Revascularization of the femoral head in osteonecrosis.

Journal Article (Journal Article;Review)

Osteonecrosis of the femoral head accounts for as many as 18% of total hip arthroplasties performed in western countries. The young age of affected patients and the potentially poor outcome have sparked an interest in alternative treatment modalities. Extracapsular placement of a vascularized fibular graft in the subchondral region of the femoral head has shown great promise as a treatment option. The authors have used this procedure in the treatment of 646 symptomatic hips, of all grades of osteonecrosis, with a follow-up of 1 to 17 years. The resultant 10-year survival rate of greater than 80% suggests that this procedure may be preferable to total hip arthroplasty for the young patient with osteonecrosis of the femoral head.

Full Text

Duke Authors

Cited Authors

  • Urbaniak, JR; Harvey, EJ

Published Date

  • January 1, 1998

Published In

Volume / Issue

  • 6 / 1

Start / End Page

  • 44 - 54

PubMed ID

  • 9692940

International Standard Serial Number (ISSN)

  • 1067-151X

Digital Object Identifier (DOI)

  • 10.5435/00124635-199801000-00005


  • eng

Conference Location

  • United States