Specchiulli F, Capocasale N, Laforgia R, Solarino G B
2nd Institute of Clinical Orthopaedics, University of Bari.
Ital J Orthop Traumatol. 1987 Sep;13(3):345-51.
The results of surgery in the treatment of osteonecrosis of the femoral head are analysed and discussed. Medullary decompression by the forage biopsy technique in the early stage facilitates normalisation of the intramedullary pressure and breaks the vicious circle constituted by ischaemia-oedema-increased medullary pressure-ischaemia which eventually produces bone death. Flexion osteotomy is indicated in the advanced stage (Ficat stage 3) provided certain parameters are respected such as the age of the patient, the stage of the lesion, the extent of the necrosis and the absence of secondary arthritis. For cases classified as Ficat stage 4, the only solution is total arthroprosthesis.
对股骨头坏死的手术治疗结果进行了分析和讨论。早期采用穿刺活检技术进行髓芯减压有助于髓内压力恢复正常，并打破由缺血-水肿-髓内压力升高-缺血所构成的恶性循环，最终导致骨坏死。在晚期（菲卡特3期），如果符合某些参数，如患者年龄、病变阶段、坏死范围以及无继发性关节炎等，则可行屈曲截骨术。对于菲卡特4期的病例，唯一的解决办法是全关节置换术。
