1892.201611084 Copy

1.	歐志學, 賈曉軍, 龐智暉, 等. 何偉教授治療股骨頭壞死塌陷前期經驗介紹. 新中醫, 2011, 43(5): 155-156.
2.	Mont MA, Cherian JJ, Sierra RJ, et al. Nontraumatic Osteonecrosis of the Femoral Head: Where Do We Stand Today? A Ten-Year Update. J Bone Joint Surg (Am), 2015, 97(19): 1604-1627.
3.	Nam KW, Kim YL, Yoo JJ, et al. Fate of untreated asymptomatic osteonecrosis of the femoral head. J Bone Joint Surg (Am), 2008, 90(3): 477-484.
4.	Zhang NF, Li ZR, Wei HY, et al. Steroid-induced osteonecrosis: the number of lesions is related to the dosage. J Bone Joint Surg (Br), 2008, 90(9): 1239-1243.
5.	Nagasawa K, Tada Y, Koarada S, et al. Very early development of steroid-associated osteonecrosis of femoral head in systemic lupus erythematosus: prospective study by MRI. Lupus, 2005, 14(5): 385-390.
6.	何偉. 如何把握股骨頭壞死患者的保髖治療時機. 中國骨與關節雜志, 2016, 5(2): 82-86.
7.	Joint Surgery Group of the Orthopaedic Branch of the Chinese Medical Association. Guideline for Diagnostic and Treatment of Osteonecrosis of the Femoral Head. Orthop Surg, 2015, 7(3): 200-207.
8.	Etienne G, Mont MA, Ragland PS. The diagnosis and treatment of nontraumatic osteonecrosis of the femoral head. Instr Course Lect, 2004, 53: 67-85.
9.	崔永鋒, 袁浩. 袁浩談非創傷性股骨頭壞死的現狀和研究思路. 中國中醫藥信息雜志, 2006, 13(4): 87-89.
10.	Lieberman JR, Berry DJ, Mont MA, et al. Osteonecros is of the hip: management in the 21st century. Instr Course Lect, 2003, 52: 337-355.
11.	李子榮. 骨壞死. 北京: 人民衛生出版社, 2012: 183-188.
12.	劉毓, 何偉. 何偉教授保髖治療股骨頭壞死塌陷晚期經驗介紹. 新中醫, 2010, 42(7): 135-137.
13.	賈曉軍, 歐志學, 龐智暉, 等. 何偉教授對于股骨頭壞死圍塌陷期保髖的創新認識和經驗總結. 中醫正骨, 2011, 23(12): 956-958.
14.	陳雷雷, 張穎. 何偉教授采用中醫藥療法治療股骨頭壞死的經驗. 中醫正骨, 2015, 27(10): 794-797.
15.	魏秋實, 何偉, 方斌, 等. 中醫藥治療股骨頭壞死的療效評價及適應證的初步探索. 中華關節外科雜志(電子版), 2013, 7(3): 294-300.
16.	龐智暉, 歐志學, 魏秋實, 等. 辨塌論治在鉭棒治療早期股骨頭壞死中的運用.中國中醫骨傷科雜志, 2012, 20(1): 26-29.
17.	方斌, 何偉, 展磊, 等. 不同壞死范圍下股骨頭壞死區應力分布的有限元分析.中醫正骨, 2012, 24(10): 10-15.
18.	陳雷雷. 股骨頭壞死 ARCOⅢ期軟骨病變研究及證型相關性分析. 廣州: 廣州中醫藥大學, 2012.
19.	Ficat RP, Arlet J. Necrosis of the femoral head//Hungefford DS. Ischemia and necrosis of bone. Baltimore: Williams and ilkins, 1980: 53,74.
20.	Lieberman JR. Core decompression for osteonecrosis of the hip. Clin Orthop Relat Res, 2004, (418): 29-33.
21.	Ficat P, Grijalvo P. Long-term results of the forage-biopsy in grade I and II osteonecrosis of the femoral head. Apropos of 133 cases re-examined after an average time of 9 years 6 months. Rev Chir Orthop Reparatrice Appar Mot, 1984, 70(3): 253-255.
