Ultrasonographic Blood Flow Examination of the Nutritional Artery in Transtrochanteric Rotational Osteotomy of the Femoral Head.

• Suenaga Eiji

  Department of Orthopaedic Surgery, Graduate School of Medical Science, Kyushu University

• Noguchi Yasuo

  Department of Orthopaedic Surgery, Graduate School of Medical Science, Kyushu University

• Jingushi Seiya

  Department of Orthopaedic Surgery, Graduate School of Medical Science, Kyushu University

• Shuto Toshihide

  Department of Orthopaedic Surgery, Graduate School of Medical Science, Kyushu University

• Nakashima Yasuharu

  Department of Orthopaedic Surgery, Graduate School of Medical Science, Kyushu University

• Yamamoto Takuaki

  Department of Orthopaedic Surgery, Graduate School of Medical Science, Kyushu University

• Iwamoto Yukihide

  Department of Orthopaedic Surgery, Graduate School of Medical Science, Kyushu University

Bibliographic Information

Other Title

• 術中超音波検査を用いた大腿骨頭回転骨切り術における栄養血管の血流確認法

Abstract

We observed ultrasonographic blood flow findings of the nutritional artery of the recollapsed femoral head in patients with osteonecrosis treated by transtrochanteric rotational osteotomy of the femoral head. Between July 1998 and September 2000, the nutritional artery of 26 hips (23 patients) were observed intraoperatively by ultrasonography. After rotating the femoral head, the nutritional artery was checked by ultrasonography in fibrofatty tissue beneath divided quadratus femoris muscle seven times while changing the angle of hip flexion. The patients consisted of 16 males and seven females with a mean age of 41 years (age range: 23 to 60 years). Recollapsed femoral head was identified in five (19%) of the 26 patients after one year or more followup. The hips of the recollapsed femoral head confirmed ultrasonographic flow at an average of one (range: 0 to 3 times), and the hips without recollapsed femoral heads demonstrated a mean four times (range: 2 to 7 times). There was significant difference between with and without recollapse. We conclude that ultrasonographic findings of the nutritional artery is helpful for assessing the short-term results of hips treated by transtrochanteric rotational osteotomy of the femoral head.

Journal

• Orthopedics & Traumatology

  Orthopedics & Traumatology 52 (1), 1-4, 2003

  West-Japanese Society of Orthopedics & Traumatology

Keywords

• Osteonecrosis of the femoral head
• medial femoral circumflex artery
• transtrochanteric rotational osteotomy of femoral head
• ultrasonography

Details

• CRID: 1390001204938432768
• NII Article ID: 10010515370
• NII Book ID: AN00126582
• DOI: 10.5035/nishiseisai.52.1
• ISSN: 13494333
• ISSN: 00371033
• Web Site: https://search.jamas.or.jp/link/ui/2003227015
• Text Lang: ja
• Data Source:
  • JaLC
  • Crossref
  • CiNii Articles
  • KAKEN
• Abstract License Flag: Disallowed