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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
6
|
| pubmed:dateCreated |
1998-8-27
|
| pubmed:abstractText |
Thirty-one free vascularized fibular bone grafts were performed for treatment of osteonecrosis of the femoral head in 26 patients. Twenty-four men and 2 women ranged in age from 16 to 48 years (mean, 32 years). Twenty-one patients had unilateral disease. Five patients had bilateral disease and underwent staged bilateral free vascularized fibular grafts 3 months apart. Associated etiological factors included alcohol (9 patients), steroid use (7 patients), and trauma (1 patient). The condition was considered idiopathic in the remaining 9 patients. Radiological staging by Ficat included stage I in 1 hip, stage II in 15 hips, stage III in 14 hips, and stage IV in 1 hip. A skin island flap was used for monitoring purposes to check the patency of blood flow to the grafted fibula. One flap failed by venous occlusion and was left as a nonvascularized bone graft. Thirty hips were followed. Pain was relieved in 28 hips (93.3%) and aggravated in 2 hips (6.7%). On radiographic evaluation, 26 hips (86.7%) demonstrated excellent preservation of the femoral head contour. Progressive collapse of the femoral head (>1-2 mm) occurred in two hips, with 1-mm depression in one hip with stage III disease and 2-mm collapse in one hip with stage IV disease. Follow-up ranged from 12 to 40 months (mean, 21 months). In conclusion, even in this relatively short follow-up period, the free vascularized fibular bone graft is an excellent treatment modality for preserving the femoral head and relieving symptoms in patients with osteonecrosis of the femoral head.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:status |
MEDLINE
|
| pubmed:month |
Jun
|
| pubmed:issn |
0148-7043
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
40
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
586-93
|
| pubmed:dateRevised |
2004-11-17
|
| pubmed:meshHeading |
pubmed-meshheading:9641275-Adolescent,
pubmed-meshheading:9641275-Adult,
pubmed-meshheading:9641275-Bone Transplantation,
pubmed-meshheading:9641275-Disease Progression,
pubmed-meshheading:9641275-Female,
pubmed-meshheading:9641275-Femur Head Necrosis,
pubmed-meshheading:9641275-Fibula,
pubmed-meshheading:9641275-Humans,
pubmed-meshheading:9641275-Male,
pubmed-meshheading:9641275-Middle Aged,
pubmed-meshheading:9641275-Treatment Outcome
|
| pubmed:year |
1998
|
| pubmed:articleTitle |
Treatment of osteonecrosis of the femoral head with free vascularized fibular transfer.
|
| pubmed:affiliation |
Department of Plastic and Reconstructive Surgery, Kyungpook National University Hospital, Taegu, Korea.
|
| pubmed:publicationType |
Journal Article
|