22.	Kim SY, KimH, Park, et al. Multiple drilling compared with standard core decompression for the treatment of osteonecrosis of the femoral head. J Bone Joint Surg (Br), 2004, 86(Suppl II): 149.
23.	Al Omran A. Multiple drilling compared with standard core decompression for avascular necrosis of the femoral head in sickle cell disease patients. Arch Orthop Trauma Surg, 2013, 133(5): 609-613.
24.	Pierce TP, Jauregui JJ, Elmallah RK, et al. A current review of core decompression in the treatment of osteonecrosis of the femoral head. Curr Rev Musculoskelet Med, 2015, 8(3): 228-232.
25.	Ficat RP. Idiopathic bone necrosis of the femoral head. Early diagnosis and treatment. J Bone Joint Surg (Br), 1985, 67(1): 3-9.
26.	Hernigou P, Beaujean F, Lambotte JC. Decrease in the mesenchymal stem-cell pool in the proximal femur in corticosteroid-induced osteonecrosis. J Bone Joint Surg (Br), 1999, 81(2): 349-355.
27.	Hernigou P, Beaujean F. Bone marrow activity in the upper femoral extremity in avascular osteonecrosis. Rev Rhum Engl Ed, 1993, 60(1): 610.
28.	Philippe H, Fran?oise B. Treatment of osteonecrosis with autologous bone marrow grafting. Clin Orthop Relat Res, 2002, (405): 14-23.
29.	Zhao D, Cui D, Wang B, et al. Treatment of early stage osteonecrosis of the femoral head with autologous implantation of bone marrow-derived and cultured mesenchymal stem cells. Bone, 2012, 50(1): 325-330.
30.	孫偉, 李子榮, 王佰亮, 等. 髓芯減壓加自體骨髓干細胞移植治療股骨頭壞死的早期隨訪結果. 中國組織工程研究與臨床康復, 2008, 12(12): 2231-2234.
31.	Sugioka Y, Hotokebuchi T, Tsutsui H. Transtrochanteric anterior rotational osteotomy for idiopathic and steroid-induced necrosis of the femoral head. Indications and long-term results. Clin Orthop Relat Res, 1992, (277): 111-120.
32.	張念非, 李子榮, 楊連發, 等. 經股骨粗隆部旋轉截骨術治療股骨頭壞死. 中華外科雜志, 2004, 42(24): 1477-1480.
33.	Sonoda K, Yamamoto T, Motomura G, et al. Outcome of transtrochanteric rotational osteotomy for posttraumatic osteonecrosis of the femoral head with a mean follow-up of 12.3 years. Arch Orthop Trauma Surg, 2015, 135(9): 1257-1263.
34.	Chotai P, Shon WY, Suh DH, et al. Femoral head stress fracture: an unknown complication following Sugioka's transtrochanteric rotational osteotomy. Orthopedics, 2011, 34(3): 221.
35.	Hisatome T, Yasunaga Y, Takahashi K, et al. Progressive collapse of transposed necrotic area after transtrochanteric rotational osteotomy for osteonecrosis of the femoral head induces osteoarthritic change. Mid-term results of transtrochanteric rotational osteotomy for osteonecrosis of the femoral head. Arch Orthop Trauma Surg, 2004, 124(2): 77-81.
36.	Hiranuma Y, Atsumi T, Kajiwara T, et al. Evaluation of instability after transtrochanteric anterior rotational osteotomy for nontraumatic osteonecrosis of the femoral head. J Orthop Sci, 2009, 14(5): 535-542.
37.	Kawasaki M, Hasegawa Y, Sakano S, et al. Total hip arthroplasty after failed transtrochanteric rotational osteotomy for avascular necrosis of the femoral head. J Arthroplasty, 2005, 20(5): 574-579.
38.	Park KS, Tumin M, Peni I, et al. Conversion total hip arthroplasty after previous transtrochanteric rotational osteotomy for osteonecrosis of the femoral head. J Arthroplasty, 2014, 29(4): 813-816.
