title: Treatment of femoral head necrosis with free vascularized fibula grafting: a preliminary report.
abstract: Since October 2000, 56 hips in 48 patients with avascular necrosis of the femoral head were treated with free vascularized fibular transplants. The average follow-up was about 16 months. The Harris hip scores of all stages were improved during follow-up. Most femoral heads showed improvement (39 hips, 69.6%) or were at least unchanged (14 hips, 25.0%) on X-rays. The results show that a free vascularized fibular graft would be a valuable procedure for femoral head necrosis. By this method, we can avoid or delay progress of the disease, and improve the function of the hip and quality of life.
authors.affiliation: Department of Orthopedic Surgery, Shanghai Sixth People's Hospital, Jiaotong University, Shanghai, China. Zhangcq@shtel.net.cn
authors.forename: Changqing
authors.initials: C
authors.lastname: Zhang
authors.forename: Bingfang
authors.initials: B
authors.lastname: Zeng
authors.forename: Zhengyu
authors.initials: Z
authors.lastname: Xu
authors.forename: Wenqi
authors.initials: W
authors.lastname: Song
authors.forename: Lei
authors.initials: L
authors.lastname: Shao
authors.forename: Dongxu
authors.initials: D
authors.lastname: Jing
authors.forename: Shuping
authors.initials: S
authors.lastname: Sui
mesh_terms: D000328:Adult; D016025:Bone Transplantation / Q000379:methods*; D005260:Female; D005271:Femur Head Necrosis / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D005360:Fibula / Q000098:blood supply* / Q000637:transplantation*; D005500:Follow-Up Studies; D006621:Hip Joint / Q000000981:diagnostic imaging / Q000473:pathology / Q000503:physiopathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D020127:Recovery of Function / Q000502:physiology; D012189:Retrospective Studies; D016896:Treatment Outcome