The blood flow to the femoral head/neck junction during resurfacing arthroplasty: A COMPARISON OF TWO APPROACHES USING LASER DOPPLER FLOWMETRY

H. W. Amarasekera; M. L. Costa; P. Foguet; S. J. Krikler; U. Prakash; D. R. Griffin

doi:10.1302/0301-620X.90B4.20050

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The blood flow to the femoral head/neck junction during resurfacing arthroplasty

A COMPARISON OF TWO APPROACHES USING LASER DOPPLER FLOWMETRY

H. W. Amarasekera
M. L. Costa
P. Foguet
S. J. Krikler
U. Prakash
D. R. Griffin

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The blood flow to the femoral head/neck junction during resurfacing arthroplasty

Amarasekera HW, Costa ML, Foguet P, Krikler SJ, Prakash U, Griffin DR. The blood flow to the femoral head/neck junction during resurfacing arthroplasty. J Bone Joint Surg Br. 2008;90-B(4):442-445. doi:10.1302/0301-620X.90B4.20050

Amarasekera, H. W., et al. “The blood flow to the femoral head/neck junction during resurfacing arthroplasty.” The Journal of Bone & Joint Surgery British Volume, vol. 90-B, no. 4, 2008, pp. 442-445., https://doi.org/10.1302/0301-620X.90B4.20050

Amarasekera, H. W., Costa, M. L., Foguet, P., Krikler, S. J., Prakash, U., & Griffin, D. R. (2008). The blood flow to the femoral head/neck junction during resurfacing arthroplasty. The Journal of Bone & Joint Surgery British Volume, 90-B(4), 442-445. https://doi.org/10.1302/0301-620X.90B4.20050

Amarasekera, H. W., Costa, M. L., Foguet, P., Krikler, S. J., Prakash, U. and Griffin, D. R. (2008) “The blood flow to the femoral head/neck junction during resurfacing arthroplasty.” The Journal of Bone & Joint Surgery British Volume, 90-B(4), pp. 442-445. Available at: https://doi.org/10.1302/0301-620X.90B4.20050

Amarasekera, H. W., M. L. Costa, P. Foguet, S. J. Krikler, U. Prakash, and D. R. Griffin. “The blood flow to the femoral head/neck junction during resurfacing arthroplasty.” The Journal of Bone & Joint Surgery British Volume 90-B, no. 4 (2008): 442-445. https://doi.org/10.1302/0301-620X.90B4.20050

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Abstract

We used Laser Doppler flowmetry to measure the effect on the blood flow to the femoral head/neck junction of two surgical approaches during resurfacing arthroplasty. We studied 24 hips undergoing resurfacing arthroplasty for osteoarthritis. Of these, 12 had a posterior approach and 12 a trochanteric flip approach. A Laser probe was placed under radiological control in the superolateral part of the femoral head/neck junction. The Doppler flux was measured at stages of the operation and compared with the initial flux. In both groups the main fall in blood flow occurred during the initial exposure and capsulotomy of the hip joint.

There was a greater reduction in blood flow with the posterior (40%) than with the trochanteric flip approach (11%).

Correspondence should be sent to Professor D. Griffin; e-mail: damian.griffin@warwick.ac.uk

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The Journal of Bone & Joint Surgery British Volume

Volume

90-B No.4 | Pages 442 - 445

Section

Hip

Published

01 April 2008

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H. W. Amarasekera

Clinical Research Fellow

Clinical Sciences Institute University of Warwick Medical School, Clinical Sciences Building, University Hospital, Clifford Bridge Road, Coventry CV2 2DX, UK.

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M. L. Costa

Clinical Senior Lecturer

Clinical Sciences Institute University of Warwick Medical School, Clinical Sciences Building, University Hospital, Clifford Bridge Road, Coventry CV2 2DX, UK.

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P. Foguet

Consultant Orthopaedic Surgeon

University Hospitals of Coventry and Warwickshire, Clifford Bridge Road, Coventry CV2 2DX, UK.

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S. J. Krikler

Consultant Orthopaedic Surgeon

University Hospitals of Coventry and Warwickshire, Clifford Bridge Road, Coventry CV2 2DX, UK.

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U. Prakash

Consultant Orthopaedic Surgeon

University Hospitals of Coventry and Warwickshire, Clifford Bridge Road, Coventry CV2 2DX, UK.

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D. R. Griffin

Professor of Trauma and Orthopaedic Surgery

Clinical Sciences Institute University of Warwick Medical School, Clinical Sciences Building, University Hospital, Clifford Bridge Road, Coventry CV2 2DX, UK.

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The blood flow to the femoral head/neck junction during resurfacing arthroplasty

A COMPARISON OF TWO APPROACHES USING LASER DOPPLER FLOWMETRY

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The blood flow to the femoral head/neck junction during resurfacing arthroplasty

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