Hongshuai Li1, Changqing Zhang. 1. Department of Orthopedics, Shanghai Sixth People's Hospital, Shanghai Jiaotong University, Shanghai, 200233, PR China.
Abstract
OBJECTIVE: To review the researches on the joint-preserving procedures for the treatment of the avascular necrosis (AVN) of the femoral head. METHODS: The latest original literatures about the joint-preserving procedures for the treatment of AVN of the femoral head were extensively reviewed. RESULTS: There were many surgical joint-preserving procedures to treat AVN of the femoral head, such as core decompression, bone grafting, and osteotomy. Most researchers achieved excellent clinical results by using the joint-preserving procedures to treat the early stages of AVN of the femoral head. CONCLUSION: Treating AVN of the femoral head by the joint-preserving procedures, especially the free vascularized fibula grafting, can achieve an excellent long-term clinical outcome.
OBJECTIVE: To review the researches on the joint-preserving procedures for the treatment of the avascular necrosis (AVN) of the femoral head. METHODS: The latest original literatures about the joint-preserving procedures for the treatment of AVN of the femoral head were extensively reviewed. RESULTS: There were many surgical joint-preserving procedures to treat AVN of the femoral head, such as core decompression, bone grafting, and osteotomy. Most researchers achieved excellent clinical results by using the joint-preserving procedures to treat the early stages of AVN of the femoral head. CONCLUSION: Treating AVN of the femoral head by the joint-preserving procedures, especially the free vascularized fibula grafting, can achieve an excellent long-term clinical outcome.