2016/Chen [24]
|
NA
|
Sartorius muscle-pedicle bone flap
|
4 × 2 × 2.5
|
65 (45–90)
|
Partial weight-bearing walking at 8 to 12 weeks, and further advice was subject to radiographic evidence after 3 to 6 months of operation
|
Bone flap was fixed by absorbable screw
|
2014/Elmali [25]
|
NA
|
Deep circumflex iliac artery pedicle bone flap
|
6 × 2 × 2
|
210 (168–258)
|
The hip was positioned in 20° flexion for 3 weeks, full weight-bearing walking at 6 months
|
–
|
2009/Babhulkar [28]
|
NA
|
Deep circumflex iliac artery pedicle bone flap
|
NA
|
NA
|
The limb was kept in 20° abduction and 30° flexion and 10° of internal rotation, and allowed free movements in bed after 15 days, non-weight-bearing after 4–6 weeks, partial weight-bearing after 10 weeks and full weight-bearing after 14–16 weeks
|
–
|
2009/Chen [26]
|
NA
|
Deep circumflex iliac artery pedicle bone flap
|
5 × 1.5
|
NA
|
Toe-touch weight-bearing for 6 weeks, then partial weight-bearing for 6 months and full weight-bearing was allowed after 6 months
|
–
|
2009/Baksi [27]
|
Pain and discomfort around the hip, limitation of movement
|
Tensor fascia lata muscle-pedicle bone flap
|
2.5 × 2.5
|
NA
|
Partial weight-bearing was allowed after 5 weeks, and full weight-bearing was allowed after 4–5 months
|
Bone flap was fixed by Vicryl thread
|
2006/Zhao [29]
|
NA
|
Ascending branch of the lateral femoral circumflex artery pedicle bone flap
|
5 × 3
|
90 (55–120)
|
Bed rest with traction was used for 45 days postoperatively, progressive weight-bearing was permitted after the graft incorporated with the host area. Full weight-bearing was achieved by 6 months
|
–
|
2004/Nagoya [30]
|
NA
|
Deep circumflex iliac artery pedicle bone flap
|
NA
|
NA
|
Bed rest was prescribed for 2 weeks. Weight-bearing exercise started 4 weeks after surgery, followed by partial weight-bearing for the next 6 months
|
Bone flap was fixed by AO screw
|
2001/Eisenschenk [31]
|
NA
|
Deep circumflex iliac artery pedicle bone flap
|
6 × 2
|
NA
|
The hip was positioned in 20° after operation, weight-bearing was not allowed for 6 months after operation
|
–
|
1997/Hasegawa [33]
|
Indications: Collapse < 2 mm
JIC IC, II type
|
Superficial circumflex iliac artery pedicle bone flap (deep circumflex iliac artery was used in 8 hips)
|
5 × 1.5
|
NA
|
Ambulation was not permitted for 3 weeks, partial weight-bearing was encouraged after 12 weeks, full weight-bearing was permitted after 24 weeks.
|
Hyperbaric oxygen therapy was conducted on 11 patients
|
1997/Ishizaka [32]
|
NA
|
Deep circumflex iliac artery pedicle bone flap
|
5 × 2 × 2
|
150
|
Patients were kept non-weight-bearing for 6 months, followed by partial weight-bearing with for the next 6 months.
|
–
|
1996/Leung [35]
|
NA
|
Deep circumflex iliac artery pedicle bone flap
|
NA
|
NA
|
The hip was kept in 30″ flexion and neutral rotation for 1 week. Hip motion was encouraged. Bed rest was continued for 3 to 4 weeks. Non-weight-bearing walking was allowed• after 4 weeks, and weight-bearing was delayed until 8 weeks
|
–
|
1996/Wassenaar [34]
|
NA
|
NA
|
NA
|
NA
|
NA
|
–
|
1993/Iwata [36]
|
Indications: JIC I/II stage
Contraindication: collapse > 5 mm
|
Superficial circumflex iliac artery pedicle bone flap (deep circumflex iliac artery was additionally used in 2 cases)
|
NA
|
NA
|
Active exercise in the second week, exercise in the pool in the fourth week, one-third weight-bearing in the 12th week, and full weight-bearing in the 24th week
|
Hyperbaric oxygen therapy was conducted on 13 patients
|