39.	趙德偉. 股骨頭缺血性壞死的修復與再造. 3 版. 北京: 人民衛生出版社, 2013: 10.
40.	Poul T, Sandor G, Oleg A, et al. Bone Grafts in Hip Sourgery//Daniel JB, Jay RL. Surgery of the Hip. Holland: Elsevier Medicine, 2013: 189-194.
41.	何偉, 李勇, 張慶文, 等. 蛙式側位分型在植骨支撐術治療酒精性股骨頭壞死中的意義. 中華關節外科雜志(電子版), 2011, 5(1): 27-33.
42.	Wang BL, Sun W, Shi ZC, et al. Treatment of nontraumatic osteonecrosis of the femoral head using bone impaction grafting through a femoral neck window. Int Orthop, 2010, 34(5): 635-639.
43.	Rosenwasser MP, Garino JP, Kiernan HA, et al. Long-term follow up of thorough debridement and cancellous bone grafting for osteonecrosis of the femoral head. Clin Orthop Relat Res, 1994, (306): 17-27.
44.	Sun W, Li Z, Gao F, et al. Recombinant human bone morphogenetic protein-2 in debridement and impacted bone graft for the treatment of femoral head osteonecrosis. PLoS One, 2014, 9(6): e100424.
45.	Zhou G, Zhang Y, Zeng L, et al. Should thorough Debridement be used in Fibular Allograft with impaction bone grafting to treat Femoral Head Necrosis: a biomechanical evaluation. BMC Musculoskelet Disord, 2015, 16: 140.
46.	何偉. 整體觀念在股骨頭壞死診斷與治療中的應用. 江蘇中醫藥, 2008, 40(5): 1-2.
47.	何偉, 李勇, 張慶文, 等. 自體或同種異體腓骨聯合打壓植骨治療股骨頭壞死的初步研究. 中國修復重建外科雜志, 2009, 23(5): 530-533.
48.	Ganz R, Gill TJ, Gautier E, et al. Surgical dislocation of the adult hip a technique with full access to the femoral head and acetabulum without the risk of avascular necrosis. J Bone Joint Surg (Br), 2001, 83(8): 1119-1124.
49.	Cohen R. A porous tantalum trabecular metal: basic science. Am J Orthop (Belle Mead NJ), 2002, 31(4): 216-217.
50.	Pedersen DR, Brown TD, Poggie RA. Finite element characterization of a porous tantalum material for treatment of avascular necrosis. Trans Orthop Res Soc, 1997, 22: 598.
51.	Tsao AK, Roberson JR, Christie MJ, et al. Biomechanical and clinical evaluations of a porous tantalum implant for the treatment of early-stage osteonecrosis. J Bone Joint Surg (Am), 2005, 87 Suppl 2: 22-27.
52.	Liu ZH, Guo WS, Li ZR, et al. Porous tantalum rods for treating osteonecrosis of the femoral head. Genet Mol Res, 2014, 13(4): 8342-8352.
53.	Buckley PD, Gearen PF, Petty RW. Structural bone-grafting for early atraumatic avascular necrosis of the femoral head. J Bone Joint Surg (Am), 1991, 73(9): 1357-1364.
54.	Ma J, Sun W, Gao F, et al. Porous Tantalum Implant in Treating Osteonecrosis of the Femoral Head: Still a Viable Option? Sci Rep, 2016, 6: 28227.
55.	Tanzer M, Bobyn JD, Krygier JJ, et al. Histopathologic retrieval analysis of clinically failed porous tantalum osteonecrosis implants. J Bone Joint Surg (Am), 2008, 90(6): 1282-1289.
56.	Zhang Y, Xu J, Ruan YC, et al. Implant-derived magnesium induces local neuronal production of CGRP to improve bone-fracture healing in rats. Nat Med, 2016, 22(10): 1160-1169.
57.	Zhao D, Huang S, Lu F, et al. Vascularized bone grafting fixed by biodegradable magnesium screw for treating osteonecrosis of the femoral head. Biomaterials, 2016, 81: 84-92.
