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Pediatric femoral avascular necrosis after pyarthrosis: use of free vascularized fibular grafting.

Publication ,  Journal Article
Stubbs, AJ; Gunneson, EB; Urbaniak, JR
Published in: Clin Orthop Relat Res
October 2005

Pyarthrosis of a child's hip can lead to osteonecrosis of the femoral head. Symptomatic treatment options for this condition are limited. We supposed that free vascularized fibula autografting would improve range of motion, decrease pain, and increase function in patients with symptomatic osteonecrosis of the pediatric femoral head secondary to pyarthrosis. We prospectively evaluated seven consecutive patients who presented with Stages IV and V osteonecrosis of the femoral head. All patients were treated with free vascularized fibular autografting to the femoral head. Postoperative evaluations of range of motion, pain symptoms, and functional activity showed improvements in all patients. Range of motion of the hip was significantly improved in the arcs of flexion (+23 degrees) and external rotation (+22 degrees). Harris hip scores significantly increased from an average preoperative score of 68 to an average postoperative score of 96. No patients needed revision surgery to hip arthrodesis or arthroplasty within the 3-year 11-month followup.

Duke Scholars

Published In

Clin Orthop Relat Res

DOI

ISSN

0009-921X

Publication Date

October 2005

Volume

439

Start / End Page

193 / 200

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Transplantation, Autologous
  • Range of Motion, Articular
  • Prospective Studies
  • Orthopedics
  • Male
  • Magnetic Resonance Imaging
  • Humans
  • Hip Joint
  • Follow-Up Studies
 

Citation

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Stubbs, A. J., Gunneson, E. B., & Urbaniak, J. R. (2005). Pediatric femoral avascular necrosis after pyarthrosis: use of free vascularized fibular grafting. Clin Orthop Relat Res, 439, 193–200. https://doi.org/10.1097/01.blo.0000176149.16509.e5
Stubbs, Allston J., Eunice B. Gunneson, and James R. Urbaniak. “Pediatric femoral avascular necrosis after pyarthrosis: use of free vascularized fibular grafting.Clin Orthop Relat Res 439 (October 2005): 193–200. https://doi.org/10.1097/01.blo.0000176149.16509.e5.
Stubbs AJ, Gunneson EB, Urbaniak JR. Pediatric femoral avascular necrosis after pyarthrosis: use of free vascularized fibular grafting. Clin Orthop Relat Res. 2005 Oct;439:193–200.
Stubbs, Allston J., et al. “Pediatric femoral avascular necrosis after pyarthrosis: use of free vascularized fibular grafting.Clin Orthop Relat Res, vol. 439, Oct. 2005, pp. 193–200. Pubmed, doi:10.1097/01.blo.0000176149.16509.e5.
Stubbs AJ, Gunneson EB, Urbaniak JR. Pediatric femoral avascular necrosis after pyarthrosis: use of free vascularized fibular grafting. Clin Orthop Relat Res. 2005 Oct;439:193–200.
Journal cover image

Published In

Clin Orthop Relat Res

DOI

ISSN

0009-921X

Publication Date

October 2005

Volume

439

Start / End Page

193 / 200

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Transplantation, Autologous
  • Range of Motion, Articular
  • Prospective Studies
  • Orthopedics
  • Male
  • Magnetic Resonance Imaging
  • Humans
  • Hip Joint
  • Follow-Up Studies