Vascularized Compared With Nonvascularized Fibular Grafts for Large Osteonecrotic Lesions of the Femoral Head

Short-stem hip arthroplasty in osteonecrosis of the femoral head

“…Failure rate was defined as conversion to total hip arthroplasty (THA). An inferior outcome and worse survival rate of fibular grafting in post-collapse ONFH compared to precollapse ONFH were also observed by Kim et al [14]. Other joint-preserving treatments include intertrochanteric and rotational transtrochanteric osteotomies.…”

Which Factors Influence Preservation of the Osteonecrotic Femoral Head?

“…1). There was one underpowered prospective randomized controlled trial [12] (Level II, 18 hips) and only eight prospective studies [12,14,22,29,48,52,54,60] (Table 1).…”

Unsuccessful vascularized fibular periosteal graft for treatment of femoral head osteonecrosis

“…The negative outcomes we experienced at short-term followup with the use of VFPG highlight the importance of FVFG as a mechanical support element in the treatment of ONFH [2].…”

“…Free vascularized fibular grafting (FVFG) has been described as an effective means of salvaging the necrotic femoral head [2]. This technique provides revascularization, mesenchymal stem cells, and adequate mechanical support to the femoral head [1,3].…”

“…There is no need to revise an already successful technique, which is supported by comparative studies, with a newer technique that may have a lower success rate [1][2][3].…”