An Operative Method for Spontaneous Necrosis of the Femoral Head

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A muscle pedicle bone-graft was devised with the intention of arresting or delaying progress of the necrosis in this disease.Its procedures were as follows:1. a rectangular bone-block with a pedicle of the M. glut. med. was shaped from the great trochanter2. after removal of the necrotic tissue from the femoral head, bone-chips were tightly packed3. the bone-block aboved mentioned was inserted from the great trochanter into a part of the grafted bone-chips in the femoral head.Two cases (32 years, male: bilateral; 67 years, male: left) were operated by this method. After about two years in the former, after a year and five months in the latter, satisfactory results were obtained roentgenologically and clinically.
西日本整形・災害外科学会の論文