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Journal of Bone and Joint Surgery - British Volume, Vol 71-B, Issue 4, 583-587
Copyright © 1989 by British Editorial Society of Bone and Joint Surgery

Articles

Core decompression of the distal femur for avascular necrosis of the knee

MA Jacobs, PE Loeb, and DS Hungerford

Johns Hopkins University, Baltimore, Maryland.

From 1974 to 1981, we performed 28 core decompressions of the distal femur for pathologically confirmed avascular necrosis. At a mean follow-up of 54 months (range 20 to 140 months) and using the Ficat stages, all seven cases in stage I and stage II had good results. Of 21 cases in stage III, 11 cases had good results, four had poor results, and six needed total knee replacement. There were no significant orthopaedic complications. The procedure is worthwhile and will be more accurate with new methods of imaging.


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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General