SUBTROCHANTERIC FRACTURES AFTER FREE VASCULARIZED FIBULAR GRAFTING FOR FEMORAL HEAD OSTEONECROSIS

1996 ◽  
Vol 89 (Supplement) ◽  
pp. S83
Author(s):  
Frank V. Aluisio ◽  
James R. Urbaniak
Keyword(s):  
Femoral Head ◽  
Subtrochanteric Fractures ◽  
Femoral Head Osteonecrosis ◽  
Fibular Grafting ◽  
Free Vascularized Fibular Grafting

Free Vascularized Fibular Grafting Following Failed Core Decompression for Femoral Head Osteonecrosis

2007 ◽  
Vol 22 (5) ◽  
pp. 679-688 ◽  
Author(s):  
Zoe H. Dailiana ◽  
Alison P. Toth ◽  
Eunice Gunneson ◽  
Keith R. Berend ◽  
James R. Urbaniak
Keyword(s):  
Femoral Head ◽  
Core Decompression ◽  
Femoral Head Osteonecrosis ◽  
Fibular Grafting ◽  
Free Vascularized Fibular Grafting

scholarly journals The Effect of Postoperative Corticosteroid Administration on Free Vascularized Fibular Grafting for Treating Osteonecrosis of the Femoral Head

2013 ◽  
Vol 2013 ◽  
pp. 1-5
Author(s):  
Hao Ding ◽  
Sheng-Bao Chen ◽  
Sen Lin ◽  
You-Shui Gao ◽  
Chang-Qing Zhang
Keyword(s):  
Adverse Effect ◽  
Femoral Head ◽  
Harris Hip Score ◽  
Radiographic Evaluation ◽  
Control Group ◽  
Corticosteroid Administration ◽  
The Mean ◽  
Fibular Grafting ◽  
Free Vascularized Fibular Grafting

Free vascularized fibular grafting (FVFG) has been reported to be an effective method of treating osteonecrosis of the femoral head (ONFH). This study evaluated whether postoperative maintenance doses of corticosteroids had an adverse effect on FVFG outcomes in patients with corticosteroid-induced ONFH. We retrospectively reviewed the records of 39 patients (67 hips) who had received maintenance doses of corticosteroids following FVFG. This group was matched to a group of patients who had not received corticosteroids treatment after operation. The mean follow-up duration was 5.4 years for the postoperative corticosteroid administration group (PCA group) and 5.0 years for the control group. At the latest follow-up, the average increase in Harris hip score was 11.1 ± 8.7 points for all hips in the PCA group and 12.6 ± 7.4 points for all hips in the control group (P>0.05). In the PCA group, through radiographic evaluation, 49 hips were improved, 10 hips appeared unchanged, and 8 hips appeared worse. In the control group, 47 hips were improved, 13 hips appeared unchanged, and 7 hips appeared worse. The results suggested that postoperative maintenance doses of corticosteroids do not have an adverse effect on FVFG outcomes in patients with corticosteroid-induced ONFH.

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