58.	Zhao D, Cui D, Lu F, et al. Combined vascularized iliac and greater trochanter graftings for reconstruction of the osteonecrosis femoral head with collapse: reports of three cases with 20 years follow-up. Microsurgery, 2012, 32(7): 546-551.
59.	Judet H, Judet J, Gilbert A, et al. Treatment of idiopathic necrosis of the femoral head by a vascularized fibular graft. Evaluation after 7 years experience. Chirurgie, 1986, 112(9): 699-702.
60.	Judet H, Gilbert A. Long-term results of free vascularized fibular grafting for femoral head necrosis. Clin Orthop Relat Res, 2001, (386): 114-119.
61.	Eward WC, Rineer CA, Urbaniak JR, et al. The vascularized fibular graft in precollapse osteonecrosis: is long-term hip preservation possible? Clin Orthop Relat Res, 2012, 470(10): 2819-2826.
62.	Yin S, Zhang C, Jin D, et al. Treatment of osteonecrosis of the femoral head in lymphoma patients by free vascularised fibular grafting. Int Orthop, 2011, 35(8): 1125-1130.
63.	Tetik C, Ba?ar H, Bezer M, et al. Comparison of early results of vascularized and non-vascularized fibular grafting in the treatment of osteonecrosis of the femoral head. Acta Orthop Traumatol Turc, 2011, 45(5): 326-334.
64.	Zhao D, Wang B, Guo L, et al. Will a vascularized greater trochanter graft preserve the necrotic femoral head? Clin Orthop Relat Res, 2010, 468(5): 1316-1324.
65.	Zeng YR, He S, Feng WJ, et al. Vascularised greater trochanter bone graft, combined free iliac flap and impaction bone grafting for osteonecrosis of the femoral head. Int Orthop, 2013, 37(3): 391-398.
66.	Chen CC, Lin CL, Chen WC, et al. Vascularized iliac bone-grafting for osteonecrosis with segmental collapse of the femoral head. J Bone Joint Surg (Am), 2009, 91(10): 2390-2394.

1. 歐志學, 賈曉軍, 龐智暉, 等. 何偉教授治療股骨頭壞死塌陷前期經驗介紹. 新中醫, 2011, 43(5): 155-156.
2. Mont MA, Cherian JJ, Sierra RJ, et al. Nontraumatic Osteonecrosis of the Femoral Head: Where Do We Stand Today? A Ten-Year Update. J Bone Joint Surg (Am), 2015, 97(19): 1604-1627.
3. Nam KW, Kim YL, Yoo JJ, et al. Fate of untreated asymptomatic osteonecrosis of the femoral head. J Bone Joint Surg (Am), 2008, 90(3): 477-484.
4. Zhang NF, Li ZR, Wei HY, et al. Steroid-induced osteonecrosis: the number of lesions is related to the dosage. J Bone Joint Surg (Br), 2008, 90(9): 1239-1243.
5. Nagasawa K, Tada Y, Koarada S, et al. Very early development of steroid-associated osteonecrosis of femoral head in systemic lupus erythematosus: prospective study by MRI. Lupus, 2005, 14(5): 385-390.
6. 何偉. 如何把握股骨頭壞死患者的保髖治療時機. 中國骨與關節雜志, 2016, 5(2): 82-86.
7. Joint Surgery Group of the Orthopaedic Branch of the Chinese Medical Association. Guideline for Diagnostic and Treatment of Osteonecrosis of the Femoral Head. Orthop Surg, 2015, 7(3): 200-207.
8. Etienne G, Mont MA, Ragland PS. The diagnosis and treatment of nontraumatic osteonecrosis of the femoral head. Instr Course Lect, 2004, 53: 67-85.
9. 崔永鋒, 袁浩. 袁浩談非創傷性股骨頭壞死的現狀和研究思路. 中國中醫藥信息雜志, 2006, 13(4): 87-89.
10. Lieberman JR, Berry DJ, Mont MA, et al. Osteonecros is of the hip: management in the 21st century. Instr Course Lect, 2003, 52: 337-355.
