Abstract
The rationale behind flexion osteotomy for idiopathic avascular necrosis of the femoral head is to place the dead part of the head away from the load [1, 2] to avoid further deformation, thus reducing pain and avoiding or at least delaying the need for a total hip arthroplasty (THA). Schneider radiological projections are mandatory to evaluate the location and the extension of the necrotic area [1]. In most cases the necrotic bone is located in the anterosuperior part of the head. The head is therefore rotated anteriorly so that almost all the necrotic area is no longer in contact with the acetabulum.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Willert HG, Sarfert D (1975) Treatment of segmental ischemic necrosis of the head of femur with intertrochanteric flexion osteotomy. Z Orthop 113:974–994
Wagner H, Baur W, Wagner M (1990) Joint preserving osteotomy in segmental femur head necrosis. Orthopade 19:208–218
Gallinaro P, Rossi P, Giacometti Ceroni R, Massè G (1982) L’osteotomia di flessione nel trattamento della osteonecrosi idiopatica della testa femorale nell’adulto. Giorn Ital Ortop Traumatol 8[Suppl]:139–145
Gallinaro P, Masse A (2001) Flexion osteotomy in the treatment of avascular necrosis of the hip. Clin Orthop 386:79–84
Giacometti Ceroni R, Zagra L (2003) Femoral osteotomy. Hip Int 13[Suppl 2]:1–4
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2004 Springer-Verlag Italia
About this chapter
Cite this chapter
Giacometti Ceroni, R., Zagra, L. (2004). Flexion Osteotomy for Idiopathic Avascular Necrosis of the Femoral Head. In: Santori, F.S., Santori, N., Piccinato, A. (eds) Avascular Necrosis of the Femoral Head: Current Trends. Springer, Milano. https://doi.org/10.1007/978-88-470-2119-8_8
Download citation
DOI: https://doi.org/10.1007/978-88-470-2119-8_8
Publisher Name: Springer, Milano
Print ISBN: 978-88-470-2172-3
Online ISBN: 978-88-470-2119-8
eBook Packages: Springer Book Archive