title: Hemiresurfacing arthroplasty of the hip for failed free-vascularized fibular graft.
abstract: Management of Ficat stage III and IV osteonecrosis of the hip remains challenging, with the average patient aged in the mid 30s. Joint- and bone-preserving procedures such as free vascularized fibular graft, redirectional osteotomies, and hemiresurfacing hip arthroplasty are often considered. If these treatments fail, that is, after progression of joint destruction or persistent pain and decreasing function, total hip arthroplasty is often the procedure of choice. We describe the case of a patient with failed bilateral free vascularized fibular graft treated with bilateral hemiresurfacing arthroplasty.
authors.affiliation: David Geffen School of Medicine at UCLA and the Joint Replacement Institute at Orthopaedic Hospital, Los Angeles, California 90007, USA.
authors.forename: Paul E
authors.initials: PE
authors.lastname: Beaulé
authors.forename: Michel
authors.initials: M
authors.lastname: Le Duff
authors.forename: Harlan C
authors.initials: HC
authors.lastname: Amstutz
mesh_terms: D000328:Adult; D019644:Arthroplasty, Replacement, Hip / Q000379:methods*; D016025:Bone Transplantation / Q000379:methods*; D005260:Female; D005271:Femur Head Necrosis / Q000000981:diagnostic imaging / Q000601:surgery*; D005360:Fibula / Q000098:blood supply / Q000637:transplantation*; D006084:Graft Rejection; D006801:Humans; D011859:Radiography