J Reconstr Microsurg 1985; 1(3): 215-222
DOI: 10.1055/s-2007-1007077
ORIGINAL ARTICLE

© 1985 by Thieme Medical Publishers, Inc.

Blood Vessel Implantation into Ischemic Bone

Gary M. Gartsman, Andrew J. Weiland, J. Russell Moore, Mark A. Randolph
  • The Johns Hopkins University School of Medicine, Department of Orthopaedic Surgery, Baltimore, Maryland
Further Information

Publication History

Accepted for publication 1984

Publication Date:
08 March 2008 (online)

ABSTRACT

Blood vessel implantation, core decompression, and core decompression plus cancellous bone grafting were compared in 36 adult mongrel dogs to evaluate their relative effectiveness in revascularizing an ischemic femoral head. Each of the methods resulted in a reversal of the ischemic changes to varying degrees. Blood vessel implantation resulted in increased new bone formation at the site of vessel implantation but no significant revascularization in the peripheral portion of the femoral head. The method of creating avascular necrosis of the femoral head of the canine, as described by Hori, was studied in a controlled fashion. Although ischemic changes were noted in our hands, the model failed to produce findings consistent with avascular necrosis.