Caccese B F, Occhiuzzi S
Clin Ortop. 1975;26:126-37.
Surgical treatment of aseptic necrosis of the femoral head is discussed. Results of 30 hip procedures performed in 26 patients, followed up for a variable period from 8 months to 8 years after the first visit, are reported. The importance of early diagnosis is stressed. Surgery is recommended as the only suitable treatment. It aims to reduce and re-form the femoral head in acute cases and to stabilize and correct the displacement in the less rapidly progressive forms. Cases were divided into 3 groups according to the degree of displacement (less than 30 degrees, from 30 degrees to 45 degrees and greater than 45 degrees). Fixation in situ was carried out in the first group and Imhauser's three-dimensional intertrochanteric osteotomy and osteotomy of the head and neck of the femur in the second and third group respectively. Good results were obtained in 23 (76.6%). In the other 7 cases (23.4%) the outcome was unsatisfactory.
本文讨论了股骨头无菌性坏死的外科治疗。报告了26例患者接受的30例髋关节手术结果，首次就诊后随访时间为8个月至8年不等。强调了早期诊断的重要性。建议手术作为唯一合适的治疗方法。其目的是在急性病例中复位并重塑股骨头，在进展较慢的病例中稳定并纠正移位。根据移位程度将病例分为3组（小于30度、30度至45度和大于45度）。第一组采用原位固定，第二组和第三组分别采用Imhauser三维粗隆间截骨术和股骨头颈截骨术。23例（76.6%）取得了良好效果。另外7例（23.4%）效果不理想。
