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Hip Arthroscopy and Hip Joint Preservation Surgery

Surgical technique: Free vascularized fibula graft for avascular necrosis

Publication ,  Chapter
Mather, RC; Federer, AE; Ruch, DS
January 1, 2015

Avascular necrosis (AVN) or osteonecrosis of the femoral head (ONFH) is a commoncause of hip pain and disability in a young patient demographic with an average age of mid-30s.If left untreated, approximately 80 % of cases of ONFH will result in femoral head collapse and hip degeneration necessitating total hip arthroplasty (THA) in a mean of 2 years. The relatively poor outcomes and requisite lifestyle changes associated with THA inthis patient population have challenged surgeons to seek alternative treatment options. Vascularized bone grafts have been shown to have better radiographical and clinical results compared to nonvascularized bone grafts. Of these options, free vascularized fibular graft (FVFG) is the treatment of choice for its structural and vascular support within the femoral head. Improved technique has led to complication rates, including donor-site morbidity, statistically similar to that of nonvascular fibular grafts. When used in young patients with precollapse ONFH, FVFG can greatly improve patient outcome, with lower rates of conversion to THA than other treatment modalities.

Duke Scholars

DOI

ISBN

9781461469643

Publication Date

January 1, 2015

Start / End Page

1061 / 1071
 

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Mather, R. C., Federer, A. E., & Ruch, D. S. (2015). Surgical technique: Free vascularized fibula graft for avascular necrosis. In Hip Arthroscopy and Hip Joint Preservation Surgery (pp. 1061–1071). https://doi.org/10.1007/978-1-4614-6965-0_94
Mather, R. C., A. E. Federer, and D. S. Ruch. “Surgical technique: Free vascularized fibula graft for avascular necrosis.” In Hip Arthroscopy and Hip Joint Preservation Surgery, 1061–71, 2015. https://doi.org/10.1007/978-1-4614-6965-0_94.
Mather RC, Federer AE, Ruch DS. Surgical technique: Free vascularized fibula graft for avascular necrosis. In: Hip Arthroscopy and Hip Joint Preservation Surgery. 2015. p. 1061–71.
Mather, R. C., et al. “Surgical technique: Free vascularized fibula graft for avascular necrosis.” Hip Arthroscopy and Hip Joint Preservation Surgery, 2015, pp. 1061–71. Scopus, doi:10.1007/978-1-4614-6965-0_94.
Mather RC, Federer AE, Ruch DS. Surgical technique: Free vascularized fibula graft for avascular necrosis. Hip Arthroscopy and Hip Joint Preservation Surgery. 2015. p. 1061–1071.
Journal cover image

DOI

ISBN

9781461469643

Publication Date

January 1, 2015

Start / End Page

1061 / 1071