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 Table of Contents    
LETTER TO EDITOR  
Year : 2012  |  Volume : 46  |  Issue : 1  |  Page : 113
Intraoperative femoral head vascularity assessment: An innovative and simple technique (Letter 1)


Department of Orthopaedics, Subharti Medical College, Meerut, U.P, India

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Date of Web Publication10-Jan-2012
 

How to cite this article:
Sinha S. Intraoperative femoral head vascularity assessment: An innovative and simple technique (Letter 1). Indian J Orthop 2012;46:113

How to cite this URL:
Sinha S. Intraoperative femoral head vascularity assessment: An innovative and simple technique (Letter 1). Indian J Orthop [serial online] 2012 [cited 2019 Dec 7];46:113. Available from: http://www.ijoonline.com/text.asp?2012/46/1/113/91647
Sir,

We read with interest the article on an innovative technique for assessing the vascularity of femoral head by Madhuri et al. [1] I would like to congratulate the authors for describing this easy to use, and cost-effective technique. However, certain points require a little more elaboration, such as the surgical approach, patient positioning, procedure and type of dislocation used in the eight pediatric hips.

Also, I would like to know if we can use this technique via a transtrochanteric approach in the femoral head, without actually dislocating the hip. Although arterial pulsations are seen synchronous with the QRS complex of the ECG, they cannot be measured or standardized as is possible with laser Doppler flowmetry. [2]

A practical application of this study is in cases of avascular necrosis (AVN) which are being treated with vascular/nonvascular fibular grafting during followup to assess revascularization, but for this the technique requires modification for easy reproducibility and minimal invasiveness.

The 2 months of followup for three of the cases may not be enough to comment on the vascularity of head if no postoperative bone scan or MRI was done, even if per-operative wave forms were assessed. [1],[3]

 
   References Top

1.Madhuri V, Dutt V, Kunder S, Gahukamble AS. Intraoperative femoral head vascularity assessment: An innovative and simple technique. Indian J Orthop 2011;45:231-5.  Back to cited text no. 1
[PUBMED]  Medknow Journal  
2.Notzli HP, Siebenrock KA, Hempfing A, Ramseier LE, Ganz R. Perfusion of femoral head during surgical dislocation of hip: Monitoring by laser Doppler flowmetry. J Bone Joint Surg Br 2002;84:300-4.  Back to cited text no. 2
    
3.Lieberman JR, Berry DJ, Mont MA, Aaron RK, Callaghan JJ, Rajadhyaksha AD, et al. Osteonecrosis of the hip: Management in the 21 st century. Instr Course Lect 2003;52:337-9.  Back to cited text no. 3
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Correspondence Address:
S Sinha
B 2, Brij Enclave, Sunderpur, Varanasi 221 005
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5413.91647

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This article has been cited by
1 Authorsć reply
Madhuri, V., Dutt, V., Samuel, K., Gahukamble, A.D.
Indian Journal of Orthopaedics. 2012; 46(1): 113-114
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