Skip to main content

Advertisement

Table 4 The intervention characteristics of case series studies

From: Vascularized pedicle iliac bone grafts as a hip-preserving surgery for femur head necrosis: a systematic review

Year/author Indications/contraindication Kinds of pedicle bone flap Size of bone flap (cm) Duration of the operation (minutes) Postoperative management Additional note
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
  1. NA not available