Evidence map›Paper›PMID 40982114›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2025

Free vascularized fibular grafting for osteonecrosis of the femoral head:xiangya experiences.

Yingliang Jiang, Zhonggen Dong, Lihong Liu, Kaihu Li, Ping Peng, Lijun Zhang, Shibin Tao, Zhenrui Ren, Lei Zheng, Jianwei Wei

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Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

10 authors.

Yingliang JiangDepartment of Orthopedics, The Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, People's Republic of China.
Zhonggen DongDepartment of Orthopedics, The Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, People's Republic of China.
Lihong LiuDepartment of Orthopedics, The Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, People's Republic of China.
Kaihu LiDepartment of Orthopedics, The Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, People's Republic of China.
Ping PengDepartment of Orthopedics, The Third Xiangya Hospital, Central South University, Changsha, 410011, Hunan, People's Republic of China.
Lijun ZhangDepartment of Orthopedics, The Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, People's Republic of China.
Shibin TaoDepartment of Orthopedics, The Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, People's Republic of China.
Zhenrui RenDepartment of Orthopedics, The Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, People's Republic of China.
Lei ZhengDepartment of Orthopedics, Henan ProvincialPeoplè Hospital, Zhengzhou, Henan, 450003, People's Republic of China.
Jianwei WeiDepartment of Orthopedics, The Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, People's Republic of China. doctorway@csu.edu.cn.

Funding

Natural Science Foundation of Hunan Province 2022JJ30852
6 · The paper itself

Abstract

purposeThe aim of the study is to introduce our experiences and surgical tips of free vascularized fibular grafting (FVFG) for the treatment of osteonecrosis of the femoral head (ONFH), and explore the clinical effect of the procedure.

methodsBetween March 2016 and September 2022, the clinical data of 23 patients (26 hips) with ONFH were respectively analyzed. The involved hips were classified as stages III (23.1%), IIIA (57.7%), and IIIB (19.2%) according to the Association Research Circulation Osseous (ARCO) classification. The mean preoperative Harris Hip Score (HHS) was 60.9 ± 9.0. All patients were implemented the FVFG. The fibular bone flap was harvested 10 cm distal to the tip of the fibular head. Regular postoperative follow-up was performed to assess the union of the fibula flap and development of ONFH, and to examine the hip function. Statistically differences were analyzed between the preoperative and postoperative HSS (P < 0.05).

resultsAll patients were followed up for 13 to 93 months, and the HHS was 90. 9 ± 4. 5 at the last follow-up, indicating a statistically significant improvement compared to that preoperatively (P < 0.001). Postoperative X-rays, CT and MRI revealed no displacement of the fibular bone flap, and all the bone flap healed well without evidence of ONFH progression.

conclusionsThe treatment of ONFH with FVFG can significantly improve the hip joint function of patients. Incorporating these surgical tips and our experiences may contribute to improved procedural accuracy, enhanced effectiveness, potential cost-efficiency, and broader applicability for dissemination.

Indexed as

Bone TransplantationFemur Head NecrosisFibulaFree Tissue FlapsAdultChinaFemaleHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeYoung Adult3D printed guide plateFree vascularized fibular graftingOsteonecrosis of the femoral headSurgical technique

Identifiers

PMID40982114

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