caa a22 4500 469114827 CHVBK 20180323133121.0 cr unu---uuuuu 170328e19920201xx s 000 0 eng 10.1007/BF00443473 doi (NATIONALLICENCE)springer-10.1007/BF00443473 Operative treatment of femoral head necrosis [Elektronische Daten] [C. Melzer, H. Boom, P. Manz] Summary: The cases of 80 patients with necrosis of the femoral head who underwent operative treatment in the period April 1980 to April 1988 are reported. Altogether, 102 operative procedures were carried out: 48 intertrochanteric osteotomies, 50 arthroplasties, 3 subchrondral bone graftings, and in one case drilling of the necrotic focus. Joint-preserving methods in advanced-stage disease seem to be of doubtful use when judged by clinical and socio-economic criteria over a mean follow-up time of 4.5 years. Since no conservative treatment exists, an improvement in therapeutic results can only be achieved by early diagnosis using magnetic resonance imaging and operating when the disease is still at an early stage. Springer-Verlag, 1992 Melzer C. Orthopädische Universitätsklinik Giessen, Paul-Meinberg-Strasse 3, W-6300, Giessen, Germany aut Boom H. Orthopädische Klinik der Medizinischen Hochschule Hannover, Annastift, Postfach 610172, W-3000, Hannover 61, Germany aut Manz P. Orthopädische Universitätsklinik Giessen, Paul-Meinberg-Strasse 3, W-6300, Giessen, Germany aut Archives of Orthopaedic and Trauma Surgery Springer-Verlag 111/2(1992-02-01), 85-90 0936-8051 111:2<85 1992 111 402 https://doi.org/10.1007/BF00443473 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF00443473 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Melzer C. Orthopädische Universitätsklinik Giessen, Paul-Meinberg-Strasse 3, W-6300, Giessen, Germany aut NATIONALLICENCE 700 1- Boom H. Orthopädische Klinik der Medizinischen Hochschule Hannover, Annastift, Postfach 610172, W-3000, Hannover 61, Germany aut NATIONALLICENCE 700 1- Manz P. Orthopädische Universitätsklinik Giessen, Paul-Meinberg-Strasse 3, W-6300, Giessen, Germany aut NATIONALLICENCE 773 0- Archives of Orthopaedic and Trauma Surgery Springer-Verlag 111/2(1992-02-01), 85-90 0936-8051 111:2<85 1992 111 402 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer