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초기 비외상성 대퇴골두 무혈성 괴사의 골 이식에 대한 임상적 고찰
최원식 ( Won Sik Choy ),김환정 ( Whan Jeong Kim ),이광원 ( Kwang Woo Lee ),유천환 ( Chun Hwan Yoo ),송대화 ( Dae Hwa Song ),김규현 ( Kyou Hyun Kim ),옹상석 ( Sang Suk Ong ) 대한고관절학회 1996 Hip and Pelvis Vol.8 No.2
The authors retrospectively reviewed 21 patients who underwent 22 bone grafting procedures for early atraumatic avascular necrosis of femoral head to evaluate effectiveness of the procedure. The minimum follow up period was 2 years and evaluation included clinical results using Merle d'Aubigne-Postel scale as modified by Charnely and radiographs using Ficats staging system. The result were as follows. l. All case". were males and 20 patients have bilateral involvement. The ages ranged from 26 to 67 years and mean age was 46.1 years. 2. According to the Ficat stage, Stage I was 8 cases (36%), Stage II were 14 cases (64%). At last follow up, Stage I were 1 case (5%), Stage II were 4 cases (18%), Stage III were 8 cases (36%) and Stage IV were 9 cases (41%). 3. The successful results in clinical and roentgenological evaluations were obtained in 5 cases (23%). Progressive collapse was not prevented in 17 cases (77%). 4. The role of core decompression with bone grafting in precollapse stage of avascular necrosis of femoral head is uncertain.