Vascularised fibular graft in the management of femoral head osteonecrosis: twenty years later

dc.contributor.authorKorompilias, A. V.en
dc.contributor.authorLykissas, M. G.en
dc.contributor.authorBeris, A. E.en
dc.contributor.authorUrbaniak, J. R.en
dc.contributor.authorSoucacos, P. N.en
dc.date.accessioned2015-11-24T18:51:16Z
dc.date.available2015-11-24T18:51:16Z
dc.identifier.issn0301-620X-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/18232
dc.rightsDefault Licence-
dc.subjectBone Transplantation/adverse effects/*methodsen
dc.subjectFemur Head Necrosis/*surgeryen
dc.subjectFibula/blood supply/*transplantationen
dc.subjectHumansen
dc.subjectTreatment Outcomeen
dc.titleVascularised fibular graft in the management of femoral head osteonecrosis: twenty years lateren
heal.abstractThe management of osteonecrosis of the femoral head ranges from symptomatic therapy to total hip replacement. Conservative treatment is effective only in small, early-stage lesions. Free vascularised fibular grafting has provided more consistently successful results than any other joint-preserving method. It supports the collapsing subchondral plate by primary callus formation, reduces intra-osseous pressure, removes and replaces the necrotic segment, and adds viable cortical bone graft plus fresh cancellous graft, which has osseoinductive and osseoconductive potential. Factors predisposing to success are the aetiology, stage and size of the lesion. Furthermore, it is a hip-salvaging procedure in early pre-collapse stages, and a time-buying one when the femoral head has collapsed.en
heal.accesscampus-
heal.fullTextAvailabilityTRUE-
heal.identifier.primary10.1302/0301-620X.91B3.21846-
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/19258601-
heal.journalNameJ Bone Joint Surg Bren
heal.journalTypepeer-reviewed-
heal.languageen-
heal.publicationDate2009-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.typejournalArticle-
heal.type.elΆρθρο Περιοδικούel
heal.type.enJournal articleen

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