McBeath A A, Oeljen C G
Clin Orthop Relat Res. 1977 Mar-Apr(123):164-8.
Avascular necrosis of the femoral head is an unfortunate sequela of renal transplantation. The necessary exogenous steroids are felt to be the cause of the necrosis. The case histories of three patients with bilateral disease are presented. All 6 hips were initially treated with a Phemister bone graft. According to the classification of Marcus, et al., one hip was Stage 3, three hips were Stage 4, and two hips were Stage 5 at the time of grafting. Four of these hips have had minimal further collapse and have been functionally satisfactory for the patients. One femoral head has had marked collapse but is pain free. One femoral head has had marked collapse with pain sufficient to necessitate a total hip replacement. The two heads with marked collapse were both Stage 5 at the time of surgery. The Phemister bone graft is presented as a possible treatment for this problem, especially when the disease is treated before femoral head collapse occurs.
股骨头缺血性坏死是肾移植后的一种不良后遗症。人们认为，必要的外源性类固醇是导致坏死的原因。本文介绍了3例双侧患病患者的病例史。所有6个髋关节最初均采用菲米斯特植骨术进行治疗。根据马库斯等人的分类，在植骨时，一个髋关节为3期，三个髋关节为4期，两个髋关节为5期。其中4个髋关节进一步塌陷程度极小，对患者来说功能良好。一个股骨头出现了明显塌陷，但无痛感。一个股骨头出现了明显塌陷且疼痛剧烈，需要进行全髋关节置换。手术时出现明显塌陷的两个股骨头均为5期。菲米斯特植骨术被认为是解决这一问题的一种可能治疗方法，尤其是在股骨头塌陷发生之前对疾病进行治疗时。