11. 李子榮. 骨壞死. 北京: 人民衛生出版社, 2012: 183-188.
12. 劉毓, 何偉. 何偉教授保髖治療股骨頭壞死塌陷晚期經驗介紹. 新中醫, 2010, 42(7): 135-137.
13. 賈曉軍, 歐志學, 龐智暉, 等. 何偉教授對于股骨頭壞死圍塌陷期保髖的創新認識和經驗總結. 中醫正骨, 2011, 23(12): 956-958.
14. 陳雷雷, 張穎. 何偉教授采用中醫藥療法治療股骨頭壞死的經驗. 中醫正骨, 2015, 27(10): 794-797.
15. 魏秋實, 何偉, 方斌, 等. 中醫藥治療股骨頭壞死的療效評價及適應證的初步探索. 中華關節外科雜志(電子版), 2013, 7(3): 294-300.
16. 龐智暉, 歐志學, 魏秋實, 等. 辨塌論治在鉭棒治療早期股骨頭壞死中的運用.中國中醫骨傷科雜志, 2012, 20(1): 26-29.
17. 方斌, 何偉, 展磊, 等. 不同壞死范圍下股骨頭壞死區應力分布的有限元分析.中醫正骨, 2012, 24(10): 10-15.
18. 陳雷雷. 股骨頭壞死 ARCOⅢ期軟骨病變研究及證型相關性分析. 廣州: 廣州中醫藥大學, 2012.
19. Ficat RP, Arlet J. Necrosis of the femoral head//Hungefford DS. Ischemia and necrosis of bone. Baltimore: Williams and ilkins, 1980: 53,74.
20. Lieberman JR. Core decompression for osteonecrosis of the hip. Clin Orthop Relat Res, 2004, (418): 29-33.
21. Ficat P, Grijalvo P. Long-term results of the forage-biopsy in grade I and II osteonecrosis of the femoral head. Apropos of 133 cases re-examined after an average time of 9 years 6 months. Rev Chir Orthop Reparatrice Appar Mot, 1984, 70(3): 253-255.
22. Kim SY, KimH, Park, et al. Multiple drilling compared with standard core decompression for the treatment of osteonecrosis of the femoral head. J Bone Joint Surg (Br), 2004, 86(Suppl II): 149.
23. Al Omran A. Multiple drilling compared with standard core decompression for avascular necrosis of the femoral head in sickle cell disease patients. Arch Orthop Trauma Surg, 2013, 133(5): 609-613.
24. Pierce TP, Jauregui JJ, Elmallah RK, et al. A current review of core decompression in the treatment of osteonecrosis of the femoral head. Curr Rev Musculoskelet Med, 2015, 8(3): 228-232.
25. Ficat RP. Idiopathic bone necrosis of the femoral head. Early diagnosis and treatment. J Bone Joint Surg (Br), 1985, 67(1): 3-9.
26. Hernigou P, Beaujean F, Lambotte JC. Decrease in the mesenchymal stem-cell pool in the proximal femur in corticosteroid-induced osteonecrosis. J Bone Joint Surg (Br), 1999, 81(2): 349-355.
27. Hernigou P, Beaujean F. Bone marrow activity in the upper femoral extremity in avascular osteonecrosis. Rev Rhum Engl Ed, 1993, 60(1): 610.
28. Philippe H, Fran?oise B. Treatment of osteonecrosis with autologous bone marrow grafting. Clin Orthop Relat Res, 2002, (405): 14-23.
29. Zhao D, Cui D, Wang B, et al. Treatment of early stage osteonecrosis of the femoral head with autologous implantation of bone marrow-derived and cultured mesenchymal stem cells. Bone, 2012, 50(1): 325-330.
30. 孫偉, 李子榮, 王佰亮, 等. 髓芯減壓加自體骨髓干細胞移植治療股骨頭壞死的早期隨訪結果. 中國組織工程研究與臨床康復, 2008, 12(12): 2231-2234.
