Results of free vascularized fibular grafting for femoral head osteonecrosis in patients with systemic lupus erythematosus.
Osteonecrosis of the femoral head is a known complication of systemic lupus erythematosus. Patients often require surgical intervention at an early age. Options include total hip arthroplasty, core decompression, and free vascularized fibular grafting. Because these patients are usually young, any procedure that avoids total hip arthroplasty, especially if it does not make joint replacement more difficult, would be most desirable. Free vascularized fibular grafting is an effective method of treating osteonecrosis of the femoral head. Inpatients with lupus erythematosus, results of free vascularized fibular grafting at a minimum 2-year follow-up are similar to those in patients without a diagnosis of lupus.
Division of Surgery, Department of Orthopaedic Surgery, Duke University Medical Center, 1000 Trent Drive, Durham, NC 22710, USA.
Matthew J
MJ
Garberina
Keith R
KR
Berend
Eunice E
EE
Gunneson
James R
JR
Urbaniak
D000328:Adult; D000368:Aged; D016025:Bone Transplantation / Q000379:methods; D005260:Female; D005271:Femur Head Necrosis / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D005360:Fibula / Q000098:blood supply* / Q000637:transplantation*; D005500:Follow-Up Studies; D006084:Graft Rejection; D006085:Graft Survival; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications* / Q000175:diagnosis; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D018570:Risk Assessment; D012720:Severity of Illness Index; D016896:Treatment Outcome