## Abstract Traumatic dislocation of the hip results in osteonecrosis of the femoral head (ONFH) or avascular necrosis (AVN) in βΌ40% of patients. This highβenergy event causes an ischemic insult to the femoral head that may lead to ONFH. Here, we investigate use of FreeβVascularized Fibular Graftin
Treatment of femoral head necrosis with free vascularized fibula grafting: A preliminary report
β Scribed by Changqing Zhang; Bingfang Zeng; Zhengyu Xu; Wenqi Song; Lei Shao; Dongxu Jing; Shuping Sui
- Publisher
- John Wiley and Sons
- Year
- 2005
- Tongue
- English
- Weight
- 176 KB
- Volume
- 25
- Category
- Article
- ISSN
- 0738-1085
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β¦ Synopsis
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.
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