31. Sugioka Y, Hotokebuchi T, Tsutsui H. Transtrochanteric anterior rotational osteotomy for idiopathic and steroid-induced necrosis of the femoral head. Indications and long-term results. Clin Orthop Relat Res, 1992, (277): 111-120.
32. 張念非, 李子榮, 楊連發, 等. 經股骨粗隆部旋轉截骨術治療股骨頭壞死. 中華外科雜志, 2004, 42(24): 1477-1480.
33. Sonoda K, Yamamoto T, Motomura G, et al. Outcome of transtrochanteric rotational osteotomy for posttraumatic osteonecrosis of the femoral head with a mean follow-up of 12.3 years. Arch Orthop Trauma Surg, 2015, 135(9): 1257-1263.
34. Chotai P, Shon WY, Suh DH, et al. Femoral head stress fracture: an unknown complication following Sugioka's transtrochanteric rotational osteotomy. Orthopedics, 2011, 34(3): 221.
35. Hisatome T, Yasunaga Y, Takahashi K, et al. Progressive collapse of transposed necrotic area after transtrochanteric rotational osteotomy for osteonecrosis of the femoral head induces osteoarthritic change. Mid-term results of transtrochanteric rotational osteotomy for osteonecrosis of the femoral head. Arch Orthop Trauma Surg, 2004, 124(2): 77-81.
36. Hiranuma Y, Atsumi T, Kajiwara T, et al. Evaluation of instability after transtrochanteric anterior rotational osteotomy for nontraumatic osteonecrosis of the femoral head. J Orthop Sci, 2009, 14(5): 535-542.
37. Kawasaki M, Hasegawa Y, Sakano S, et al. Total hip arthroplasty after failed transtrochanteric rotational osteotomy for avascular necrosis of the femoral head. J Arthroplasty, 2005, 20(5): 574-579.
38. Park KS, Tumin M, Peni I, et al. Conversion total hip arthroplasty after previous transtrochanteric rotational osteotomy for osteonecrosis of the femoral head. J Arthroplasty, 2014, 29(4): 813-816.
39. 趙德偉. 股骨頭缺血性壞死的修復與再造. 3 版. 北京: 人民衛生出版社, 2013: 10.
40. Poul T, Sandor G, Oleg A, et al. Bone Grafts in Hip Sourgery//Daniel JB, Jay RL. Surgery of the Hip. Holland: Elsevier Medicine, 2013: 189-194.
41. 何偉, 李勇, 張慶文, 等. 蛙式側位分型在植骨支撐術治療酒精性股骨頭壞死中的意義. 中華關節外科雜志(電子版), 2011, 5(1): 27-33.
42. Wang BL, Sun W, Shi ZC, et al. Treatment of nontraumatic osteonecrosis of the femoral head using bone impaction grafting through a femoral neck window. Int Orthop, 2010, 34(5): 635-639.
43. Rosenwasser MP, Garino JP, Kiernan HA, et al. Long-term follow up of thorough debridement and cancellous bone grafting for osteonecrosis of the femoral head. Clin Orthop Relat Res, 1994, (306): 17-27.
44. Sun W, Li Z, Gao F, et al. Recombinant human bone morphogenetic protein-2 in debridement and impacted bone graft for the treatment of femoral head osteonecrosis. PLoS One, 2014, 9(6): e100424.
45. Zhou G, Zhang Y, Zeng L, et al. Should thorough Debridement be used in Fibular Allograft with impaction bone grafting to treat Femoral Head Necrosis: a biomechanical evaluation. BMC Musculoskelet Disord, 2015, 16: 140.
46. 何偉. 整體觀念在股骨頭壞死診斷與治療中的應用. 江蘇中醫藥, 2008, 40(5): 1-2.
47. 何偉, 李勇, 張慶文, 等. 自體或同種異體腓骨聯合打壓植骨治療股骨頭壞死的初步研究. 中國修復重建外科雜志, 2009, 23(5): 530-533.
48. Ganz R, Gill TJ, Gautier E, et al. Surgical dislocation of the adult hip a technique with full access to the femoral head and acetabulum without the risk of avascular necrosis. J Bone Joint Surg (Br), 2001, 83(8): 1119-1124.
