Avascular necrosis of the femoral head: role of vascularized bone grafts

J Mack Aldridge 3rd; James R Urbaniak

doi:10.1016/j.ocl.2006.10.012

Avascular necrosis of the femoral head: role of vascularized bone grafts

Orthop Clin North Am. 2007 Jan;38(1):13-22, v. doi: 10.1016/j.ocl.2006.10.012.

Authors

J Mack Aldridge 3rd¹, James R Urbaniak

Affiliation

¹ Division of Orthopaedic Surgery, Duke University Medical Center, P.O. Box 3293, Durham, NC 27710, USA. aldri004@mc.duke.edu

PMID: 17145291
DOI: 10.1016/j.ocl.2006.10.012

Abstract

This article presents the history and development of as well as the results from the various techniques of vascularized bone grafting for the treatment of osteonecrosis (ON) of the femoral head. The authors have treated more than 2600 patients who had femoral head ON, using a vascularized fibular graft by way of an intraosseous approach. The results from this vast experience are summarized and certain pearls and pitfalls regarding the treatment of femoral head ON using the free vascularized fibular graft are highlighted.

Publication types

Review

MeSH terms

Bone Transplantation / methods*
Femur Head Necrosis / surgery*
Fibula / blood supply*
Fibula / transplantation*
Humans
Treatment Outcome