Vascularised fibular graft in the management of femoral head osteonecrosis: twenty years later.

Journal Article (Journal Article;Review)

The management of osteonecrosis of the femoral head ranges from symptomatic therapy to total hip replacement. Conservative treatment is effective only in small, early-stage lesions. Free vascularised fibular grafting has provided more consistently successful results than any other joint-preserving method. It supports the collapsing subchondral plate by primary callus formation, reduces intra-osseous pressure, removes and replaces the necrotic segment, and adds viable cortical bone graft plus fresh cancellous graft, which has osseoinductive and osseoconductive potential. Factors predisposing to success are the aetiology, stage and size of the lesion. Furthermore, it is a hip-salvaging procedure in early pre-collapse stages, and a time-buying one when the femoral head has collapsed.

Full Text

Duke Authors

Cited Authors

  • Korompilias, AV; Lykissas, MG; Beris, AE; Urbaniak, JR; Soucacos, PN

Published Date

  • March 2009

Published In

Volume / Issue

  • 91 / 3

Start / End Page

  • 287 - 293

PubMed ID

  • 19258601

Electronic International Standard Serial Number (EISSN)

  • 2044-5377

Digital Object Identifier (DOI)

  • 10.1302/0301-620X.91B3.21846


  • eng

Conference Location

  • England