49. Cohen R. A porous tantalum trabecular metal: basic science. Am J Orthop (Belle Mead NJ), 2002, 31(4): 216-217.
50. Pedersen DR, Brown TD, Poggie RA. Finite element characterization of a porous tantalum material for treatment of avascular necrosis. Trans Orthop Res Soc, 1997, 22: 598.
51. Tsao AK, Roberson JR, Christie MJ, et al. Biomechanical and clinical evaluations of a porous tantalum implant for the treatment of early-stage osteonecrosis. J Bone Joint Surg (Am), 2005, 87 Suppl 2: 22-27.
52. Liu ZH, Guo WS, Li ZR, et al. Porous tantalum rods for treating osteonecrosis of the femoral head. Genet Mol Res, 2014, 13(4): 8342-8352.
53. Buckley PD, Gearen PF, Petty RW. Structural bone-grafting for early atraumatic avascular necrosis of the femoral head. J Bone Joint Surg (Am), 1991, 73(9): 1357-1364.
54. Ma J, Sun W, Gao F, et al. Porous Tantalum Implant in Treating Osteonecrosis of the Femoral Head: Still a Viable Option? Sci Rep, 2016, 6: 28227.
55. Tanzer M, Bobyn JD, Krygier JJ, et al. Histopathologic retrieval analysis of clinically failed porous tantalum osteonecrosis implants. J Bone Joint Surg (Am), 2008, 90(6): 1282-1289.
56. Zhang Y, Xu J, Ruan YC, et al. Implant-derived magnesium induces local neuronal production of CGRP to improve bone-fracture healing in rats. Nat Med, 2016, 22(10): 1160-1169.
57. Zhao D, Huang S, Lu F, et al. Vascularized bone grafting fixed by biodegradable magnesium screw for treating osteonecrosis of the femoral head. Biomaterials, 2016, 81: 84-92.
58. Zhao D, Cui D, Lu F, et al. Combined vascularized iliac and greater trochanter graftings for reconstruction of the osteonecrosis femoral head with collapse: reports of three cases with 20 years follow-up. Microsurgery, 2012, 32(7): 546-551.
59. Judet H, Judet J, Gilbert A, et al. Treatment of idiopathic necrosis of the femoral head by a vascularized fibular graft. Evaluation after 7 years experience. Chirurgie, 1986, 112(9): 699-702.
60. Judet H, Gilbert A. Long-term results of free vascularized fibular grafting for femoral head necrosis. Clin Orthop Relat Res, 2001, (386): 114-119.
61. Eward WC, Rineer CA, Urbaniak JR, et al. The vascularized fibular graft in precollapse osteonecrosis: is long-term hip preservation possible? Clin Orthop Relat Res, 2012, 470(10): 2819-2826.
62. Yin S, Zhang C, Jin D, et al. Treatment of osteonecrosis of the femoral head in lymphoma patients by free vascularised fibular grafting. Int Orthop, 2011, 35(8): 1125-1130.
63. Tetik C, Ba?ar H, Bezer M, et al. Comparison of early results of vascularized and non-vascularized fibular grafting in the treatment of osteonecrosis of the femoral head. Acta Orthop Traumatol Turc, 2011, 45(5): 326-334.
64. Zhao D, Wang B, Guo L, et al. Will a vascularized greater trochanter graft preserve the necrotic femoral head? Clin Orthop Relat Res, 2010, 468(5): 1316-1324.
65. Zeng YR, He S, Feng WJ, et al. Vascularised greater trochanter bone graft, combined free iliac flap and impaction bone grafting for osteonecrosis of the femoral head. Int Orthop, 2013, 37(3): 391-398.
66. Chen CC, Lin CL, Chen WC, et al. Vascularized iliac bone-grafting for osteonecrosis with segmental collapse of the femoral head. J Bone Joint Surg (Am), 2009, 91(10): 2390-2394.

Chinese Journal of Reparative and Reconstructive Surgery

A summary of hip-preservation surgery based on peri-collapse stage of osteonecrosis of femoral head

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