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Journal of Bone and Joint Surgery, 1968;50:48-66.
© 1968 by The Journal of Bone and Joint Surgery, Inc

Aseptic Necrosis of the Femoral Head and Non-Union of the Femoral Neck

EFFECT OF TREATMENT BY DRILLING AND BONE-GRAFTING (PHEMISTER TECHNIQUE)

MICHAEL BONFIGLIO M.D.1 and EDWARD M. YOKE M.D.1

1 From the Department of Orthopedic Surgery, University Hospitals, University of Iowa, Iowa City

A long-term evaluation has been made of the effect of drilling and bone-grafting for aseptic necrosis of the femoral head with or without union of the fractured femoral neck, idiopathic aseptic necrosis of the femoral head, and aseptic necrosis of the femoral head caused by traumatic dislocation. One hundred and twelve patients were followed for from two to fifteen years. The results show that the procedure is effective in restoring viability to the necrotic femoral head and continuity to the ununited femoral-neck fracture in a sufficient number of patients (78.4 per cent) to warrant its continued use in the management of these complications.


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