Vascularized fibular grafting for osteonecrosis of the femoral head with unusual indications.

Journal Article (Journal Article)

We retrospectively reviewed the charts of 154 patients of various subgroups treated with the free vascularized fibular graft procedure for osteonecrosis of the femoral head (ONFH), evaluating pre- and postoperative Harris hip scores, hip range of motion, radiographs, and number of conversions to total hip arthroplasty (THA). Patients were followed a minimum of 1 year (mean, 6.8 years, range, 1 to 19 years). Athletes and patients with pyarthrosis-related osteonecrosis had high Harris hip scores at final review with scores of 94 and 97, respectively. Patients with ONFH after a slipped capital femoral epiphysis or following pregnancy had a low conversion rate to THA at 6% and 8%, respectively. Twenty-five percent of patients with transplant-related osteonecrosis of the femoral head were converted to THA at an average of 2.7 years. However, with select subsets of patients (athletes, pregnancy, organ transplant, femoral neck non-union, slipped capital femoral epiphysis, infection) the FVFG can result in a high rate of success.

Full Text

Duke Authors

Cited Authors

  • Aldridge, JM; Urbaniak, JR

Published Date

  • May 2008

Published In

Volume / Issue

  • 466 / 5

Start / End Page

  • 1117 - 1124

PubMed ID

  • 18357495

Pubmed Central ID

  • PMC2311484

International Standard Serial Number (ISSN)

  • 0009-921X

Digital Object Identifier (DOI)

  • 10.1007/s11999-008-0201-z


  • eng

Conference Location

  • United States