Vascularized Compared With Nonvascularized Fibular Grafting for the Treatment of Osteonecrosis of the Femoral Head

Plakseychuk, Anton; Kim, Shin‐Yoon; Park, Byung‐Chul; Varitimidis, Sokratis; Rubash, Harry E.; Sotereanos, Dean G.

doi:10.2106/00004623-200304000-00001

Cited by 150 publications

(103 citation statements)

References 18 publications

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“…Of the four articles identified, none presented evidence for a difference between VBGs and NVBGs based on length. The articles, including one comparison of fibular grafts to extremities and three comparisons of fibular grafts to the femoral head [23,34,42,49] did not provide strong evidence that VBGs are superior to NVBGs as graft length increases, nor that they are inferior to NVBGs. The articles provided inconclusive evidence for the existence of a relationship between length and the need for vascularization.…”

Section: Resultsmentioning

confidence: 99%

“…The other three studies examined grafts to the femoral head and showed that VBGs had better radiographic [23,34,49] and functional outcomes [34,49]. Kim [34] studied 100 fibular grafts to the femoral head (Evidence Hierarchy III-2, MINORS score 16 of 24) and did not examine grafts based on length.…”

Section: Resultsmentioning

confidence: 99%

“…Kim [34] studied 100 fibular grafts to the femoral head (Evidence Hierarchy III-2, MINORS score 16 of 24) and did not examine grafts based on length. VBGs had a higher rate of improved functional outcome on Harris hip score (70% versus 36%; p \ 0.05) and lower collapse rate on plain radiographs (14% versus 70%).…”

Section: Resultsmentioning

confidence: 99%

“…Studies included in qualitaƟve synthesis (n = 4) remaining articles (n = 4) [23,34,42,49] were analyzed qualitatively. The quality of the articles was evaluated using the MINORS scale [43] and National Health and Medical Research Council [NHMRC] Evidence Hierarchy [26].…”

Section: Idenɵficaɵonmentioning

confidence: 99%

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Vascularized versus Nonvascularized Bone Grafts: What Is the Evidence?

Allsopp

Hunter-Smith

Rozen

2016

Clinical Orthopaedics &Amp; Related Research

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Background There is a general perception in practice that a vascular supply should be used when large pieces of bone graft are used, particularly those greater than 6 cm in length for long-bone and large-joint reconstructions. However, the scientific source of this recommendation is not clear. Questions/purposes We wished to perform a systematic review to (1) investigate the origin of evidence for this 6-cm rule, and (2) to identify whether there is strong evidence to support the importance of vascularization for longer grafts and/or the lack of vascularization for shorter grafts. Methods Two systematic reviews were performed using SCOPUS and Medline, one for each research question. For

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Idenɵficaɵonmentioning

confidence: 99%

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Vascularized versus Nonvascularized Bone Grafts: What Is the Evidence?

Allsopp

Hunter-Smith

Rozen

2016

Clinical Orthopaedics &Amp; Related Research

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“…Once the femoral head has collapsed, hip arthroplasty (HA) is the procedure with the highest likelihood of success [9,14]. Various procedures have been used to preserve the femoral head, including core decompression [4,24], osteotomies [27], and various forms of free vascularized [1, 28,29] or nonvascularized bone grafting (BG) [2,3,15,[19][20][21][22][23]. Most treatment modalities have difficulty in successfully preserving the femoral head.…”

Section: Introductionmentioning

confidence: 99%

One-stage Hip Arthroplasty and Bone Grafting for Bilateral Femoral Head Osteonecrosis

Shih

Wong

Shih

2008

Clin Orthop Relat Res

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Bone tissue engineering for treating osteonecrosis of the femoral head

Bian

et al. 2023

Exploration

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Osteonecrosis of the femoral head (ONFH) is a devastating and complicated disease with an unclear etiology. Femoral head-preserving surgeries have been devoted to delaying and hindering the collapse of the femoral head since their introduction in the last century. However, the isolated femoral head-preserving surgeries cannot prevent the natural progression of ONFH, and the combination of autogenous or allogeneic bone grafting often leads to many undesired complications. To tackle this dilemma, bone tissue engineering has been widely developed to compensate for the deficiencies of these surgeries. During the last decades, great progress has been made in ingenious bone tissue engineering for ONFH treatment. Herein, we comprehensively summarize the state-of-the-art progress made in bone tissue engineering for ONFH treatment. The definition, classification, etiology, diagnosis, and current treatments of ONFH are first described. Then, the recent progress in the development of various bone-repairing biomaterials, including bioceramics, natural polymers, synthetic polymers, and metals, for treating ONFH is presented. Thereafter, regenerative therapies for ONFH treatment are also discussed. Finally, we give some personal insights on the current challenges of these therapeutic strategies in the clinic and the future development of bone tissue engineering for ONFH treatment. K E Y WO R D S biomaterials, bone tissue engineering, osteonecrosis of the femoral head, regenerative therapy  Yixin Bian and Tingting Hu contributed equally to this work.

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Vascularized Compared With Nonvascularized Fibular Grafting for the Treatment of Osteonecrosis of the Femoral Head

Cited by 150 publications

References 18 publications

Vascularized versus Nonvascularized Bone Grafts: What Is the Evidence?

Vascularized versus Nonvascularized Bone Grafts: What Is the Evidence?

One-stage Hip Arthroplasty and Bone Grafting for Bilateral Femoral Head Osteonecrosis

Bone tissue engineering for treating osteonecrosis of the femoral head

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