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J Reconstr Microsurg 2006; 22(1): 021-024
DOI: 10.1055/s-2006-931902
Copyright © 2006 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

Osteonecrosis of the Femoral Head: Comparison of Clinical Results for Vascularized Iliac and Fibula Bone Grafting

Cheng-Yo Yen1 , Yuan-kun Tu1 , Ching-Hou Ma1 , Shang-Won Yu1 , Feng-Chen Kao1 , Mel Shang-Shen Lee2
  • 1Department of Orthopedics, E-Da Hospital/I-Shou University, Kaohsiung, Taiwan
  • 2Department of Orthopedics, Chang Gung Memorial Hospital, LinKo, Taiwan
Further Information

Publication History

Accepted: September 20, 2005

Publication Date:
19 January 2006 (online)

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ABSTRACT

Thirty-three patients (39 hips) with avascular necrosis of the femoral head (ANFH), who received vascularized iliac pedicle bone grafting at the Orthopaedic Department of Linkou Medical Center, Chang-Gung Memorial Hospital, were followed for more than 4 years (Group 1). Twenty-two patients with ANFH, who received free vascularized fibula bone grafting (Group 2) were followed for more than 3 years. Six parameters were adopted to evaluate the outcomes in both groups. Study results for the parameters of postoperative functional score, patient-evaluated outcome, radiographic progression, and conversion to replacement arthroplasty were not significantly different. However, the mean operation time for Group 2 was significantly longer than that for Group 1 (7 hr vs. 3.5 hr) and the mean complication rate for Group 1 was higher than that for Group 2 (8/39 vs. 1/22). Since both are palliative procedures with almost equal success rates, the easier procedure was chosen and complications carefully avoided.

KEYWORDS

Osteonecrosis - femoral head

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Yuan-Kun TuM.D. 

Department of Orthopedics, E-Da Hospital/I-Shou University, No.1, E-Da Road, Jiau-Shu Tsuen, Yan-Chau Shiang, Kaohsiung County, 824, Taiwan