Vascularized fibular grafting for osteonecrosis of the femoral head with unusual indications.
We retrospectively reviewed the charts of 154 patients of various subgroups treated with the free vascularized fibular graft procedure for osteonecrosis of the femoral head (ONFH), evaluating pre- and postoperative Harris hip scores, hip range of motion, radiographs, and number of conversions to total hip arthroplasty (THA). Patients were followed a minimum of 1 year (mean, 6.8 years, range, 1 to 19 years). Athletes and patients with pyarthrosis-related osteonecrosis had high Harris hip scores at final review with scores of 94 and 97, respectively. Patients with ONFH after a slipped capital femoral epiphysis or following pregnancy had a low conversion rate to THA at 6% and 8%, respectively. Twenty-five percent of patients with transplant-related osteonecrosis of the femoral head were converted to THA at an average of 2.7 years. However, with select subsets of patients (athletes, pregnancy, organ transplant, femoral neck non-union, slipped capital femoral epiphysis, infection) the FVFG can result in a high rate of success.
Aldridge
J Mack
JM
Division of Orthopaedic Surgery, Duke University Medical Center, 3116 North Duke Street, Durham, NC 27704, USA. aldri004@mc.duke.edu
Urbaniak
James R
JR
D000293:Adolescent; D000328:Adult; D001170:Arthritis, Infectious / Q000150:complications / Q000601:surgery; D019645:Arthroplasty, Replacement, Knee; D001265:Athletic Injuries / Q000601:surgery; D016025:Bone Transplantation / Q000009:adverse effects; D002648:Child; D004839:Epiphyses, Slipped / Q000150:complications / Q000601:surgery; D005260:Female; D005265:Femoral Neck Fractures / Q000150:complications / Q000601:surgery; D005270:Femur Head / Q000473:pathology / Q000601:surgery*; D005271:Femur Head Necrosis / Q000209:etiology / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D005500:Follow-Up Studies; D006615:Hip / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D016377:Organ Transplantation / Q000009:adverse effects; D011247:Pregnancy; D011248:Pregnancy Complications / Q000601:surgery; D016059:Range of Motion, Articular; D020127:Recovery of Function; D012086:Reoperation; D012189:Retrospective Studies; D012720:Severity of Illness Index; D013997:Time Factors; D016896:Treatment Outcome