Free vascularized fibular grafting for the treatment of osteonecrosis of the femoral head
We report on the use of the free vascularized fibular graft (FVFG) as an effective surgical procedure to address the challenging clinical diagnosis of osteonecrosis of the femoral head. The senior author (JRU) has been performing the procedure for approximately 30 years (2800 cases) and has observed several trends related to both the successes and failures of the procedure. As a result of this experience, there are multiple refinements in the patient selection process, surgical technique, and postoperative rehabilitation. We present an overview of the FVFG surgery, our evolving indications, complications arising from the surgery, results, and a synopsis of the surgical technique; an adherence to which, we feel, is paramount to obtaining successful results. © 2008 Lippincott Williams & Wilkins, Inc.
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- Orthopedics
- 1103 Clinical Sciences
- 0903 Biomedical Engineering
Citation
Published In
DOI
ISSN
Publication Date
Volume
Issue
Start / End Page
Related Subject Headings
- Orthopedics
- 1103 Clinical Sciences
- 0903 Biomedical Engineering