Impaction bone grafting

Seung Hoon Baek, Shin Yoon Kim

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

Abstract

Osteonecrosis of the femoral head (ONFH) is a disease that commonly affects young adults progressing to collapse and osteoarthritis. Joint-preserving procedures are preferred treatments to prevent the progression to collapse and subsequent osteoarthritis [ 1 ]. Since core decompression was fi rst described by Ficat and Arlet [ 2 ], several head-preserving procedures combined with core decompression including vascularized [ 3, 4 ] or nonvascularized bone graft [ 5, 6 ] from the fi bula, iliac crest, or tibia have been performed to provide mechanical support and biological augmentation aiding bone healing [ 7, 8 ]. Most of these procedures, however, demonstrated limited successful outcomes for treating ONFH in early stage [ 6, 9, 10 ]. Some of them are technically demanding with extensive surgical time and showed donor site morbidity [ 11 ]. The residual graft can prevent optimal positioning and canal fi t of the stem in later possible total hip arthroplasty (THA) after failed nonvascularized or vascularized fi bular or tibial grafting [ 12, 13 ]. On the contrary, bone impaction grafting is relatively simple and does not take extensive surgical time. It does not produce donor site morbidity and does not disturb the procedure in future THA [ 14 ].

Original languageEnglish
Title of host publicationOsteonecrosis
PublisherSpringer Berlin Heidelberg
Pages297-306
Number of pages10
ISBN (Electronic)9783642357671
ISBN (Print)9783642357664
DOIs
StatePublished - 1 Jan 2014

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